مجله پژوهش پرستاری ایران
پیاپی 77 (خرداد و تیر 1401)

In case of negligence of the medical staff leading to the death of the patient, the offender may be sentenced to imprisonment in addition to paying wergild to the parents of the deceased. However, for the medical staff, being sentenced to imprisonment due to their high social status in the country, in addition to entering and damaging the community's therapeutic community, may have many negative consequences for a person that in the future career They have a great impact. Therefore, it is necessary to pay special attention to alternative punishments in the field.

The present article examines the possibility of an alternative to imprisonment with a case study of a specific case in which the patient dies due to the negligence of the medical staff, and generally evaluates the view of the Iranian legislature regarding alternative punishments to imprisonment in connection with medical malpractice.

Providing a definition of alternatives to imprisonment and their examples, and matching nursing or medical malpractice with one of alternatives to imprisonment, requires a legal process that is within the jurisdiction of the judicial authority. In this way, the judge uses this mechanism according to the amount of injuries and the percentage of faults and some of the characteristics of the accused.

Examination of existing laws and regulations indicates that the issuance of an alternative punishment to imprisonment is within the authority of the judicial authority and is in no way a privilege for the medical staff.

High-risk behaviors are one of the challenges of adolescence and can become lifelong habits. Existing educational strategies in the prevention of high-risk behaviors have been challenged. Therefore, this study aims to determine the effect of peer education on the prevention of high-risk behaviors in adolescent girls. Done.

The present study is a randomized clinical trial. In this study, 120 girls from the south of Tehran were selected and then randomly assigned to the control and intervention groups. The tools used in this study were demographic questionnaire and high-risk adolescent behaviors 18 It was 15 years before the intervention and also 6 weeks after the intervention was completed by students. The test group received educational intervention for the prevention of high-risk behaviors by their peers twice a week for four sessions. SPSS version 16 were analyzed.

The results showed that before the intervention, there was no significant difference between the scores of high-risk behaviors in the experimental and control groups (P = 0.95); While after the intervention, the mean changes were -5.22 47 2.47 in the experimental group and -0.40 1 1.23 in the control group. The independent t-test showed; There were significant differences in high-risk behaviors between the experimental and control groups (P <0.001).

Based on the findings of this study, peer education has been effective in preventing high-risk behaviors in adolescent girls. Therefore, health policy makers and planners are advised to use this method to implement an effective educational program to promote adolescent health-related behaviors.

Today, in addition to the physical and mental dimensions of health, its social dimension is also receiving increasing attention. Social health is the part of an individual's health that emerges in the community. Meanwhile, the use of computer communication is expanding and marks the emergence of a new era in social communication. The aim of this study was to investigate the relationship between the use of social networks and social health of nursing and midwifery students of Tehran University of Medical Sciences.

This correlational and cross-sectional study was performed on 265 nursing and midwifery students of Tehran University of Medical Sciences. Data collection tools were a three-part questionnaire including personal information, measuring the level of social health and the use of social networks. After data extraction, descriptive statistics such as absolute and relative frequency and statistical tests such as Pearson correlation coefficient in SPSS software version 25 were used to analyze the data.

The results showed that women with 142 people (53.6%) had the highest frequency and men with 123 people (46.4%) had the lowest frequency. Regarding age, the highest frequency was related to the age group between 18-21 (43.4%). Mean and standard deviation of social health scores of the studied units were 90 16 16.3 and mean and standard deviation of social network scores of the research units were 127.7 20 20.2 (total score 196) which shows that the average use of social networks is higher than It was moderate and the social health of the studied units was moderate. The findings also showed that social health has a direct and positive relationship with the use of social networks (P <0.05).

According to the research findings, given the wide level of use of social networks, this opportunity can be used and effective steps can be taken to promote students' social health.

In order to increase nurses’ job passion, it is needed for various affecting factors to be identified, strengthened and modified if necessary to improve their efficiency. One such factor is spirituality in relation to their job and improve their motivation and passion to do their job. The purpose of the present research is to investigate the relationship between spirituality and job passion in working nurses.

This research is applied in terms of purpose and descriptive-surveying in terms of data collection. The statistical society includes all the 240 nurses working in Emam Reza Hospital, Sirjan, Iran. The samples were obtained via census. Two questionnaires were used for data collection: Shahidi& Farajnia spirituality questionnaire and Schaufeli & Bakker job passion questionnaire. Content validity was used to determine validity and Cronbach’s Alfa was used to test the reliability for all of the components for all of which the validation was above 0.8. Structural equation modelling was used for data analysis applying Amos 23 software.

research findings show that spiritual view and job passion with efficiency correlation of 0.581 and significance level of 0.00 in the significance level of α=0.05, have positive significant relationship. Spiritual view and spiritual ability positively predict job passion.

The results show there is meaningful relationship between components of spirituality and job passion. Nurses with more job passion enjoy more job satisfaction in comparison to those with less job passion. They are also more committed to their job and the organization, and are less inclined to resign and look for jobs elsewhere. Higher job passion increases the energy level and strengthens the individual identity. Consequently, the individual makes more attempt to achieve organizational goals and is less willing to leave their job.

 Due to the complexities of self-care in the elderly with chronic kidney failure, with information based on scientific evidence and appropriate health planning, the elderly with self-care and self-management of the disease from others will lead to a healthier life and a better quality of life. Therefore, this study aimed to determine self-care in the elderly with chronic renal failure referred to selected educational and medical centers of Iran University of Medical Sciences in 1399.Procedure: This study was a cross-sectional (descriptive) study. The study population was the elderly with chronic renal failure referred to selected educational and medical centers of Iran University of Medical Sciences. Two hundred ninety-two people initially stratified sampling with proportional allocation, and Then the continuous method was used in the centers. Data were collected using the short cognitive test form (AMT), demographic form, and Chronic Kidney Disease Self-Care Scale (CKDSC). Data analysis was performed using SPSS software version 20 in two sections, descriptive statistics, and inferential statistics, and the significance level of the test was considered p≥0.05.

 The results showed that the mean age of the elderly participating in this study was 69.3 ± 7.7 years. The mean of self-care in the elderly was 66.20 ± 6.06, and the highest score was for better self-care. It should be noted that the questionnaire did not have a poor, average, or good rating. 61.3% of the elderly received more than average self-care and 38.7 less than average. According to the maximum score of 72 in the present study, the elderly had good self-care. Among the demographic characteristics, the level of self-care had a significant relationship with the variables of employment status (0.001 ≥p), Duration of illness (p = 0.01), and gender (0.002). Among the demographic characteristics, the level of self-care had a significant relationship with the variables of employment status (0.001 ≥p), Duration of illness (p = 0.01), and gender (0.002), and the variables of employment status were one of the most effective roles for self-care 

 According to the results, it can be acknowledged that employment status, Duration of education disease, and the number of conditions are the underlying variables affecting self-care in the elderly were studied. Therefore, it is necessary to consider demographic variables in educational and counseling planning that can be intervened to increase the self-care of the elderly with chronic renal failure. It contributed to their health and quality of life.

One of the groups involved in Covid-19 is health care workers, especially nurses, who, in addition to endangering their physical health, are exposed to psychological damage. The aim of this study was to compare the stress, anxiety and depression of nurse staffs against non-nurse  in the face of Covid-19.

The present study is a descriptive cross-sectional study in which 294 Health care worker exposed with Covid-19 with inclusion criteria were selected by conveniance sampling method. A questionnaire consisting of two sections of demographic information and a general questionnaire 21 DASS (stress and anxiety and depression) was used. The data were analyzed using SPSS software version 22. A significance level of (0.05) was considered.

Based on the statistical results, the mean and standard deviation of stress, anxiety and depression in the group of nursing staff were 6.69 47 8.47 and 5.36 49 7.49, 9.64 9 9.86, respectively, and in the non-nursing group, the items mentioned were 3.22 ± 5.81, 2.73 40 6.40 and 6.18 46 8.46, respectively. Independent t-test showed a statistically significant difference in the rate of stress (P<0/004 and depression (P<0/007) nurses against non-nurses.

  According to the results of this study, nurses had higher levels of stress, anxiety and depression than non-nurses in the exposed of COVID 19. Identification of psychological disorders, especially stress and anxiety and depression of nurses, is essential to be able to take steps based on appropriate psychological strategies and techniques to make, maintain and improve their mental health.

Covid-19 disease vaccination is considered as a vital approach in the prevention of this disease. In order to control this disease, in addition to the effectiveness and safety of the vaccine, the acceptance of the vaccine between the general public and health care providers also plays an important role. The aim of this study was to identify the desire to receive Covid-19 vaccine and its associated factors.

By searching the databases: SID, IranDoc, Google scholar, PubMed, Medline, Scopus, Cochrane Library, Science direct, Web of science and using the keywords "Vaccination/Vaccine", "Covid-19", "Corona/Corona disease", "Vaccination hesitancy"and "Vaccination acceptance" ; all articles in line with the title of this study, which examined the willingness of individuals to receive Covid-19 vaccine and related factors, were reviewed. Electronic search was performed in the period 2019-2020. Out of 64 studies that were reviewed and screened, 19 studies were evaluated and analyzed based on inclusion and exclusion criteria for data extraction.

Among the 18 reviewed articles it was identified; the desire to receive the Covid-19 vaccine is insufficient and various factors are influential in this regard. Factors related to the acceptance of vaccination in the community include individual factors (age, sex, marriage, race, insurance, job, education, income, having a child and history of vaccination), factors related to the disease (anxiety, willingness to protect others by being vaccinated, Contact with patients with Covid-19, Covid-19 test history, general belief about vaccination, belief in Covid-19 and its vaccine, people's perception of the seriousness of the disease, being up-to-date about vaccines), social factors (political ideology and trust in health system structures) and factors related to the health system (insufficient knowledge about vaccination).

To improve vaccination level, there are a variety of factors that can be provided by planning and using the results of this study. These include; utilizing the potential of social media, providing transparent information, facilitating access to vaccination, trying to address concerns and answering questions and ambiguities in this area by healthcare workers and health system policymakers, can be considered as ways to encourage the public to Covid-19 vaccination.

Patient-centered care (PCC) is a valuable and logical concept in the nursing discipline. The aim of this study was to development and psychometrically evaluate a patient-centered care questionnaire in CICUs (PCC-CICUs).

This methodological study was performed in two phases. The first phase is the qualitative stage by grounded theory study in which, a literature review was carried out for tool development. The second phase includes a psychometric evaluation of the PCC-CICUs. The tool’s content validity was performed by skilled nurses in the field of patient-centered care. The reliability of the tool was assessed by Cronbach's alpha and its stability was measured by internal consistency and reliability. Exploratory factor analysis was used to determine the construct validity.

The PCC-CICUs was evaluated for validity and reliability. Exploratory factor analysis was used to assess the construct validity. The analysis led to the development of a tool with 28 items in four dimensions of patient and family empowerment, understanding the patient, skill and expertise, and respecting the patient and family, which accounted for 35.380% of the variance. Cronbach's alpha of the tool was 0.68. The test-retest method supported the stability of the instrument.

Patient-centered care questionnaire in cardiac intensive care units is a standard and accepted questionnaire to assess the amount of patient-centered care from the patients' point of view. Health care professionals can use the PCC-CICUs to assess their own and peers’ practice to detect potential areas for improvement in nursing care and help nurse managers with planning appropriate quality improvement programs.