نشریه پرستاری و مامایی ارومیه
سال بیستم شماره 2 (پیاپی 151، اردیبهشت 1401)

Academic burnout of the students is of critical important. Academic burnout reduces self-efficacy, academic performance and progress, students' commitment to educational activities, interest in continuing education, and low academic participation during and after education. So, this study was designed to investigate the relationship between academic burnout with self-efficacy and academic performance of thestudents of Shahrekord University of Medical Sciences.

In this descriptive-analytical study, 866 students were selected by a non-random quota sampling method among the students of medicine, nursing, psychiatry, operating room, and emergency medicine of Shahrekord University of Medical Sciences in the academic year of 2006-2007. Demographic-educational information questionnaire, Berso adjusted academic burnout questionnaire, students' academic self-efficacy questionnaire of Faraman, and academic performance measurement index of the students based on the total grade point average (GPA) of the previous semester were used to collect data. Data were analyzed using SPSS21 statistical software using descriptive and analytical statistical tests at a significance level of 5%.

Findings of this study show that the academic performance was (16.26±0.92), emotional fatigue was (16.12±6.38), apathy was (11.92±3.61), inefficiency was (21.99±3.68), and self-efficacy was (18.74± 5.21). Pearson correlation test showed that there was a relationship between academic burnout with self-efficacy (r= -0.92, p<0.001) and with academic performance (r= 0.87, p<0.001). However, the relationship between inefficiency component and self-efficacy was not significant (r= 0.42, p<0.06).

According to the findings of this study, students with higher self-efficacy are less vulnerable to academic burnout and are less likely to suffer from academic failure. So consolidation of this variable among medical students will improve their academic performance.

Nursing students, as future nurses, play a major role in improving the health of the society. By adopting a health-promoting lifestyle, they can influence health behaviors and achievement motivation, not only in their own lives, but also in the behaviors and lifestyles of others. The purpose of this research was to determine the relationship between health-promoting lifestyle and achievement motivation in nursing students.

This descriptive cross-sectional study was performed on 164 nursing students studying at the Islamic Azad University of Yazd in 2021. Data were collected using questionnaires of demographic characteristics, Walker health-promoting lifestyle, and Herman’s achievement motivation. Data were analyzed by SPSS19 using descriptive and analytical statistics.

The mean score of nursing students' health-promoting lifestyle and achievement motivation were 127.35±20.92 and 78.70±6.42, respectively. Among the dimensions of health-promoting lifestyle, the highest mean was related to the self-actualization dimension and the lowest average was related to the exercise dimension. Also, nursing students' health-promoting lifestyle and dimensions of self-actualization and interpersonal had direct and significant relationships with achievement motivation (P<0.05).

The average score of nursing students' health-promoting lifestyle and academic achievement was at the moderate level, and there was a relationship between lifestyle and motivation to progress. In other words, the better the lifestyle, the higher the achievement motivation. Therefore, it is possible to increase the achievement motivation by planning to improve the health-promoting lifestyle of the students.

One of the fundamental changes in the health system of Iran is the implementation of the "Health System Reform Plan", the effects of which should be examined from various dimensions. The purpose of this study was to determine the effect of reform plan on performance indicators of health at Ahvaz University of Medical Sciences.

In this descriptive-analytical study, the data of the selected health indicators of Ahvaz University of Medical Sciences in the period before and after the health system reform plan (from 2012 to 2018) were collected, described and analyzed with SPSS. Study indicators include the coverage of neonatal hypothyroidism screening, annual incidence of neonatal hypothyroidism, the prevalence of hypertension, prevalence of diabetes, coverage of rural family physicians, percentage of rural households with sanitary toilets, and percentage of rural households with sanitary disposal.

The highest rate of change with regard to rural family physician index was between 2013 and 2017 years with a mean difference of 22.263 and the highest percentage of rural households with sanitary disposal index was between 2012 and 2017 years with a mean difference of 9.169 (p=0.002 & p=0.009, respectively). Also the rate of hypertension and diabetes prevalence indices were significant. The coverage of neonatal hypothyroidism screening index, annual incidence of neonatal hypothyroidism, and the percentage of rural households with sanitary toilets was not significant.

The coverage of rural family physicians and the percentage of rural households with sanitary disposal has increased after the reform plan. Also, the prevalence of hypertension and diabetes in populations over 30 years increased which is affected by various factors. The health reform plan has not affected coverage of neonatal hypothyroidism screening, annual incidence of neonatal hypothyroidism, and the percentage of rural households with sanitary toilets.

Children with autism often have difficulty with stereotyped behaviors. Play therapy helps children learn new social and behavioral skills. Therefore, this study was conducted to determine the effect of localized play therapy with parental participation on stereotyped behaviors of children with autism.

This quasi-experimental study with pre-test and post-test design with control group was conducted on 40 school-age children with autism in Urmia during 2021. Forty children with autism were recruited using convenience sampling and then randomly assigned into two groups of intervention and control. Data were collected using the Gilliam Autism Rating Scale-Second Edition (GARS-2) and a demographic questionnaire. Then parents and children in the intervention group received six 2-hour sessions of family-based play therapy using online video calls. Data were analyzed using SPSS, version 22.0.

The results showed a significant difference in the mean scores of stereotyped behaviors between the intervention and the control group after the intervention (p<.001). The results of binary comparisons based on Bonferroni correction also indicated no statistically significant difference between the mean scores of the stereotyped behavior before and after the intervention in the control group (p=1.000). However, the difference between the mean scores of the above dependent variables at three time points (before, immediately after, and three months after the intervention) was found to be statistically significant in the intervention group (p<.001).

Localized play therapy with parental involvement, as an activity with considerable adaptability, is a means of understanding and communicating with the child, positively reducing stereotyped behavior of school-age children with autism.

Timely and rational clinical decision making is one of the most important characteristics of nurses working in intensive care units. The decision-making process while caring the children can lead to moral distress in the nurses. Due to the importance of complications resulted from the lack of proper decision making and from creating moral distress in the nurses and its direct effect on their professional performance, the present study was conducted to determine the relationship between clinical decision making and moral distress of nurses working in pediatric intensive care units.

This research is a cross-sectional correlational study. The research sample consisted of 200 nurses working in PICU Educational and Medical Centers of Tehran University of Medical Sciences who were included in the study by continuous sampling method. Data were collected using demographic questionnaire, Corelli Demographic and Moral Distress questionnaire (2002), and Laurie's Clinical Decision questionnaire (2001). Research data were analyzed by SPSS16 software using descriptive statistics (frequency, mean and standard deviation) as well as one-way analysis of variance, Kruskal Wallis, and t-test.

Clinical decision-making in 43% of the researched nurses was of systematic analytical type and in 57% of them was of intuitive analytical type. The mean score of clinical decision making in the nurses was 68.71±4.01. None of the studied nurses had interpretive/intuitive clinical decision-making. The mean value for moral distress was at a medium level of 109.36±22.41. In this study, no statistically significant relationship was found between clinical decision making and moral distress. Clinical decision making had a statistically significant relationship with work shift (p=0.05) and with work experience (p=0.045) in the researched nurses. There was a statistically significant relationship between moral distress and marital status (p=0.032) and number of children (p=0.04).

Clinical decision making in more than half of the nurses of the PICU. Considering the importance of systematic and interpretive clinical decision making in the PICU, it is necessary to take efficient steps to improve clinical decision making in the nurses. Also, the moral distress in the studied nurses was at an average level, and due to its effect on the care behaviors of the nurses in the PICU, it is necessary to design and compile training programs and workshops to help reduce the level of moral distress in the nurses.

One of the most important medical rights that requires the observance of all people, especially medical staff, is the privacy of the patient. The aim of this study was to determine the relationship between privacy and preoperative anxiety in pregnant women undergoing elective caesarean section in the operating room.

This study was a descriptive cross-sectional study in which 105 pregnant women underwent elective cesarean section in the operating room wards of selected hospitals in Arak, Iran, who were included in the study by convenient sampling. Data collection tools were demographic information questionnaire, patient privacy questionnaire, and preoperative anxiety Spielberger's questionnaire, whose validity and reliability were confirmed. Data analysis was performed using descriptive statistics as well as Pearson's correlation, Fisher's exact, and chi-square tests at the inferential level using SPSS software version 12.

Pearson's correlation coefficient analysis did not show any significant relationship between respect for patient privacy and overt anxiety of patients (p=0.736). Also, there was no significant relationship between patient privacy and patients' covert anxiety (p=0.172). In total, the privacy of the patients was at a good level and the anxiety levels of the patients were at an average level.

Considering the desired level of respect for patients' privacy and the average level of anxiety as well as the lack of significant correlation between these indicators, it is suggested to conduct similar studies with a larger sample size. Due to the observance of good privacy in the present study, the average anxiety level of the patients could be attributed to other underlying factors.

The purpose of this study was to investigate the relationship between the quality of couples' relationship with fertility desires of working women and their spouses.

This descriptive correlational study was performed on 270 married working women and their spouses (total 540 couples) from 2017 to 2018 in Mashhad, Iran. Questionnaires of Couples’ Relationship Quality and Miller Reproductive Motivation were completed. The collected data were analyzed by SPSS software version 24 after ensuring the correctness of data entry.

In this study, a total of 540 people (270 couples) were included in this study with a mean age of 34.46±6.61 years for women and 38.15±6.97 years for men. There was a significant difference in the scores related to the quality of the relationship between men and women (P=0.001), which indicated that the average scores of couples' relationship in the group of working women is higher than their husbands. The mean of positive motivations in men and women was also different significantly (P=0.001). Furthermore, the mean of negative motivations in men and women was significantly different (P=0.001).

The scores of the questionnaire of Couples’ Relationship Quality are directly related to the desire of fertility in working women. This in turn can affect the desire to have and raise the children. Therefore, paying attention to the quality of couples' relationship and strengthening and improving these relationships is suggested as a suitable way to promote mental health, happiness, and satisfaction of the marriage life.

Brucellosis is one of the most important diseases between humans and animals that has been specially considered in terms of economics, public health, and treatment. Currently, a major problem in brucellosis is its relatively high recurrence and high rate of chronic cases, which may be caused by variety of treatment methods for these patients. This study was performed to determine the degree of compliance of the physicians with the National Protocol to treat brucellosis in different population groups in Hamadan province in 2015-2019.

This cross-sectional study investigated 5524 patients who had brucellosis between 2015 and 2019 and were followed up by the health centers of the cities of Hamadan province and their epidemiological examination form was completed. Data were analyzed by SPSS 24 software using t-test, Chi-square test, and Fisher's exact test.

Out of 5524 patients, 3450 (66.8%) received treatment diet 1, 1123 (23.7%) received treatment diet 2, and 41 (0.8%) received the pediatric regimen Moreover, 115 children (31.8%) received treatment adult diet 1, 50 (13.8%) received treatment adult diet 2, and 21 paients (5.8%) received the pediatric treatment diet. In addition, 82% of adults and 37% of children received a protocol-based medication but 18% of adults and 63% of children received medication contrary to the national guidelines.

The findings of the present study demonstrated that compliance and implementation of the national protocol have not reached a desired level in the Hamadan province. Therefore, educational and intervention programs should be considered by the respective authorities to improve the current situation.