فصلنامه پرستاری، مامایی و پیراپزشکی
سال هشتم شماره 3 (زمستان 1401)

Breast cancer is the most important and common disease among women, which has the second highest mortality rate after lung cancer, so this study aims to investigate the effectiveness of cognitive-behavioral therapy on the resilience of women with breast cancer.

The research method was practical and semi-experimental with a pre-test and post-test design with a control group. 30 women with breast cancer in Kermanshah city, who were selected as available and then randomly divided into two cognitive-behavioral treatment groups (15 people) and the control group (15 people) were allocated. The data collection tool included Conor and Davidson's resilience questionnaire (2000). Cognitive-behavioral therapy was performed face-to-face during 10 sessions in the test group. The data were analyzed using t-tests using multivariate analysis of covariance and using SPSS version 24 software.

The results showed that cognitive-behavioral therapy had a significant effect on the resilience of women with breast cancer and there was a significant difference between the experimental and control groups (p < 0.05).

The results of this study indicate the usefulness of cognitive-behavioral therapy in increasing the resilience of women with breast cancer; therefore, it is recommended to use this treatment approach to increase the resilience of these patients.

The nature of nursing activities requires that people perform the assigned tasks with great job motivation and interest. The current study was designed with the aim of explaining the concept, characteristics, events and consequences of career motivation in the field of nursing with the Rogers approach.

In this study, Rogers' evolutionary approach was used and the keywords "Work Motivation", "Job motivation", "Career motivation" and "Nursing motivation" were used in the internal and external databases of PubMed, SCOPUS, Science. Direct, WILEY, SID and Iranmedex were searched. The analysis of the text of the articles was done by the method of thematic and inductive analysis. In this study, in the first stage, 1403 articles were searched without removing the overlap. By screening the title, abstract and removing overlap, 253 articles remained. A further 205 articles were excluded using guiding questions. Of the remaining 48 studies at this stage, 30 were in the non-nursing field and 18 were in the nursing field that were selected for analysis.

Job characteristics of nurses include 8 characteristics (willingness to overcome career obstacles, internal potential to achieve the organization's goals, individual's willingness to strive towards goals, means of creating a positive and efficient work environment …) were identified. The incidents include 10 incidents (job independence and self-efficacy, valuing nurses' skills, effective work and team communication, nurses' participation in the decision-making process, continuous training to enrich the job …) were classified. Job outcomes included 8 outcomes (improving the quality of work of nurses, increasing the quality of patient care, increasing the level of health of individuals and society …).

Improving the work motivation of nurses can improve the quality of work, increase productivity, increase patient safety, increase the level of community health, good team spirit, team communication and more effective work, reduce job burnout, and lower the desire to leave the job.

For the nursing bachelor's degree to be more successful in Iran and to identify the strengths and weaknesses of its curriculum, it is necessary to conduct comparative studies and benefit from the experiences and strategies experienced in successful universities. This study aimed to compare the Iranian undergraduate nursing curriculum with the University of Manchester, UK.

The present study is a comparative descriptive study that was performed using George Brady four-step model including description, interpretation, proximity, and comparison. The details provided from the Iranian bachelor's nursing curriculum are taken from the website of the Ministry of Health in Iran and the University of Manchester.

In the field of goals and mission in Iran, courses, content and educational methods are different from Manchester. The philosophy is more clearly expressed in the Manchester curriculum. In terms of student admission, both are different. Curriculum content in Iran is somewhat inconsistent between the courses offered and their content with educational goals. While at the University of Manchester, the content of the curriculum is selected, organized and compiled in such a way that the goals of the curriculum are realized. Examining and comparing expected job positions for nursing experts is different from Iran.

The comparison of the nursing education system of Iran and England showed that the education system of our country has weak and strong points. It seems that using the experiences of this country and its indigenization will help to improve the nursing education system of Iran.

Mothers in caring for children with cancer face many challenges, including chronic fatigue, feeling of failure and low endurance; Therefore, they need support. Therefore, the aim of the present study was to determine the effectiveness of supportive psychotherapy on chronic fatigue, sense of failure and resilience in mothers of child with leukemia.

This research was a semi-experimental method and a pre-test-post-test design with a control group. The statistical population of the present study was all mothers with children with leukemia in Tehran province who referred to Tehran Hospital in 2019 and were selected using the purposeful sampling method in the amount of 24 people, 12 people in the experimental group and 12 people in the experimental group. were placed in the control group. Fatigue questionnaires of Falman et al., Gilbert and Allen's sense of failure, and Connor and Davidson's resilience were used to collect data. Then, the experimental group received supportive psychotherapy sessions for eight 90-minute sessions once a week, and during this time, the control group went through their normal daily schedule. To analyze the research data, the statistical method of univariate and multivariate covariance was used through SPSS.21 software at a significance level of P<0.05.

The results of the research showed that supportive psychotherapy has an effect on chronic fatigue, sense of failure and resilience of mothers with children with leukemia (P<0.05). In fact, supportive psychotherapy reduces chronic fatigue and feelings of failure and increases their resilience.

According to the findings of the research, it can be said that psychotherapy increases endurance and reduces fatigue and the feeling of failure in cancer patients, and it can be used as an efficient method.

Considering the important role that nurses' social responsibility has in improving the quality of nursing services, it is necessary to investigate the factors related to it. Therefore, this study was conducted with the aim of determining the relationship between nurses' social responsibility and organizational structure in teaching hospitals of Kurdistan University of Medical Sciences.

This research was a descriptive-analytical study. The statistical population included all nurses working in three teaching hospitals affiliated with the Kurdistan University of Medical Sciences, including Kowsar, Be`sat, and Tohid hospitals in Sanandaj city in 2019. Using Cochran's formula, 317 people were determined as the sample size and were selected by stratified random method. The tools used included the demographic information form, Carroll's (1991) social responsibility questionnaire, and Robbins and Evanswij's (1983) organizational structure questionnaire. SPSS-24 software and Pearson and MANOVA statistical tests were used for data analysis.

The average scores of social responsibility and organizational structure of nurses working in the studied hospitals were 131.72 and 53.45, respectively. There was a direct and significant relationship between nurses' social responsibility and its components (legal, economic, legal, economic, ethical altruistic) with the organizational structure of hospitals and its components (formality, concentration, and complexity) (p<0.05).

Providing the context to change the organizational structure of the desired state can play a significant role in increasing and improving the social responsibility of nurses in educational hospitals affiliated with the University of Medical Sciences. Which can be the foundation of quality and increase efficiency in teaching hospitals.

The self-determination approach considers human beings as positive beings who potentially have the capacity for growth and development. In the present study, the effectiveness of self-determination skills training on moral distress and resilience of the main caregivers of chronic neuropsychiatric patients was investigated.

The current study is a semi-experimental one in 2022, in which 40 primary caregivers were selected from the community of primary caregivers of chronic neurological and psychiatric patients in Borujen city in Chaharmahal and Bakhtiari province using available sampling method. Research tools included moral distress and resilience questionnaires. Data analysis was done with the method of analysis of variance with repeated measurements using SPSS-22 software.

The results showed that self-determination skills training had a significant effect on improving the resilience of the main caregivers of chronic neuropsychiatric patients (Partial ŋ2=0.58, p=0.001, F=53.78); But teaching self-determination skills did not have a significant effect on improving the moral distress of the main caregivers of chronic neuropsychiatric patients (Partial ŋ2=0.009, p=0.10, F=0.33).

the training of self-determination skills affects the resilience of the main caregivers of chronic neuropsychiatric patients. Accordingly, in the process of acquiring self-determination skills, valuing oneself includes self-acceptance (it means admiring the strengths that have a unique quality and is often considered as a person's weakness), recognizing the rights and responsibilities and emotional, mental and physical care are learned from oneself, which increases the process of patience and tolerance of people against problems and helps them to overcome challenges and changes in life.

Improving the moral care of children's nurses to increase the quality of education and effective nursing training is one of the ideal goals of all nursing schools and medical institutions. The present study was conducted with the aim of designing and psychometrically evaluating the moral care questionnaire for children.

After the field study, two quantitative and qualitative methods were used to check the face validity of the initial questionnaire including 57 items. In order to quantitatively determine the face validity of the questionnaire, 10 nurses working in children's departments were given to the opinions of 5 members of the nursing faculty for qualitative face validity and their opinions were applied. In order to determine the validity of the content, the questionnaire was given to 18 members of the nursing faculty, and then to determine the reliability of the questionnaire, the validated version was given twice for two weeks to 30 nurses working in the children's department, and then the scores obtained in These two steps were compared using the intra cluster correlation index test. Cronbach's alpha coefficient was also calculated to measure the internal consistency of the questionnaire questions. In order to perform factor analysis, the questionnaire was given to 120 nurses of children's departments.

20 questions were removed and CVI and CVR of the whole 37-question questionnaire were calculated as 0.88 and 0.91, respectively. The Cronbach alpha coefficient of the questionnaire was equal to 0.89 and the intra-cluster correlation index (ICC) was equal to 0.92. KMO index and Bartlett's sphericity showed that the correlation matrix is suitable for factor analysis. Factor analysis with principal component analysis has extracted five factors with an explanation rate of 83.07% of the total variance.

Design and Psychometric of Pediatric Ethical Care Questionnaire is a valid and reliable asset and can be used as a reliable and valid tool by researchers in this field.

Birth Satisfaction is a woman's evaluation of her childbirth experience that be influenced by perceived stress. The aim of this study was to determine the rate of birth satisfaction and its relationship with perceived stress in pregnant women Admitted in Hospital Shahrekord, 2022

This descriptive-correlational study was conducted on 200 pregnant women with inclusion criteria and were hospitalized in Hajar Shahrekord's Hospital. Data collection tools were demographic and obstetric characteristics form, Cohen's Perceived Stress Scale and the Birth Satisfaction Scale-Revised Indicator (BSS-RI). At first, the participants were selected as convenience and entered the study after obtaining a written informed consent; then, the midwifery-demographic characteristics form and perceived stress in labor was completed through interviews and also by referring to the client's file. In the next step, the Birth Satisfaction Scale-Revised Indicator was completed by the client 12 to 24 hours after vaginal delivery and in the emergency cesarean section until discharge. The data was analyzed using SPSS version 16 software and statistical regression test. The significance level was considered P<0.05.

According to the results, the mean score of birth satisfaction and perceived stress were (6.80±2.08) and (17.20±4.35) respectively; Also, the average score of two dimensions of Birth Satisfaction Scale, namely emotional pressure experienced during pregnancy and quality of care, were 4.1±8.84 and 2.1±72.33, respectively; In addition, no statistically significant relationship was observed between perceived stress (P=0.526) and demographic and obstetric characteristics (P<.05) with birth satisfaction.

Paying attention to the two dimensions of birth satisfaction tool and trying to increase their average score can have a positive effect on increasing overall satisfaction with childbirth. One of the ways to achieve this goal is to hold related workshops such as communication skills, stress management and clinical workshops related to the field for midwifery personnel and health care providers of pregnant mothers