مجله پژوهش پرستاری ایران
پیاپی 75 (بهمن و اسفند 1400)

Recently, recruitment of clinical nursing faculty members with the aim of reducing the theory-practice gap and improving the quality of clinical education is being implemented in some nursing and midwifery schools in Iran. However, the dimensions of this approach have not been studied. The aim of this study was to identify the factors affecting the implementation of clinical nursing faculty regulations.

The study was performed by descriptive qualitative method. By purposeful sampling method, 24 participants of clinical nursing faculty members and PhD nursing students in the participated in the study. Data were collected by individual interviews, focus group discussions and receiving electronic descriptive answers and analyzed by conventional content analysis method.

Effective factors were described in 2 categories: "Barriers to implementation of clinical nursing faculty" and"Facilitators of implementation of clinical nursing faculty" and 4 subcategories include; Psychological challenges, structural problems, organizational transparency, and organizational justice.

Psychological challenges and structural problems are among the executive barriers of clinical nursing faculty. Organizational transparency and organizational justice can facilitate the process of implementation of clinical nursing faculty.

Iran is one of the countries affected by the health crisis caused by the emerging Covid-19 disease epidemic. In addition to physical effects, Covid 19 disease also has psychological effects that can affect the job dimensions of individuals, so this study was conducted to determine the role of job satisfaction on organizational citizenship behavior in Esfarayen College of Medical Sciences staff during coronary epidemic.

The present study is a descriptive-analytical cross-sectional study conducted in the second half of 1399 on 147 employees of Esfarayen University of Medical Sciences who were selected by cluster-random sampling. Data collection tools were Minnesota Job Satisfaction Questionnaire and Marcuzzi Citizenship Behavior Questionnaire. The collected data were analyzed using descriptive statistics and Pearson correlation tests in SPSS 26 software.

The results of the study showed that there is a significant inverse relationship between job satisfaction and organizational citizenship behavior of employees (r = -6.636) and (P = 0.000) and based on the scores performed, the average The job satisfaction score was 76.23 which is evaluated as average and the average score of organizational citizenship behavior is 55.21 which is evaluated as average.

Considering the relationship between job satisfaction and organizational citizenship behavior in this study, the organizationchr('39')s human resources system can be designed through performance appraisal systems, detailed management development plans, setting up fair payment systems to increase job satisfaction and ultimately organizational citizenship behavior. Staff step by step

Healthcare has greatly changed due to issues such as disease structure changes and a rapidly aging population with decreasing birthrate, also patients’ preference of receiving care at home. Home health care nurses need to assess the needs and limitations of the  patient and family for holistic approach aimed at empowering patients, families, and caregivers to achieve their highest levels of physical, functional, spiritual, and psychosocial health. Therefore home health care nurses should have the skills to assessing in Home health care. The aim of this study was to explore the home health care nurses’ experiences of assessment competency.

The present study is a qualitative content analysis that was conducted in home health care centers in Tehran, Iran in 2020. Data were collected through unstructured interviews with 15 home health care nurses, and sampling continued until data was saturation and then, the analysis was performed by the method of conventional content analysis in accordance with Zhang's approach.

content analysis of the data led to the extraction of the 76 cods , 12 subcategories, 3 categories and one theme of assessment in home health care that included categories: comprehensive assessment of the patient, assessment of the family and assessment of the care environment. The home care nurse for the competence of comprehensive  assessment  of the patient is essential has the skills of patient assessment the physically, self-care, mental and psychological, socio-economic status, culture,  ethics and behavior and also for the competency of family assessment should have  assessment skills of family in rate of adaptation and acceptance of Patient, cooperation in care and awareness and educability, and for the competency of assessment the patient care environment, have the skills of structural and physical assessment of the home environment, assess of equipment required for patient care and assess the patient's access to medical and support centers.

The findings of the study provided one of the HHC nurses' competencies namely assessment competency in home health care, which contributes to practice HHC nurses can assess their professional activity and think over the aspects to be completed and refined. Also, there can be a basis for educational curriculum development.

Diabetes as a chronic disease can have adverse effects on the marital relationships of people with the disease. Therefore, examining the role of protective factors in marital satisfaction of these people is of great importance. According to this, the aim of this study was to investigate the mediating role of sexual satisfaction in the relationship between self-care and health literacy of men with diabetes and marital satisfaction of women.

The present study is descriptive-correlation. The statistical population of this study includes all couples with husbands with type 1 and 2 diabetes who lived in Ahvaz and were registered in the Diabetes Association of Khuzestan province until 2020, whose total population is 2000 people. In order to conduct the study, considering the inclusion criteria, 330 patients and their spouses were selected as a sample by simple random sampling and completed the questionnaires. In order to collecte data, a Summary of Diabetes Self-Care Activities, Health Literacy for Iranian Adults, a Sexual Satisfaction Questionnaire and the ENRICH Couple Scale were used.

The test results of the structural equation model showed that the index of fit are in good condition. Also, the results of path analysis showed that self-care of men with diabetes mediated by sexual satisfaction has a positive significant effect on marital satisfaction of women; Also, men's health literacy with the mediating role of sexual satisfaction has a positive effect on women's marital satisfaction (P<0.01).

The role of self-care and health literacy of men with diabetes in women's marital satisfaction is mediated by sexual satisfaction. According to the research results, holding educational programs to promote health literacy and self-care of people with diabetes in medical centers and diabetes associations is recommended.

Mental health of employees, especially nurses and the work environment play a decisive role in the quality and safety of patient care. The outbreak of the corona pandemic has led to a high degree of uncertainty and has filled health systems with a variety of challenges. The aim of this study was to compare job motivation, mental health, psychological flexibility and psychological capital of corona nurses with other hospital wards.

The research method was descriptive-comparative causal. The statistical population of the present study consisted of all nurses in Corona ward and other wards in Ahvaz in 2020. Among them, 100 nurses (50 nurses in Corona ward and 50 nurses in normal wards) were selected as the sample by sampling method and were assigned to job satisfaction questionnaires. Scaofley et al. (2002), Goldberg and Hiller (1979), mental flexibility Dennis and Wendwall (2010), and Loatz (2007) psychological capital responded. Multivariate analysis of variance was used to analyze the data.

The results showed that there was a significant difference between job motivation, mental health, psychological flexibility and psychological capital between the two groups of nurses (P <0.01). Thus, the level of job motivation, psychological flexibility and psychological capital of nurses in normal wards was higher, and mental health, which included anxiety and depression, was higher in nurses in coronary wards.

Therefore, it can be concluded that corona nurses feel less job security, which leads to anxiety and stress in them, which requires more attention and investigation by the relevant authorities.

Spiritual Intelligence is one of the factors that can affect psychological well-being and control of anger. This study aims to determine the relationship between Spiritual Intelligence and anger among nurses in emergency units of hospitals affiliated to Kurdistan University of Medical Sciences.

This descriptive correlational study was performed in the emergency departments of hospitals affiliated to Kurdistan University of Medical Sciences in 2021. 250 nurses were selected based on the inclusion criteria of the census method. King Spiritual intelligence questionnaire and Aggressive questionnaire survey were used to collect the data. Data were analyzed by descriptive statistics and inferential statistical methods at a significant level p<0.001.

According to the findings of this study, the mean scores of Spiritual intelligence and
anger among participants in the study were 48/42 ± 14/45 and 38/17 ± 13/52, respectively and  were moderate. Pearson correlation test showed that there is a significant negative relationship between the Spiritual intelligence and the anger of the participants in the study (p<0.001) and Multiple regression test results showed that spiritual intelligence explains 21% of anger changes (p<0.001, F=4/77).

Considering the significant relationship between spiritual intelligence and anger one of the effective strategies in reducing anger can be shifting the attention of nurses towards spiritual intelligence and attempt to promote it.

The increase in the number of elderly people has led to new issues such as social protection related to them. Because the disabilities of elderly people become more common with age and their dependencies sometimes become inevitable. In this situation, the role of social support in maintaining and improving the health of the elderly becomes important.

The present study is a cross-sectional descriptive-analytical study. The sampling method was based on a multi-stage method. In the first stage, comprehensive urban health service centers were considered as sampling clusters. Then, 3 centers (clusters) with the largest population were selected. In the second stage, in each center, by easy sampling method, the elderly were selected and entered into the study considering the inclusion criteria. Data were collected using the General Health Questionnaire (GHQ) and the Family Scale Social Support Questionnaire. Data analysis was performed with SPSS 21.

The mean general health score of the elderly was05/13± 28/30 .The results of test analysis showed the relationship between social support and general health(rho=-0.32 , p<0.001)  as well as subscales of depression, physical symptoms and symptoms of anxiety and sleep disorders(p<0.001), which indicates a correlation between social support and general health of the elderly.

Considering the significant relationship between social support and general health of the elderly,It is necessary to pay special attention to this issue in the policies and plans of the responsible organization and consider the necessary measures to improve and enhance social support for the elderly.

Continuous stress and anxiety during pregnancy and lack of it control is a threat to the physical and mental health of mother and infant. Methods of reducing the anxiety of pregnant women have an effective role in reducing the psychological problems of the mother and her Newborn. The purpose of this study was to compare the effect of face-to-face training and watching film on reducing anxiety in Liberian mothers.

The research method was experimental and the research design was pre-test and post-test with control group. All pregnant mothers with 32-34 weeks gestation who was referred to Zabol health centers in the first half of 2019 and met the inclusion criteria, were studied. Sixty primiparous women were randomly divided into 3 groups of 20 individuals, namely the film group in two sessions of film and the face-to-face training group in 4 training sessions and the routine care control group. Collecting tools included 14-item Hamilton anxiety rating scale and demographic information questionnaire. After the pre-test, educational intervention and film on two intervention groups were performed. After face to face training and film in two intervention groups, the test was performed. Data analysis by using SPSS software and one-way ANOVA, covariance analysis and paired t-test was performed. P value was less than 0.05.

the anxiety means scale in all three groups was not significantly different at the beginning of the study (P = 0.918); But after the intervention, the mean score of anxiety in the face-to-face and film group was significantly lower than the control group (P <0.001). Also, the anxiety scale in the groups receiving face-to-face training and film at the end of the study was significantly lower than the beginning of the study (P <0.001), but this change was not significantly significant in the control group (P=0.083).

Considering the effectiveness of face-to-face training and watching film on reducing maternal anxiety in labor and increasing maternal satisfaction And one can choose one of the educational methods according to the conditions. In addition, the results of this study were used to reduce anxiety and prevent problems and complications of childbirth in mother and infant and can be used to plan appropriate treatment, promote mental health services and create related policies in the community.

Men's health is more dependent to social issues and job problems than women. Normative expectations of masculinity can also put men at greater risk for health. One of the threats to occupational health is the resulting stress and job dissatisfaction. Job satisfaction is one of the most important factors in job success that increases efficiency, creativity and improves health in people. Considering the need for male nurses in the field of health care all over the world, paying attention to all aspects of male nurses' health leads to staying in the workplace and providing safe and quality services by them to clients. It seems that male nurses do not pay much attention to their occupational health due to many professional concerns such as shift stress and longer presence in the workplace, which leads to reduced quality of working life, reduced job satisfaction, Stress and depression in them. Therefore, the present study was conducted to determine job satisfaction and related factors in male nurses.

The present study was a descriptive-analytical study and the study population included all male nurses working and studying in Ahvaz. Finally, 108 people were included in the study by convenience sampling method. Data were collected through a two-part questionnaire, demographic characteristics and Minnesota job satisfaction questionnaire and at two levels of descriptive (mean and standard deviation) and inferential (independent t-test, Pearson correlation coefficient and one-way analysis of variance) with Using SPSS software version 22 was analyzed.

The highest age group was in the ages of 35 to 26 years (28.71± 6.68) and the lowest age group was over 45 years (3.7%). Job satisfaction score of male nurses (56.43) at the average level and the lowest score related to this area was opportunities for advancement (8.28) and the highest was the content of the job (13.04). There was a significant relationship between nurses' job satisfaction and body mass index (p = 0.020). The prevalence of exposure to occupational hazards in male nurses was: psychological (47.2%), ergonomic (21.7%), physical (20.8%) and physical (10.4%), respectively.

Implementation of strategies to create positive environmental changes such as satisfaction with pay compared to workload, balance between shifts and career advancement opportunities by nursing managers, leads to increased job satisfaction and reduced disability in male nurses. The workplace is a high-risk environment in which gender issues and organizational structures can affect occupational safety and health practices and expose men to significant health and damping risks (especially the Covid disease epidemic). Therefore, it is important for male nurses to pay attention to gender issues when formulating policies, designing and evaluating workplace health and safety.