مجله آموزش پرستاری
سال دوازدهم شماره 3 (پیاپی 59، امرداد و شهریور 1402)

In recent years, there have been changes in the attitude of girls towards marriage and it has affected their desire to get married. The present research was conducted with the aim of comparing the attitude towards marriage of the female students of Shahid University before and after holding the family knowledge course in the first half of 2019-2019.

The method of descriptive-analytical research was before and after comparison. The research was conducted on 159 undergraduate female students of Shahid University in Tehran. Sampling was done as available, and the samples were students who had taken a two-unit course on population and family knowledge in the second half of 1399-1400. Data was collected using the Marriage Attitude Scale (MAS) with four subscales of optimistic, pessimistic, realistic and idealistic views. The questionnaire was completed by the students once before the beginning of the course and the second time three months later (after the completion of 14 teaching sessions of population and family knowledge). Data analysis was done with spss software version 21.

The average age of the subjects studied was 21.19 ± 3.88 years. The difference of general attitude towards marriage before 77.87 ± 9.48 and after 83.57 ± 9.25 was significant (p<0.001). The sub-scales of attitude towards marriage, including optimistic, idealistic and realistic attitude towards marriage, before and after, had a significant difference (p<0.001).   But the pessimistic attitude had no significant difference (p=0.615).

According to the results of the research, the population and family knowledge course has been able to improve the general attitude towards marriage, and considering the decrease in the marriage rate in recent years, it is better to present this course in the first year of education to motivate marriage will be established in them sooner.

Medical science education is part of the higher education system that overshadows the quality of life and health of society. The quality of pediatric nursing education programs in the health system is very important, so the purpose of this study is a comparative comparison of the Iranian Master of Pediatric Nursing curriculum with the University of Dublin, Ireland.

This comparative descriptive study was performed in 2022. Data were analyzed using Bereday model in four stages of description, interpretation, proximity and comparison. The Master of Pediatric Nursing Education Program of the University of Dublin, Ireland and Iran was evaluated in terms of admission, philosophy, mission, graduates' job positions, course content and evaluation, analysis, and strengths and weaknesses.

Results:

The Iranian Master of Child Nursing curriculum differs from Dublin in Ireland, despite its similarities in philosophy and mission. In Ireland, pediatric nursing includes three majors: intensive care nursing, emergency and heart, while in Iran, pediatric nursing has no major. Also in Ireland in addition to the test interviewing and reviewing years and work history is of particular importance while in Iran only the test is emphasized.

In Iranian child nursing curriculum, haven’t been considered the work experience of the volunteers, selective interviews and specialized major of children. Considering the importance of having healthy children and nursing and clinical care in sick children, it is suggested that officials and pediatric nursing curricula in this field consider specialized trends and reconsider the method of admission in this field.

Due to the nature of chronic disease, patients are in close contact with the treatment staff, especially nurses, and the need to establish correct therapeutic communication for them is more and more important, so the present study was performed aims to explain the barriers and facilitators of nurses' communication with chronic patients.

This research was of a qualitative type and in it 12 nurses working in inpatient wards affiliated to Hamedan University of Medical Sciences and 8 chronic patients hospitalized in the ward in 2011 were selected based on purpose-based sampling and the interviewees were interviewed using semi-structured in-depth interviews. All the interviews were recorded and then handwritten and analyzed using the method of constant comparison and qualitative content analysis.

Following data analysis, 3 main themes were extracted. The main themes include: organizational factors (three sub-themes: support of managers and planning, respect for nurses by superiors, holding educational workshops, environmental-cultural factors (two sub-themes: inappropriate working conditions, lack of trust of the patient and his companions in the nurse) and individual factors (two sub-themes: non-cooperation and interaction, long-term hospitalization).

The results of the research identified the most important influencing factors in the relationship between nurses and patients based on the experiences of nurses and patients through the identification of main and sub-themes. Therefore, it is recommended to carry out detailed managerial and organizational interventions and provide the necessary conditions to improve the process of therapeutic communication.

Nursing is based on critical thinking. In nursing, practical and clinical training in critical thinking is integrated with each other. What parallels the teaching of critical thinking is the discussion of measuring critical thinking. The aim of this study was to construct and standardize the critical thinking skills test in postgraduate nursing students.

This is methodological research that lasted from 1398 to 1400. The 200 participants included master's and Ph.D. students in nursing at Golestan-Gorgan and Fars-Shiraz universities of medical sciences. After constructing the questionnaire items based on a qualitative study, the face and content validity of the tool were determined. The validity of the instrument constructs was evaluated using exploratory factor analysis and its reliability was assessed using Cronbach's alpha and the stability of the instrument was assessed by a test-retest method. Findings were analyzed using SPSS 18 software.

The mean and standard deviation age of participants was 35±6 years. 55.5% of the participants were women. The results of exploratory factor analysis showed the adequacy of the samples for data analysis with a score of 0.917 based on the KMO test and led to the development of three factors, which were: knowledge with 12 items, attitude with 12 items, and skill with 12 items. The reliability of internal consistency was measured by Cronbach's alpha method for the whole questionnaire (α = 0.952). The mean and standard deviation of the total score of critical thinking skills in postgraduate nursing students was 95.95±24.26.

The findings of this study show that the 36-item critical thinking skills questionnaire has good validity and reliability and can be used to assess nursing students' critical thinking skills.

Medication administration is one of the important and valuable functions of the nursing profession. Acquiring skills in this field is one of the goals of clinical education during nursing education. This study was conducted with the aim of determining the level of ability and willingness of medication management and related factors in nursing students in 2022 at Azad University of Medical Sciences, Qom.

This research is a descriptive-analytical study conducted at Qom Islamic Azad University of Medical Sciences in 2022. The sample selection was done using census sampling. 127 nursing students from the second to the fourth year were studied using a researcher-made questionnaire with the aim of measuring their ability and willingness regarding medication management and related factors. Data analysis was done using descriptive (mean and standard deviation) and analytical (one-way ANOVA and Independent t-test) statistics with the help of SPSS version 24 software.

The average ability scores of the students were in the middle and it was estimated at its highest value for the fourth year (3.4 ± 0.64) and at the lowest value for the third year (2.97 ± 0.82); In this regard, there was a statistically significant difference between ability and academic year (p < 0.05); also, the findings showed that the average scores of the student's willingness were good and there was no statistically significant difference in its level according to the year(p>0.05). The highest (3.93 ± 0.68) and the lowest (3.72 ± 0.7) averages belonged to the fourth and third years, respectively. There was also a significant difference in the comparison of averages in the field of willingness according to interest in the nursing profession (p < 0.05).

The average ability was calculated to be lower than the willingness of the students for each of the studied years. Since acquiring the necessary skills in the field of medication management is one of the essential qualifications of the nursing profession, therefore strengthening the positive aspects and correcting the defects of students should be given more attention by clinical educators.

Acceptance of euthanasia is influenced by the beliefs and attitudes of the treatment team towards the issue of life and death. The aim of this study was to determine the relationship between religious attitudes and emotional intelligence with attitudes toward euthanasia in nurses working in intensive care units.

This correlational study was conducted on 123 nurses working in the intensive care units of hospitals affiliated to Isfahan University of Medical Sciences who has been selected by convenience sampling method. Data collection tools were demographic information Form, euthanasia attitude scale, religious attitude questionnaire and emotional intelligence scale. Data analysis was performed using SPSS software version 20 at both descriptive and inferential levels.

The mean of the total score of attitudes towards euthanasia, religious attitude and emotional intelligence was 32.50±9.34, 58.80±11.25 and 273.28±8.96 respectively. According to Pearson correlation coefficient test, religious attitude had a moderate, inverse and significant relationship with attitude towards euthanasia (r=-0.574, P<0.001). Emotional intelligence also had a weak, inverse and significant relationship with attitudes towards euthanasia (r=-0.448, P<0.001).

According to the results of the research, the higher the emotional intelligence of nurses, the lower the attitude towards euthanasia. In addition, the better their religious attitude is, the attitude towards euthanasia will decrease. This reveals the necessity of individual, professional and organizational attention to emotional intelligence and religious attitude.

The postpartum period is a critical and important stage for protecting, providing quality care, and developing the health of the mother and newborn. One of the postpartum cares that nurses play an important role, in helping the mother to start and continue breastfeeding. Providing comfort during this period facilitates the mother's adaptation. In this regard, Kolcaba comfort theory is very useful. The purpose of this case study is an application of Kolcaba comfort theory in the postpartum period to promote effective breastfeeding.

In this case study in 2022, The client is a 19-year-old, Caesarean section delivery, primi para, Baby boy with 3350 gr weight, who came to the health center to receive mother and child health services.  she complained about her inability to breastfeed her baby and her physical problems and with a state of anxiety and concern, she constantly asked about the inability to breastfeed  and her own diet during this period. This study was conducted based on the Kolcaba theory which the mother's comfort needs were identified and interventions were provided in the form of a nursing process .in order to evaluate the quality of breastfeeding, Infant Breastfeeding Assessment Tool was used before and after the interventions. .

The mother's needs were diagnosed according to the taxonomic structure in four fields: physical, psychological, cultural, social, and environmental needs and various interventions were implemented according to the nursing process. The results indicated the effectiveness of interventions based on comfort theory in order to meet needs finally, promoting breastfeeding was effective. The infant's breastfeed evaluation score was increased after the intervention.

The COVID-19 pandemic led to changes in the medical education process. The aim of this study was to explain the process of virtual medical education during the COVID-19 pandemic.

The present qualitative study with a grounded theory approach was conducted on 40 medical students of Shiraz University of Medical Sciences. Data were collected using in-depth semi-structured interviews and focus groups. Purposeful and theoretical sampling methods were used. Data analysis was conducted by Strauss and Corbin’s approach in 2015. 

The findings showed that at the beginning of the COVID-19 pandemic, medical students were faced with insufficient virtual education infrastructure. The challenges of poor time management and lack of management of resources and facilities were reported in the virtual medical education process. During the COVID-19 pandemic, no need for physical presence inthe academic environment, and always educational content was virtual medical education opportunities. During the virtual medical education process, students used strategies such as developing self-directed virtual learning, effective virtual student-teacher communication, teaching management, and e-learning development. Finally, e-learning was associated with consequences such as physical and mental complications and effects, familiarity with new methods of e-learning, efficient and effective learning of theoretical courses, the gap between theory and practice, and change in the type of interaction. 

Medical students in the virtual education process were faced with insufficient educational infrastructure, the challenge of poor time management, and a lack of resources and facilities management. Medical students using opportunities and strategies such as the development of e-learning and education management tried to increase their learning.

One of the important missions of nursing education is the general health of students, which has faced many problems with the spread of Covid-19 in the educational system at all levels. The current study aimed to investigating the general health status of nursing students in virtual education during the corona pandemic.

During this cross-sectional study, 220 undergraduate nursing students of Ardabil University of Medical Sciences were included by stratified random sampling method in the winter of 1400. The data was collected using a questionnaire that had two parts of the student's demographic profile and the Goldberg General Health Standard Questionnaire (GHQ-28). To analyze the data, SPSS software version 26 and descriptive statistics tests, Pearson's correlation coefficient, ANOVA, and t-test were used to analyze the data. The tests were performed considering the confidence level of 95%.

The average overall score of general health was 20.1±11.7 and 77 (35%) of the students were suspected of having disorders in general health, and the average of physical subtests was 4.41±3.01, anxiety was 5.28 ± 3.88, social function was 6.90 ± 3.36 and depression was 3.55 ± 3.88. The statistical test showed a significant relationship between age and physical dimensions (P < 0.05). The statistically significant difference was found between the mean of physical sub-tests, anxiety, and total general health score with the type of gender (girl and boy) (P<0.05).

According to the findings, the general health of students in this period requires special attention to a significant extent, especially in the dimension of social performance. These critical conditions have had negative effects on the dimension of public health, especially girls, according to the present study, which requires special attention to the general health of female students in similar pandemics in the future.

Today, self-care education in thalassemia major patients can improve their care behaviors.The aim of this study was to compare the effect of self-care training through mobile and face-to-face methods on the care behaviors of patients with thalassemia major. 

This is a quasi-experimental study with the participation of 58 patients with thalassemia major referred to the Cooley's center of Ostad Motahari Hospital in Jahrom in 2020. Patients were randomly (by statistical software SAS) divided into three groups (two groups of 19 people and one group of 20 people) including education via mobile phone, face-to-face education and control group. The training was performed within two months. The data collection tool was a researcher-made self-care questionnaire, which was completed by patients before training, immediately and one month later. Data were analyzed using descriptive statistics and analytical in SPSS version 21. The level of significance in statistical analysis (p<0.05) was considered.

Before the intervention, there was no significant difference in the mean scores of patients' caring behavior between the intervention. and a control groups (p=0.638), however, after the intervention and one month later, a significant increase in the mean scores of care behaviors was observed in the face-to-face and mobile phone groups (p<0.05), however, there was no significant difference in the mean scores after the intervention and one month later between the face-to-face training group and the mobile phone group (p=0.613).

The results of this study indicated the positive and equal effect of two types of face-to-face and mobile phone training on the caring behaviors of patients with thalassemia major. Therefore, it is suggested to use any of the mentioned educational methods or a combination of the two mentioned methods in teaching thalassemia patients.