مجله آموزش پرستاری
سال یازدهم شماره 6 (پیاپی 56، بهمن و اسفند 1401)

Leukemia and its treatment is a long process and requires adherence to self-care behaviors. Orem's self-care deficit nursing model provides a framework for the nursing process in this direction, therefore this study aims to apply The nursing process based on Orem's self-care deficit model was performed on a patient with acute myeloid leukemia.

In this case report, the nursing process of a client suffering from acute myeloid leukemia, referred to Beheshti Hospital in Hamadan city in 1401, based on the Orem's self-care deficit model, was presented. Data collection was done by using Orem evaluation form and by examination, interview, and observation methods. Based on the general self-care needs, development, and deviation from the patient's health, nursing diagnoses were determined, then planning and setting goals were done and the type of nursing system used was determined. Finally, nursing actions were performed based on promoting self-care, and the achievement of the patient's goals and progress was evaluated as a factor of self-care.

Based on the recognition of the patient's self-care needs, ten nursing diagnoses were determined, and finally, the implementation of the nursing process based on the Orem model led to an increase in the quality of nursing services along with an increase in the patient's self-care performance regarding the problems caused by his illness, so that improving the patient's self-care ability in relation to pain control, reducing Risk of infection, control of bleeding and improvement of sleep, reduction of fear and dependence, an increase of motivation and self-confidence and sense of independence was observed in the patient.

Orem's self-care deficit model greatly helped to identify and comprehensively understand the patient's needs and facilitated the achievement of care goals by involving the patient in self-care.

All over the world, all governments have set their sights on preserving and promoting the health of their citizens. Client care education is a basic need that nurses of all communities are in their position as the "backbone" and the main force of the main health services in different countries. This study was conducted with the aim of comparative comparison of undergraduate nursing education program in the United Arab Emirates and Iran.

An applied descriptive-comparative study based on the Brady model was conducted in 1399 to compare the structure of the UAE nursing education program with Iran. Internet search with the keywords "Nursing education, nursing bachelor, UAE and Iran curriculum, comparative studies and range method" was conducted in Persian and English databases until 2020.

Among the important differences between the two countries' education as advantages of the UAE, special attention to international languages ​​such as English and the inclusion of a valid English language degree as a criterion for acceptance in the field of nursing for all native and non-native students, In addition to the entrance exam, the interview is an equivalent course that is an incentive to improve knowledge for those who do not have the opportunity to attend regular courses. Also in the subjects, paying attention to the courses related to ethics, innovation and leadership, paying attention to the familiarity with different cultures in the UAE, teaching some basic science courses in a combined way for more understanding and durability and using the latest technologies in the world, including It is a virtual patient that causes students to have more contact with the clinical environment and patients from the first years. Among the problems of nursing in the UAE are the lack of scientific resources in Arabic, the lack of native nurses to implement culture-based nursing, the shortage of male nurses and the country's cultural restrictions on encouraging female students to study nursing. One of the advantages of Iran's curriculum is the complete, clear and detailed mention of all curriculum elements. Also, early presence of students in bed for internship units is usually a very important advantage from the second semester.

There are many similarities between education in both countries, which of course raises common challenges: What is the level of quality assurance due to the shortage of nurses due to the aging population that has led to an increase in the number of admissions to universities? Is the presence of a student in the final year in clinical centers in the interest of the hospital or the student?

Nurses face conditions that can adversely affect their quality of professional life due to the care of their clients on a daily basis. Paying attention to the spiritual dimension of human existence plays an important role in his physical, mental, and social health. The aim of this study was to determine the effect of spiritual care training on the quality of professional life of nurses in intensive care units.

The present study was an experimental study with a pre-test-post-test design, in which the nurses in intensive care units of hospitals affiliated with Isfahan University of Medical Sciences were studied in the first half of 2021. Forty nurses were selected through the convenience sampling method and randomly divided into experimental and control groups by lottery method. For the experimental group, spiritual care was taught by the researcher in 8 one-hour group sessions in one month, two sessions per week in groups of 5 people in the conference hall of the hospital in the form of lectures and group discussions, with the content of the importance of spirituality and spiritual care. Figley and Stamm's (2002) professional quality of life questionnaire was used for data collection. Data were analyzed by SPSS version 21 statistical software and using Fisher's exact tests, chi-square, independent and paired t.

There was no statistically significant difference between the two groups in terms of demographic variables. The mean scores of burnout, satisfaction, and fatigue due to compassion before the intervention in the two groups were not statistically significant (P> 0.05) but after the intervention these differences were significant and in the intervention group of burnout (P <0.001) and fatigue (P<0.001) decreased and the level of compassion satisfaction (P<0.001) had increased.

Spiritual care training can be helpful and effective in improving the quality of the professional life of nurses in intensive care units, so it is recommended that nursing managers use this intervention to improve the quality of the professional life of nurses.

Children with Attention Deficit Hyperactivity Disorder have problems with executive and impulsive functions and they effect the mental state of their mothers. The aim of this study was to compare the effectiveness of group mindfulness training, cognitive-behavioral training and combination training for mothers on executive functions and impulsivity in children with attention deficit-hyperactivity disorder in Kerman in 2020.

The research design was quasi-experimental with a pre-test-post-test design and follow-up with the control group. The statistical population of all mothers and boys in the first to third grades of the first elementary school had attention deficit hyperactivity disorder in Kerman. The sample size included 60 people (15 people in the mindfulness training group, 15 people in the cognitive-behavioral education group, 15 people in the combined education group, and 15 people in the control group) who were selected by available sampling method and were randomly divided into control and experimental groups by lottery method. Measurement tools included Impulsivity and Executive Function Questionnaires. Multivariate analysis of variance and repeated measures analysis of covariance were used to analyze the data. 

The results showed a significant difference between the mean scores of the three stages of pre-test, post-test and follow-up test of executive function variables (0.33), and impulsivity (0.50) of children with attention deficit-hyperactivity disorder. Mean and standard deviation of working memory variable in a post-test stage in mindfulness training 19.34±4.31, in cognitive-behavioral 18.20±4.85, in combination 22.51±5.14 and in control group 81.88 ± 8.40 and in the impulsivity variable in mindfulness training 19.37±4.80, in cognitive-behavioral 23.08±4.56, in combination 17.02±3.67 and in the control group 30.83±4.24 was obtained (p<0.001).

The results of the present study showed that group education of mindfulness, cognitive-behavioral education and combination education for mothers had increased executive functions and reduced impulsivity in children with attention deficit-hyperactivity disorder.

It is very important to evaluate and revise the curricula to improve their quality and ensure the education of competent students in the future. Also, this action in nursing PhD programs is vital because of its direct connection with the health of society. Therefore, the current study was conducted to compare the curriculum of nursing PhD in Iran and the University of Pittsburgh, USA.

This is a descriptive-comparative study that was conducted based on Bereday's model in 2022. After obtaining the educational programs of Iran and the University of Pittsburgh, the components of them were described and interpreted separately, and then by juxtaposing and classifying the information, were compared with each other, and conclusions were drawn.

The most important strengths of the educational program of the University of Pittsburgh were focusing on the up-to-date areas that are appropriate for the level of a specialized doctorate degree, such as the development of information technology in health management, cooperation with various healthcare institutions in the field of knowledge translation in health sciences, Student admission based on merit selection and not the entrance exam score as a criterion, Satisfied with a few specific and specialized competences and capabilities based on the mission and overall goals of the course, the anticipation of course units related to expected main competencies, including research mentoring, teaching mentoring, responsibilities and activities of scientists. Also, to obtain the defense permit, it is enough to send an article extracted from the thesis to a journal, and it is not mandatory to accept or publish the article.

Some of the most important strengths of the educational program of the University of Pittsburgh as a leading and excellent university were extracted in different sections such as focused areas, student admission requirements, expected competencies, course units, and thesis defense. It is necessary to pay attention to these strengths in the future revisions of Iran's nursing doctoral program.

Due to the importance of strategic thinking, identifying and strengthening the factors affecting it seems necessary. Therefore, the present study was conducted to examine the role of spiritual and cultural intelligence in predicting students' strategic thinking.

The present study was a descriptive correlation. The study population consisted of all students working in the Science and Technology Park and technology units affiliated with the South Khorasan Science and Technology Park in 2019. 144 students were selected based on the Gujrasi and Morgan table by available sampling method and the King Spiritual Intelligence Questionnaire. (2008), cultural intelligence of Ang et al. (2004), and Goldman Strategic Thinking (2006). In data analysis, the Pearson correlation test and multiple regression with SPSS software version 22 were used at a significant level (p <0.05).

The results showed a significant relationship between the components of spiritual intelligence and cultural intelligence with students' strategic thinking (P <0.01). Based on the regression results, spiritual intelligence predicted 52.7% and cultural intelligence components predicted 46.7% of the variance of students' strategic thinking (P <0.01).

According to the results of this research, it can be said that through spiritual and cultural intelligence, students' strategic thinking can be predicted; therefore, it is necessary for those in charge of the educational system to pay special attention to the role of students' spiritual and cultural intelligence in strategic thinking.

Patient hospitalization in the intensive care unit puts families in a whirlpool of emotional stress. Due to the importance of nurses in addressing the needs and worries of this family, this study investigates the relationship between the family’s perception of the roles of nurses with satisfaction and worries in intensive care units.  

This is a cross-sectional (descriptive-analytical) study. The study samples include all the families of adult patients hospitalized in the intensive care unit of Gonbad city hospitals (2020-2021), of which 140 people, who were included in the study using convenience sampling method. Data collection tools included questionnaires of family members' perception of the role of intensive care unit nurses, worry questionnaire and family satisfaction questionnaire of patients admitted to the intensive care unit. Data were analyzed using independent t-statistics, ANOVA, Pearson's correlation coefficient and linear regression coefficient using SPSS version 22. A significance level of 0.05 was considered.

Among the families, 75% with a mean and standard deviation of 3.04 ± 1.11 had the most perception of the role of nurses. The mean and standard deviation of family satisfaction was 73.98±20.87. Family perception of the role of nurses towards them showed a weak positive and significant correlation with satisfaction (P=0.002, r=0.250). Also, worry could not explain the family's perception of the role of nurses.

The results of this research show that the family's perception of the role of nurses has a weak correlation with their satisfaction and concern. How the nurses themselves understand their roles towards the family should be investigated in future research.

Nowadays, improving the quality of nursing care by providing a clinical solution in the care of clients with urinary catheterization is significant. In this regard, the present study aimed to design an adaptation the guideline of nursing care after catheterization.

The present study was performed using the clinical guideline adaptation model method in 2021-2022. Based on a literature review, 7 clinical guidelines evaluated with the AGREE instrument were used as baseline guidelines. The nursing practices extracted from these guidelines were evaluated according to the RAND / UCLA Appropriateness Method (RAM) by members of the panel of experts (15 persons) and finally, after making the necessary corrections, the final draft was prepared by AGREE instrument by faculty members. Re-examined.

Findings of the study include 225 recommendations in the field of nursing care after catheterization in the form of 17 sections, as follows: (urinary catheter, urinary bag, catheter removal, when the client is unable to tolerate the catheter, obstruction of the catheter, leakage of urine around the catheter, bladder washing, urine sampling, decreased urine flow, urinary tract infection, skin integrity disorder, bleeding, erectile dysfunction, autonomic dysreflexia, bladder or urethral spasm with general pain and discomfort, purple bladder syndrome, and dysuria after catheterization).

It is hoped that nurses can use the recommendations of this guide to improve their level of awareness and knowledge in the field of care for patients with urinary catheterization and make an informed decision.

Considering the increasing prevalence of premenstrual dysphoria and considering the need to use the most effective treatment in improving the symptoms of this syndrome, this study aims to investigate the effectiveness of cognitive behavioral hypnotherapy on pain and emotion regulation in premenstrual dysphoria sufferers.

The current research method is a semi-experimental type of pre-test and post-test with experimental and control and follow-up groups, in which an experimental group and a control group in three stages of pre-test and post-test and the follow-up period of a Months were compared with each other. The statistical population of the research included all women aged 25 to 40 years who visited a gynecologist in Sari city at least 3 times in a 12-month period during the past year, and with the diagnosis of premenstrual dysphoria, went to the counseling center and 24 people were selected from this group using available sampling method and were randomly divided into an experimental group (12 people) and a control group (12 people). The research tools included the cognitive emotion regulation questionnaire of Garnevsky et al. (2001), the chronic pain questionnaire of Mohammadian (1995) and the premenstrual symptoms screening tool of Siehbazi et al. (2011). Cognitive-behavioral hypnotherapy intervention was implemented in 8 sessions of 90 minutes for the experimental group. The data were analyzed with SPSS version 25 statistical software and using the method of analysis of variance with repeated measurements, post hoc tests and independent t-test to check the equality of means at the significance level of 0.05.

The covariance results showed that cognitive-behavioral hypnotherapy is significantly effective on pain reduction, emotion regulation, and subscales of compromised strategies and compromised strategies in women with premenstrual dysphoric disorder (P < 0.001).

Cognitive-behavioral hypnotherapy improves physical-sensory, emotional-emotional and cognitive-evaluative, compromised strategies and non-compromised strategies, mental health, social relationships, environmental health and overall health of women with premenstrual dysphoria disorder and quality it elevates life in this era.