نشریه مرور سیستماتیک در علوم پزشکی
سال دوم شماره 2 (پیاپی 3، تابستان 1401)

Communication is an essential issue in performing care and treatment measures of nursing. There are extensive inter-professional communication colleagues in the nursing profession, patients and families, and other professions, which is necessary to do teamwork, and maintaining this relationship of nursing is essential. Being aware of the challenges of inter-professional communication can be achieved appropriate solutions.

This systematic review study was performed searching by keywords: "Nursing", "Interprofessional challenges", communication,, "communication Challenge", "Communication Barriers," in the reputable databases, Google Scholar, PubMed, ISI, magi ran and Scopus. The main criterion for entry was full-text printed articles in Persian and English between 2000 and 2020. The PRISMA checklist was applied to review and control the quality of the article.

Communication and collaboration of inter-professional and teamwork in nursing are associated with multiple challenges. Influential factors include diversity and difference in health literacy, culture, language, and resolution and clear of professional position and role. These challenges affect the quality and safety of care, nurses' satisfaction, and care costs and treatment costs.

Despite studies in this regard, there are several inter-professional challenges in nursing that, by examining and recognizing the challenges and developing appropriate communication strategies, will be provided high quality and safe care of patients and care staff satisfaction.

Research results have shown that a wide range of patients experiences anxiety before surgery, which increases drug use and affects the patient's recovery process. Music therapy is one of the non-pharmacological methods to reduce patients 'anxiety. However, various studies do not agree on the effect of this method on patients' anxiety. This study aimed to review music on patients' anxiety before general surgery systematically.

The present study was conducted as a systematic review. Search for Persian information sources IranMedex, Magiran, SID and English PubMed, Ovid, Scopus, Web Of Sciences, Science Direct, and the keywords music therapy, music, surgery, general surgery, anxiety from 2010-2020. All articles and studies related to music therapy were collected, and 9 articles were reviewed.

Out of 9 articles reviewed, 2 articles were Persian, and 7 articles were English. Five articles from the reviewed studies showed a positive effect of music on patients' anxiety before general surgery. However, the results of three studies showed that music therapy does not affect patients' anxiety before surgery. The study results also showed that music had no effect on anxiety but reduced the number of sedatives in the intervention group.

According to the study results, there is no consensus on the effect of music on preoperative anxiety. It is suggested that more research be done in this context.

There is a growing interest in telenursing's effect in reducing the burden of chronic diseases.

In this study, a comprehensive review of systematic reviews of the effect of telenursing interventions on primary care of cardiovascular diseases was performed. The reviewed English articles were published between 2000 and 2018. International databases, including CINAHL, Web of Sciences, Science direct ERIC, Google Scholar, PubMed, SCOPUS, Wiley, Springer, Cochrane, EMBASE, Education Index British, were used to search for studies. Articles were evaluated for quality using relevant checklists. Data were extracted by a researcher. The second researcher reviewed the data using a standardized form. Then, two evaluators evaluated the quality of each study using a review quality assessment questionnaire.

Out of 85 articles, 13 studies were included, four studies focused on telecommunication interventions performed on blood pressure, and 9 studies focused on telecommunication and management of heart failure. Seven studies received a score of 5 or higher and were of good quality.

The findings show that telenursing reduces blood pressure, reduces overall hospitalization and HF-induced hospitalization, reduces overall mortality, and improves the quality of life. It also improves disease outcomes and reduces health costs. However, we need more research to examine the components of telephoning interventions to determine these components' relative value. Also, the methods of influencing telecommunication on health outcomes need further investigation to show the desired results.

One of the most critical priorities of the Ph.D. in Nursing is to ensure the quality of its programs, which will be useful in the development and improvement of educational programs. Given that different studies have presented different reports in this field, there are still challenges in educating nursing students in the doctoral program. Therefore, the present study was conducted to investigate the challenges of doctoral education in nursing schools worldwide.

This review study was performed in 2019 in PubMed, Science Direct, Scopus, Google Scholar, SID, and Mag Iran with the keywords Challenge, Nursing Education, Education Process, Nursing Ph.D. PRISMA checklist was used to review and control the quality of articles. Finally, considering the inclusion criteria, 27 articles were included in the study among the found articles.

The results were examined in 4 categories. The findings showed that although nursing doctoral programs have improved in recent years, this course's challenges include the small number of faculty members, the provision of mandatory and repetitive courses, insufficient resources and budget, and student dissatisfaction.

Few evaluations have been done on nursing doctoral programs. Challenges and opportunities created during the doctoral program require program management during this period. Therefore, when planning a doctorate, university administrators should pay attention to the limited resources, budget, and experienced supervisors, hire professors with different specialties, and provide educational and financial resources to support quality programs.

Considering the nurses' role in promoting community health and clinical education in shaping the necessary skills and professional competencies of nursing students, it is necessary to examine the clinical education environment's challenges. Identifying the challenges of clinical education helps to eliminate or correct weaknesses and can improve the achievement of educational goals, train skilled people, and provide higher quality care services.

This review study was conducted by searching for the keywords of " challenge," "nursing students," "clinical education" in articles published in Persian language databases SID, irandoc, Magiran from 2001 to 2019. Inclusion criteria were Persian-language articles, technical articles in the field of nursing, and articles that examined nursing, along with several other disciplines. From a total of 245 articles found, 23 articles related to the article's purpose were selected after considering the inclusion and exclusion criteria.

The challenges of clinical education have been identified in six primary areas, which include: 1) Insufficient mastery of instructors in clinical departments 2) Insufficient student readiness to enter internship 3) Lack of staff support for students 4) Lack of a written educational program for Clinical education 5) Lack of an exact model for clinical evaluation 6) Lack of cooperation and trust of patients in relevant students.

These findings indicate the need to pay attention to clinical education as a significant part of professional nursing education by considering clinical education challenges in nursing students' clinical education environment.

Education is one of the universities' most important tasks, and paying attention to its useful components will improve its quality. Therefore, to know the effective indicators in this field, it is necessary to study teachers' and students' views.

In this review study, articles published between 2010-2011 were reviewed. Electronic search in Persian and English using Persian and English keywords education, effectiveness, and medical sciences in SID, Magiran, Iran Medex, PubMed, Scopus, Ovid, Science Direct, Elsevier, and ProQuest were performed, and 14 articles were extracted. Inclusion criteria included publishing in Persian or English, being research, having medium and high quality based on JBI-MASTARI tools, and accessing the full version of the article. Exclusion criteria also included articles in the form of letters to the editor, case reports, and lack of access to the full article.

Based on the studies' results, the six essential indicators in the effectiveness of education in medical sciences were teacher communication power, teacher personal characteristics, teaching method, student personal characteristics, scholarship, and educational environment, respectively.

Due to the importance of education in medical sciences, effective indicators in this field should be paid more attention to, and careful planning should be done to promote these indicators in professors, students, and the educational environment. It is also recommended to conduct further studies in prioritizing these indicators and paying attention to graduates and staff of health centers' opinions.

Hospital operating rooms during pandemics, new guidelines are needed to perform surgeries safely and effectively.

In this systematic meta-analysis study, articles published in the first half of 2020 were reviewed. In order to obtain related scientific documents, electronic search in Persian and English using the keywords Covid-19, operating room, surgery, epidemic in the databases of SID, Magiran, IranMedex, PubMed, Science Direct, Web of Sciences and Google scholar and extracting 144 articles Based on the purpose and relevance of the study results, the remaining 10 studies were reviewed.

Based on the results of the studies, personnel training, patient transfer management, management of Covid-19 dedicated operating room, infection control measures, reduction of surgeries to emergency cases, establishing a team and comprehensive approach to the case are the most important key areas studied. They were in the operating room.

A review of previous studies suggests that a well-codified and accurate plan for performing non-delayed and emergency surgical procedures in Covid-19 positive patients is mandatory. Hospitals should develop their internal protocols and provide adequate staff training involved in surgery and care for patients with Covid-19.

The Covid-19 epidemic is the biggest challenge facing education systems in the world to date. Medical Sciences Universities took students out of educational and clinical settings and led them to virtual education. This sudden transition was accompanied by many challenges, especially in practical profession such as nursing.

The present study is a systematic review and is based on Persian and English articles extracted from Iranian (SID, IranDoc) and foreign databases (PubMed, Science Direct, Scopus, Google Scholar) using the keywords virtual learning, virtual education, e-learning, Web-based learning, online learning, virtual reality simulation, coronavirus, Covid-19, Nursing and other related keywords, from 2013-2020 were used and reviewed. Inclusion criteria included qualitative, quantitative and combined studies, which faced Barriers and challenges in using various types of virtual learning and scored an acceptable score in Gifford Quality Assessment. A variety of review studies were excluded.

from 404 related articles, 44 qualified articles (42 English and 2 Persian) were reviewed. The results show the challenges of virtual education before and after Corona in 3 categories: infra-structures of virtual education; virtual training and evaluation process; ethics and information security.

Preparation in human and equipment dimensions requires precise planning. Now is a good time to turn the current threatening situation into an opportunity and take a big step towards developing education systems by strengthening the needful structures and technologies, reforming the education and evaluation process and training professors, students.