مجله مراقبت پرستاری و مامایی ابن سینا
سال سی و یکم شماره 1 (پیاپی 85، زمستان 1401)

Healthy sexual performance leads to well-being with a high quality of life. The present study aimed to compare BETTER and PLISSIT approaches in the treatment of common sexual dysfunction among women referred to selected treatment centers in Isfahan, Iran in 2022.

This quasi-experimental study was conducted on 60 women with common sexual dysfunction (30 in the BETTER group and 30 in the PLISSIT group) who met the inclusion criteria, using a convenient sampling method. The female Sexual Function Index (FSFI) was the data collection tool. The members of the two groups individually participated in face-to-face counseling sessions. A follow-up test and completion of the questionnaires were performed one month and six months after the intervention. Data were analyzed using SPSS software (version 12).

No significant difference was observed in the overall level of sexual function between the two groups before the intervention (P<0.05). However, one month and six months after the intervention, this level was significantly higher in the BETTER group than that in the PLISSIT group (P<0.05). The scores of sexual desire, sexual arousal, orgasm, and sexual satisfaction were significantly higher in the BETTER group one and six months after the intervention compared to those before the intervention, and the score of painful intercourse was significantly lower than that before the intervention.

The present study indicated that education and counseling in the form of a BETTER model can have better results on sexual function.

Organizational commitment of employees is one of the important variables in the effectiveness of organizations. One of the effective factors of nurses' organizational commitment is the organizational culture of health centers. The present study aimed to investigate the correlation between the organizational culture and organizational commitment of nurses at Hamadan University of Medical Sciences.

This descriptive correlational study was conducted based on an analytical design. The statistical population included all nursing staff working in the educational and medical centers of Hamadan. The sample size was calculated at 257 nurses. Data were collected using the Denison Organizational Culture Standard Questionnaire and the Meyer and Allen Standard Organizational Commitment Questionnaire. In this study, SPSS software (version 16) was used for data analysis, and a p-value less than 0.05 was considered statistically significant.

Based on the results, the organizational culture showed a significant correlation with organizational commitment (P <0.001,r = 0.56) and its dimensions, including emotional commitment (P<0.001, r =0.5), continuous commitment (P <0.001, r =0.4), and normative commitment (P <0.001, r =0.38). Moreover, the organizational commitment had a significant relationship with the dimensions of organizational culture, including involvement in work (P <0.001, r =0.48), adaptability (P <0.001, r =0.52), compatibility (P <0.001, r =0.5), and mission (P = 0.001, r =0.5).

As evidenced by the obtained results, there was a correlation between organizational culture and dimensions of organizational commitment of nurses. Therefore, it is suggested that managers make wise decisions to promote organizational culture and organizational commitment in medical centers.

Moral distress is a harmful factor in nursing and nursing care. Ethical courage helps nurses to perform nursing care. The present study aimed to determine the relationship between moral distress and moral courage of nurses working in selected hospitals of Hamadan University of Medical Sciences during the Covid-19 pandemic.

This cross-sectional study was conducted with the participation of 204 nurses working in selected educational hospitals by random sampling method. Data were collected by the self-report method using a demographic checklist, as well as Corelli Moral Distress and Sekerka Moral Courage questionnaires. The data were analyzed in SPSS software (version 21) using independent t-test, ANOVA, and regression analysis. A P≤0.050 was considered statistically significant.

The results demonstrated that the majority of nurses were male (55.40%) with a mean age of 41.96±9.53 years, working in the emergency department (43.20%), with 5-10 years of work experience (51.38%), and contract employment (57.45%). Moral distress was significantly correlated with gender, place of service, and work experience; moreover, moral courage and age were significantly associated (P≤0.050). Nevertheless, no significant relationship was detected between moral distress and the type of employment. Moral courage was not correlated with the type of employment, work experience, gender, and place of service (P≥0.050). There was a significant negative relationship between moral distress and moral courage (R=-0.863, P≤0.050). The results of the adjusted regression model illustrated that with each unit increase in the moral distress score, the moral courage score decreases by 0.33. This relationship was statistically significant (β=-.033, P<0.001). The mean scores of moral distress and moral courage were 57.61±3.32 and 36.92±2.46, respectively.

Since there is a significant negative relationship between moral distress and moral courage, it is recommended to hold moral motivation workshops to reduce moral distress and increase moral courage for nurses.

Due to the increasing prevalence of premenstrual disorder and the need to use the most effective treatment to improve the symptoms of this syndrome, this study was conducted to evaluate the effectiveness of cognitive-behavioral hypnotherapy on pain in patients with the premenstrual disorder.

The study followed a semi-experimental pretest-posttest design with a control and an experimental group. The statistical population of the research included all women aged 25 to 40 who visited a gynecologist at least three times in the past year due to menstrual pain and were referred to a counseling and psychological center with the diagnosis of premenstrual dysphoria. A group of 24 people were selected using the available sampling method and were randomly divided into the experimental and control group (12 people each). The research tool was the Pain Questionnaire. Cognitive-behavioral hypnotherapy intervention was implemented in eight 90-minute sessions for the experimental group. After entering the data into the SPSS software (version 25), they were analyzed by multivariate analysis of covariance (MANCOVA).

The results of MANCOVA showed that cognitive-behavioral hypnotherapy significantly improved pain intensity, as well as physical-sensory, sensory-emotional, and cognitive-evaluative aspects of life in women with premenstrual dysphoria (P<0.05).

Cognitive-behavioral hypnotherapy improves physical-sensory, sensory-emotional, and cognitive-evaluative aspects of life in women with the premenstrual disorder. It also influences their adaptive and uncompromising strategies, mental health, social relationships, environmental health, general health, and quality of life.

Hospitalization in the neonatal intensive care unit is a psychological crisis for the family. However, reminiscence has positive effects on the improvement of mental health. In this regard, this study aimed to investigate the effects of reminiscence writing on distress tolerance and spiritual health of mothers with hospitalized newborns.

This quasi-experimental study was performed on 40 mothers of newborns admitted to the intensive care unit of Shahid Beheshti Hospital in Isfahan, Iran from February 2021 to August 2022. The research samples were divided into two experimental and control groups. During the hospitalization of the newborns in the hospital, the mothers in the intervention group recorded their daily memories with their newborns in a notebook for half an hour every day for 6 days. Data collection tools were demographic questionnaires, Distress Tolerance Scale by Simmons and Gaher, and the Spiritual Well-Being Questionnaire by Polotzin and Ellison which were completed by mothers in both groups. At the descriptive level, the mean and standard deviation values as well as frequency distribution tables were used. Moreover, at the inferential level, Chi-square, Fisher's exact, independent t-test, and Mann-Whitney tests were employed.

The distress tolerance and the spiritual health scores of the mothers in the intervention group before the intervention were 45.03±5.57 and 39.63±18.16, respectively, which were increased to 56.95±12.32 and 68.60±30.07 after the intervention, respectively. After the intervention, the scores of distress tolerance and spiritual health in the intervention group were significantly higher than those in the control.

Reminiscence in mothers of newborns admitted to the neonatal intensive care unit can positively affect the anxiety and spiritual health of mothers.

The Covid-19 pandemic is a serious threat to the physical and mental health of people, especially nurses who are responsible for caring for Covid-19 patients. Since emotional intelligence is the most important factor for individual performance, it can reduce the negative effects of stress among nurses. Therefore, this study aimed to investigate the role of emotional intelligence in the quality of nursing care in nurses working in Covid-19 care units.

This analytical cross-sectional study was conducted on 120 nursing personnel in Covid-19 care units working in Jahrom Hospital in 1400, who were selected through the census method. Data were collected by administering the Bar-on emotional intelligence scale, the quality of care nursing scale, and the demographic characteristics questionnaire. Research data were analyzed using descriptive statistical tests and inferential statistics in the SPSS software (version 21).

The quality of nursing care was at an average level in (50%) of the nurses and at a good level in the other half (49.2%). The average score (315.91±37.09) showed a high level of emotional intelligence in nurses working in the Covid-19 care units. Additionally, the results of this study showed a significant direct relationship between emotional intelligence and the quality of nursing care (r=0.52, P<0.0001).

Promotion and improvement of emotional intelligence can help to maintain the mental health of workers in controlling this disease and finally improve the quality of nursing care.

We are witnessing a marked increase in demand for outpatient services. Patients experience health-related anxiety, which exerts destructive effects on the treatment. The control and management of this anxiety create confidence in health services. The present study aimed to determine the effect of nursing counseling on health anxiety and its relationship with trust in nursing services in the outpatient department.

In this quasi-experimental study conducted in 2021, 60 participants were randomly selected from the outpatient department of a clinic and assigned to two groups: intervention and control. Data collection tools were a demographic information questionnaire, Alkovskis and Warwick Health Anxiety, and Trust in Nurses Scale (TNS) (Radwin and Cabral, 2010). The participants answered demographic and health anxiety questionnaires. After the visit, the intervention group received nursing counseling, while the control group only received routine training. One week later, the participants answered the health anxiety questionnaire and trust in nurses scale again. Data were analyzed in SPSS software (version 18) using descriptive and inferential statistical tests.

The mean of health anxiety before the consulting was not significantly different between the two groups (P=0.20); nonetheless, after the consulting, the intervention group obtained a lower mean score compared to the control group (P>0.001). There was a significant difference between this mean before and after consulting in the intervention group (P>0.001). There was a significant positive relationship between receiving nursing counseling and confidence in nursing services (P>0.001) (C.V=-0.145).

As evidenced by the results of this study, the provision of nursing consultation reduces patients' health anxiety and increases confidence in nursing services. It is suggested to pay attention to this role of nurses in outpatient departments.

Error reporting leads to changes in hospital processes and improved health outcomes. In this regard, this study aimed to examine the barriers to the reporting of medical errors from the viewpoint of nurses in selected hospitals in Ahvaz, Iran.

The statistical population of this descriptive analysis research included all the nurses working at Golestan Educational and Medical Hospital, Amir AL-Mominin Hospital, and Aria Hospital, Ahvaz, Iran. The total sample size was calculated at 256 participants with the help of the Morgan table. The required data were collected using Anderson's questionnaire on barriers to reporting medical errors. Quantitative data analysis was performed in SPSS software (version 23).

The results showed that legal factors (2.14±0.476) are the most important reason for not reporting medical errors. Fear of reprimand (85.9%), high workload (92.5%), exposure to accusations (93.8%), and the possibility of added workload (87.4%) were the most important legal, cultural and organizational, supervision regulation, and financial factors, respectively. Moreover, the results showed that the nurses of Golestan and Amir AL-Mominin Public Hospital and Aria Private Hospital stated legal and financial factors as the most important reason for not reporting medical errors, respectively. Besides, the findings revealed that there are significant relationships between the factors of reporting medical errors and the variables of age, work experience, and the amount of overtime.

Effective communication, sufficient support of managers for nurses, the existence of an efficient error reporting system, and effective use of the obtained reports are effective in increasing medical error reporting.