فصلنامه مدیریت پرستاری
سال یازدهم شماره 3 (پیاپی 41، پاییز 1401)

Considering the wide range of symptoms and clinical characteristics of major depression, it can be said that many factors are involved in the severity of depressive episodes, their recurrence, and the extent of their consequences; Therefore, the present study was conducted with the aim of investigating the Effectiveness of acceptance and commitment therapy on cognitive regulation of emotion, mindfulness, and self-compassion in patients with major depression.

The research was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all people suffering from major depressive disorder who referred to Jowan Clinic in Tehran in 2022. 30 patients with major depression were selected as a sample and randomly replaced in two experimental groups and a control group (15 people). The research tools were: cognitive emotion regulation scale, self-compassion scale, mindfulness assessment scale and therapy sessions based on parenting and commitment. Data were analyzed using multivariate analysis of covariance test.

The results of data analysis showed that the treatment based on parenting and commitment significantly led to the adjustment of cognitive emotion regulation strategies, increasing self-compassion and mindfulness in patients with major depressive disorder (P<0.01).

Based on the findings of the research, it can be said that the therapy based on acceptance and commitment can be used as an effective intervention to improve cognitive emotion regulation strategies, increase self-compassion and mindfulness in people with major depressive disorder.

The outbreak of the Covid-19 pandemic has caused many nurses to leave their service. The purpose of this research is to design, validate and reliability of the questionnaire of factors related to intention turnover of nurses during the covid-19 pandemic.

 In this research, the conceptual model of occupational stress, quality of life and willingness to leave the job was first used, and then, in order to design the questionnaire items, the studies published in several databases. Content and face validity were quantitatively calculated and in the last step, Cronbach's alpha coefficient were used to calculate the reliability of the questionnaire.

Content validity index and content validity ratio in all four dimensions  factors were also obtained in the range of 0.8 to 1. The face validity of the questions was between 4.5-1.2. In checking the reliability of Cronbach's alpha coefficient, a score higher than 0.7 was obtained for each dimension of the questionnaire.

The above-mentioned questionnaire has good validity and reliability..

Dear editor, Since January 2020, a sudden crisis has emerged in the world's public health, which has spread from Wuhan, China to the whole world in a short period of time and has become a serious threat to humanity (1). According to the Centers for Disease Control and Prevention (CDC), this has been one of the most significant and unpredictable global public health crises in recent times (2). The spread of the corona virus in the country and the infection of a large number of compatriots with this dreaded virus involved the country's medical staff. Among the management challenges in this era, the shortage of human resources, especially nurses, can be mentioned. Of course, this lack was felt in previous years, but with the spread of the Corona virus, this feeling of need was felt more than ever. Among the solutions in manpower management during the Corona era, according to the mentioned shortage, was the use of the manpower capacity of the nursing faculty members; So that these members were called to the headquarters departments and research centers of the university so that the nurses working in the research centers and headquarters attend to take care of the patients in the medical centers, and the professors and lecturers of the university perform duties in their place in the headquarters in collecting statistics related to Corona. . It should be noted that the presence of faculty members in the mentioned departments was not a justification for not fulfilling their main role, i.e. teaching students. Although Covid-19, in the short term, the way of education and learning faced a strange and huge change and affected the educational systems of the whole world and Iran and led to the closure of face-to-face courses in schools and universities (3), however in order for students' education not to be interrupted during the period of social distancing and for the curriculum to continue according to the pre-specified program, various solutions were presented, including virtual education (4). Preparing educational content for virtual education was a heavy burden for professors. Because preparing it with new software and sounding the slides was very time-consuming, and using unfamiliar technologies and new systems to prepare content required time and effort to learn to work with those software and systems. The teachers were also under a lot of work pressure because they had not passed specific and useful courses about the virtual education method before. The colorful role of research during working days and waiting for the university to conduct research on the topic of Corona was another role of professors in the era of Corona. The significant growth in the number of approved research projects and scientific research articles published by faculty members (5) indicates this role and performance. With the start of internships in medical education from June 2019, students who had been at home for almost a year had to show up for internships. This presence in the internship caused fear and worry in the students and their families. One of the roles of academic staff members was to calm students and reduce their fear and anxiety. By talking to the students and explaining the professional conditions, they prepared the internship conditions in such a way that after a few months, no student was afraid of taking care of patients, even the corona patients. The COVID-19 pandemic has reminded everyone of what is often overlooked, the ever-present role of nurses in the health care system. In 2020, the important role of nurses received more attention than before. The World Health Organization (WHO) named 2020 the "Year of Nurses and Midwives" (6). Many artistic images of the bravery and selflessness of nurses were shared on social media (7). These media meant the nurses who worked in the hospital and were introduced as the front line of the fight against Corona. But among the different groups of the health team, what was not seen anywhere and was not noticed was the role of academic faculty members. Although this group was apparently not in the front line of the struggle, they played a significant role in training students as the future forces of the health system. In general, although the roles of academic staff members have been less noticed by people, officials and media, their role in dealing with the crisis and the corona pandemic cannot be ignored. The experience of education during the Corona era shows that the members of the academic staff did not back down from their educational goals and duties despite the difficult and exhausting conditions and even fulfilled them with more responsibility. With these explanations, it seems that it is time to review the role of different groups of the health team, including the members of the teaching staff, in controlling and dealing with Corona.

One of the most important areas of sustainable development of health in human societies is the health and treatment sector, which has a direct relationship with human health and is responsible for the important task of maintaining and restoring health to human society. Therefore, the purpose of this study was to investigate the moderating role of job engagement in the relationship between job stress and resilience in nurses of Al-Zahra Hospital (S) in Isfahan.

The current research method was descriptive survey-correlation research. The statistical population consisted of 1700 nurses of Al-Zahra Hospital (S) in Isfahan city, who were selected based on the Monte Carlo method and 200 people (60 men and 140 women) were selected by available sampling. Questionnaires of HSE occupational stress, resilience and job engagement were implemented on the sample. The collected data were analyzed by SPSS-24 and Amos-24 software and using the method of Pearson's correlation coefficient and hierarchical regression.

The results showed that job stress has a negative and significant effect (P<0.001) on job engagement and job engagement has a positive and significant effect (P<0.001) on resilience. Also, the results of the hierarchical regression analysis showed that the variable of job engagement has a moderating role in the relationship between job stress and resilience, and it moderates this relationship in a positive direction.

Therefore, despite the fact that job stress is an important factor in reducing resilience, but despite job engagement in employees, increasing job stress cannot reduce resilience much.

Improving patients' adherence with treatment recommendations is always one of the concerns of health professionals. Therefore, the present study was conducted with the aim of investigating the role of difficulty in emotion regulation, distress tolerance, and perceived stress in predicting treatment adherence in type 2 diabetes patients.

The method of this research is descriptive-correlation. The statistical population of this research included all patients with diabetes referred to Sanandaj health centers in 2022. For this purpose, 230 of these people were selected by convenience sampling method and responded to the scale of difficulty in emotional regulation, the scale of distress tolerance, the scale of perceived stress and the scale of adherence to treatment. After collecting the questionnaires, the collected data were analyzed using Pearson's correlation coefficient and multiple regression analysis.

The results showed that there is a negative and significant relationship between difficulty in emotional regulation and perceived stress with adherence to treatment (P<0.01). There is a positive and significant relationship between distress tolerance and adherence to treatment (P<0.01). The results of multiple regression analysis also revealed that 69.6% of the variance in adherence to treatment is explained by difficulty in regulating emotions, distress tolerance and perceived stress.

According to the results, in medical centers and hospitals, special attention should be paid to treatments based on emotion regulation and stress reduction treatments based on mindfulness in patients with type 2 diabetes. Because these therapeutic interventions reduce psychological problems such as depression, obsession, anxiety and stress, and this, in turn, can lead to adherence to drug treatments, a healthier lifestyle, and as a result, blood sugar control in patients with diabetes.

Mobile technology has blurred the boundaries between work and family, making work easier than ever in the family life of the average employee, leading to work-family conflict. In this regard, the purpose of this study is to investigate the impact of mobile workplace stress on the employee innovative behavior of with regard to the mediation of work engagement and work-family conflict among the employees of Kausar Hospital in Semnan.

The present study is applied in terms of purpose and descriptive in terms of how to collect information. The statistical population of the research is the doctors and nurses of Kausar Hospital in Semnan. Based on simple random sampling, 215 questionnaires were distributed and research data were analyzed using SPSS and Smart-PLS software. To measure the variables of the research, Schaufeli et al., (2006) work engagement questionnaire, Kanter et al., (1998) employee innovative behavior, Netemeyer work-family conflict (1996) and Bang and Tak (2016) mobile workplace stress were used.

The results showed that the mobile workplace stress has a significant effect on the employee innovative behavior, work engagement and work-family conflict. Work engagement and work-family conflict has a significant effect on the employee innovative behavior. Work-family conflict has a significant effect on work engagement. In addition, work engagement mediates the effect of mobile workplace stress on employee innovative behavior, and work-family conflict mediates the relationship between mobile workplace stress and employee innovative behavior.

It can be concluded that the mobile workplace stress can cause job burnout due to increasing time and taking energy from the employees and have a negative effect on work engagement. Also, by intensifying work-family conflict, reduce the innovative behavior of doctors and nurses.

Breast cancer (BC) is the most common cancer diagnosed in women in worldwide. This study examines the mediating role of fatigue in relationships between cognitive control with post-traumatic stress symptoms, and adherence to treatment in patient with breast cancer.

This is a cross-sectional study with a convenience sampling method. A total of 206 women with breast cancer in Karaj, Iran participated in this study and completed five questionnaires, namely the PTSD checklist, the Adult Executive Functioning Inventory, the cognitive flexibility scale, the cancer fatigue scale, and the treatment adherence Inventory. The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software

Structural Equation Modelling demonstrated that cognitive control was positively associated with PTSD (β= .598; T=3.76; P<.001) and fatigue (β= .829; T=19.17; P<.001), also fatigue was positively associated with PTSD (β= .389; T=2.38; P=.02). The results showed a non-significant relationship between cognitive control and fatigue (β= .23; T=1.29; P=.21) and cognitive control with adherence to treatment (β= .01; T=.09; P=.93). Multiple mediator modeling provided evidence that fatigue partially mediated the relationship between cognitive control and PTSD, and a full mediated relationship between cognitive control and treatment adherence.

In general, the findings emphasized the important role of cancer-related cognitive impairment in the possible consequences of this disease. An important issue that, along with other problems such as fatigue, can affect the quality of life and mental health of breast cancer patients.

 The outbreak of coronavirus and the current crisis in the world, especially in Iran, has severely affected the health system and society in Iran. The disease, apart from the health system, has affected other areas, including the higher education system in the field of medical education. In such circumstances, changing the methods of education, and changing the attitude towards previous methods of education seems necessary.

 This study was conducted with a qualitative approach in 2021. The study has used the purposive sampling method and the type of snowball. In order to data acquisition, semi-structured interviews were used, with the participation of 26 Medical Education, Nursing Education and Education Management experts with scientific expertise and experience in the field of Electronic Education. In order to evaluate the accuracy and robustness of the data, they were used four criteria of credibility, confirmability, transferability and dependability Guba and Lincoln validation. Data were analyzed using Granheim and Lundman method.

 After the interview and the final conclusion and the approval of the experts, five dimensions: 1. Policy (including National and International components), 2-Infrastructure (including Technology, Support, Legal and Ethical, Education Research components), 3-Structure (including Management, Design, Implementation, Assessment components ), 4 - Training (including Clinical Education, Continuing Education, Health Education), 5- Resources (including Financial, Human, Knowledge or Content components) and 162 indicators were identified.

 The results of the present study, which resulted in identifying the dimensions and components of e-learning in Tehran University of Medical Sciences, can facilitate the path towards the implementation of the transformation and innovation plan in medical education, based on the higher education program in the field of health and taking effective steps to make the most of e-learning.

Nursing is considered as a stressful and emotional profession. These days, due to the spread of Covid-19, the most common emotional reaction that nurses are dealing with is anxiety. The current research was also conducted with the aim of designing and validating a model for adapting nurses to the conditions of the corona pandemic.

The current research is exploratory in terms of its purpose and descriptive in terms of its type, which was carried out using the field method in two stages, qualitative and quantitative. The statistical sample in the first stage was 20 female nurses who were selected in a targeted manner using the chain referral method (snowball method). In the second stage, the number of 274 female nurses working in the Hospitals of Ardabil University of Medical Sciences, who were randomly selected by stratification. The tool for collecting information in the first stage was a semi-structured interview and in the second stage, a researcher-made questionnaire resulting from the first stage. For data analysis in the first stage, thematic analysis method and Atlas-ti software were used in six steps, and in the second stage, confirmatory factor analysis test and Smart PLS version 3 software were used.

According to the research findings, 6 main components; capacity adaptation with a coefficient of 0.890, rehabilitation with a coefficient of 0.865, communication with a coefficient of 0.705, spiritual adaptation with a coefficient of 0.894, health adaptation with a coefficient of 0.741, psychological adaptation with a coefficient of 0.859 and 24 sub-components They were identified as dimensions of adaptation of nurses to the conditions of the corona pandemic.

Based on the results of the research, spiritual compatibility has had the greatest influence in the designed model. Therefore, it is necessary to pay more attention to the spiritual issues and problems of nurses.

Employees in organizations with low identity do not feel integrated with the organization and are psychologically separated from the organization, and therefore do not have the internal motivation to perform tasks related to change or make necessary adjustmentsThe purpose of this research was to investigate the The Role of Charismatic Leadership rhetoric on the turnover intentions of nurses during Covid-19: An Analysis of the Effects of affective Commitment to Change and Organizational Identification (Case Study: Isfahan Khorshid Hospital).

This research was applied and the research method was a descriptive survey. The statistical population of this research was all the nurses of Khurshid Hospital, Isfahan, numbering 445 people. The sample size was determined based on Cochran's formula of 210 people and the random sampling method was simple. The data collection tool in this research was a standard questionnaire. In order to test the hypotheses, the structural equation model and SmartPLS version 2 and SPSS version 19 software were used.

 The results of data analysis showed that Charismatic Leadership rhetoric has an inverse and significant effect on turnover intentions nurses of Khurshid Hospital during the Corona era. Charismatic Leadership rhetoric has a significant effect on the turnover intentions with the mediating role of affective Commitment to Change the nurses of Khurshid Hospital in the era of Corona. Charismatic Leadership rhetoric does not have a significant effect on the turnover intentions by adjusting the organizational Identification of nurses at Khurshid Hospital in the era of Corona.

Regarding organizational changes,when senior leaders share a sense of vision,enthusiasm and care,they see an increase in cooperation and support of employees in organizational changes.