نشریه توسعه پرستاری در سلامت
سال دوازدهم شماره 36 (پاییز و زمستان 1400)

Considering the effect of transformational factors on individual and social problems and the need to pay more attention to them, the present study was conducted to investigate the relationship between impulsivity and attachment styles mediated by large-scale narcissism and vulnerability.

 The present study was descriptive-correlational. Using multi-stage cluster sampling method, 300 students of Tabriz University were selected. Data collection tools were the Adult Attachment Inventory, the narcissistic personality inventory, the Hypersensitive Narcissism Scale, and the Barratt Impulsiveness Scale. Data were analyzed using structural equation method and AMOS23 software.

The results of direct paths showed a significant negative relationship between secure attachment and impulsivity (r = -0.19, p <0.01) and also a positive relationship between avoidant and ambivalent attachment, vulnerable and grandiose narcissism with impulsivity (respectively r = 0.18, r = 0.20, r = 0.16, r = 0.21, p> 0.01). In indirect paths, vulnerable narcissism and grandiose narcissism have been significant mediators of the model.

According to the results, grandiose and vulnerable narcissism can explain part of the relationship between attachment styles and impulsivity. These findings indicate the importance of attachment styles and the two types of narcissism mentioned in the prevention of impulsive behaviors.

Nursing staff have difficulty in managing violent events due to their inappropriate attitude towards violence. This study was conducted to evaluate the effect of a codified educational program on the level of nurses' attitudes in dealing with violence in the emergency department.

In this experimental study, 90 nurses working in the emergency departments of selected medical centers in Khorramabad were selected by simple random sampling and randomly divided into two groups of experimental and control (45 people in each group). The training program was performed once every two days for one month during 16 one-hour sessions for the experimental group. Data were collected using a questionnaire whose validity and reliability were confirmed by retesting and content validity before the training program and one month after.

The results showed that the mean scores of attitude in the experimental and control groups were (31.36±2.58) and (35.85±3.21), respectively. There was also no statistically significant difference in the mean attitude score in the experimental group before and after the intervention.

According to the results of the study, it can be concluded that the implementation of educational programs on violence and how to control and deal with it in the emergency department, alone cannnot affect the attitude of nurses in dealing with violence.

Since believing in resurrection and life after death exists in all religions, streng thening this belief leads to positive emotional states, increases adaptation to adverse life events, reduces the fear of death and gives a meaning to life. Therefore, this study was conducted to investigate the correlation between belief in the hereafter and the attitude of death in the elderly in Golestan province in 1397.

This descriptive correlation study was performed on 230 elderly people over 60 years old. The data collection tool is the standard questionnaire of resurrection belief and attitude to death. Data were collected by self-reporting method, and then were analyzed by descriptive statistics (mean and standard deviation) and inferential statistics (Spearman and Kruskal-Wallis correlation coefficient).

The score of believing in resurrection was 70.62 + 8.41 and the score of attitude towards death was 128.08 + 16.58 among the samples. Pearson correlation test did not show a significant relationship between believing in resurrection and attitude towards death (r = 0.01, p = 0.9).  The results of this study showed that there is no significant relationship between belief in the hereafter and the attitude of death in the elderly. Therefore, it is necessary to pay more attention to this issue by understanding the spiritual needs of the elderly. Because spiritual care based on the needs of the elderly has an important role in promoting health and quality of life.

Many factors may cause fear and social anxiety that people's concern about their body can be one of these sources. The aim of the current study was to predict the social physique anxiety disorder based on the self-compassion and self-esteem in female athletes.

The type of the study is a cross-sectional correlational study that was conducted as a survey. The statistical population of the study included all female athletes in the fields of TRX and Spinning in Mashhad in 2020. Among them, 100 people were selected by purposive sampling. The research instruments included the scales of the social physique anxiety, self-compassion and Rosenberg Self-esteem. In order to analyze the data, descriptive statistics including dispersion and central indices (mean, standard deviation), and Pearson correlation test and stepwise regression analysis were used by SPSS software version 19.

The results showed that there is a significant relationship between self-confidence and self-compassion with social anxiety of the body. Also, among the dependent variables, only the extreme cloning variable explains 40% of the variance changes in the body's social anxiety.

The findings of the present study have practical implications in the clinical field in the field of the social physique anxiety in female athletes.

Safety in the health service system of all countries around the world means observing the principles that, if applied correctly, will not harm the patient or will minimize possible injuries. The concept of patient safety is a very essential component of health care systems, therefore, this study was conducted to explain the experiences of nurses of patient safety challenges in Zahedan Social Security Hospital.

The present study is a qualitative study with a phenomenological approach. Participants were selected from the nursing community based on admission criteria by purposive sampling and sampling was continued until information saturation and 14 people including two supervisors, one head nurse and eleven nurses were selected between the ages of 22-45 years. Data were collected by in-depth and semi-structured interviews and then data analysis was performed by Colaizzi method.

From the results of the interview analysis, 130 initial codes were extracted out of which the five main themes of dissatisfaction, physical trauma, awareness, human resources, and equipment resources were obtained. The dissatisfaction theme, in turn included two sub-themes of forced overtime and high workload. The main themes of physical trauma included two sub-themes of occupational hazards and environmental stress. The main theme of awareness included three sub-concepts. The main theme of human resources included three sub-concepts and the main theme of equipment resources included four sub-concepts.

Physical trauma in relation to medical errors is one of the most significant safety challenges for the patient that should be given special attention.

The aim of the present study was to report a case of cerebral venous thrombosis (CVT) folowing consumption of the oral contraceptive pills with high estrogen levels.

 A 35-year-old woman presenting a headache was diagnosed with thrombosis in the upper sagittal, sigmoid and transverse  veins, by CT SCAN, MRI and MRV of the brain.

The chance of cerebral venous thrombosis in women taking combined oral contraceptive pills with higher estrogen levels increases in the presence of risk factors such as hypertension, hyperlipidemia, coagulation problems, infection, obesity and migraine.