نشریه پرستاری و مامایی ارومیه
سال بیست و یکم شماره 5 (پیاپی 166، امرداد 1402)

This study aimed to investigate the relationship between health anxiety, social support, cognitive emotion regulation strategies (or cognitive adaptive strategies), and the health behavior motivation of coronary heart patients in Urmia City.

This research was a descriptive correlational study. The study population included all coronary heart patients in Seyyed al-Shohada University Hospital in Urmia City. Three hundred thirteen patients were selected using the convenience sampling method. The data gathering instrument consisted of the Health Behavior Motivation Scale (HBMS) (Williams et al., 2005), the Health Anxiety Inventory (Salkoskis et al., 2002), the Social Support Scale (Sherburn and Stewart, 1991), and the Cognitive Emotion Regulation Questionnaire (Garnefski and Kraij, 2006). The data were analyzed using simultaneous regression model.

The results showed that health anxiety and nonadaptive strategy had a significant negative relationship with patient motivation for changing behavior, while social support and adaptive strategy had a significant positive relationship with patient motivation for changing the behavior (P<0.01). Furthermore, the results of simultaneous regression analysis indicated that the adaptive strategies with a beta coefficient β=0.41 have the highest ability to predict patient motivation for changing the behavior.

Based on the results of this study, health anxiety, social support, and cognitive emotion regulation have a significant relationship with the motivation to change the behavior of coronary heart and vascular patients. Thus, physicians, specialists, and therapists can use this study's findings to accelerate their patients' recovery.

Considering that nurses are the main members in providing direct care to patients and various factors lead to a decrease in their sleep quality, therefore they need a healthy lifestyle to provide the best and most effective care services. Lifestyle includes various factors. So far, no study has investigated the simultaneous effect of several factors in the form of virtual training on the sleep quality of nurses, so in this research we intended to investigate the effect of three elements of these factors (sleep hygiene, techniques related to progressive muscle relaxation and check out aerobic sports). The present study was conducted with the aim of determining the effect of virtual training three examples of lifestyle interventions on the quality of sleep of female nurses working in the educational and treatment centers of Urmia University of Medical Sciences.

The current research was a clinical trial with a pre-post-test design that was conducted with the participation of 60 nurses from Taleghani and Imam Khomeini Hospitals in Urmia. The study population were selected using convenience sampling method, and randomly divided into control and intervention groups (30 nurses in each group). Nurses in the intervention group received educational content related to sleep hygiene, techniques related to progressive muscle relaxation, and videos related to aerobic exercise for two months online. The nurses of the control group did not receive any intervention from the researcher. Pittsburgh Sleep Quality questionnaires and demographic information were completed before and after the intervention. The collected data were analyzed using descriptive and inferential statistics by SPSS version 22 statistical software.

Before the intervention, there was no statistically significant difference between the two groups in terms of demographic characteristics (p>0.05). There was no significant difference in the total mean score of the Pittsburgh sleep quality in the control group before and after the intervention (p>0.05), but there was a significant difference in the intervention group before and after the intervention (p=0.001). The mean score of the Pittsburgh sleep quality was the same between the two intervention and control groups before the intervention(p>0.05). However, there was a statistically significant difference between the two intervention and control groups after the intervention (p=0.001).

The findings showed that the simultaneous training of sleep hygiene, techniques related to progressive muscle relaxation, and aerobic exercises effectively increase the sleep quality of female nurses working in Taleghani Hospital and Imam Khomeini Hospital in Urmia. Therefore, it is recommended to use lifestyle modification training programs in hospital continuous education programs, and in future researches, the effect of other things related to lifestyle on the sleep quality of nurses should be investigated.

Hospital managers, especially ward heads, have an irreplaceable role in improving the quality of hospitals to provide appropriate health services to the people. Having an efficient and effective evaluation system to recognize the competencies and abilities of hospital managers can play an important role in providing higher quality services in health care organizations. The purpose of this study was to evaluate the performance of nurses at Shahid Chamran Hospital in Isfahan using a 360-degree evaluation method.

The present cross-sectional descriptive study was performed on 20 nurses of Shahid Chamran Center in Isfahan in 1400 by census method. The data collection tool was a 360-degree performance evaluation checklist. In this process, each head nurse was examined from all angles and all unit managers (superiors) and subordinates (nurse, assistant, staff, ward secretary) were evaluated. The overall score of this checklist was from zero to one hundred and its evaluation dimensions were generally weak in the three areas of clinical leadership, clinical accreditation and training (average score below 70) and modifiable (average score 70 to 80) and acceptable. (Average score above 80). Data in each domain were analyzed by SPSS software version 23.

According to the results obtained from the 360-degree evaluation checklist of nurses, 3.75% of nurses in the field of clinical leadership received a poor score, 38.75% a modifiable score and 56.25% an acceptable score. In the field of clinical accreditation, 7.9% of the head nurses received a poor score, 32.26% a modifiable score and 60.12% an acceptable score. In the field of clinical education, 5% of the head nurses received a poor score, 25.21% a modifiable score and 75.73% an acceptable score.

According to the results of this study, it was found that the performance of a number of head nurses was poor in some aspects and needed to be corrected. Hospital managers, especially nursing managers, should take the necessary action to correct their weaknesses and shortcomings while promoting their nurses. Therefore, continuous evaluation using a 360-degree performance evaluation checklist of head nurses in all medical centers is recommended.

The knowledge and attitude of nurses are among the main factors in the application of the nursing process and its implementation in the patient care. Thus, this study was conducted to investigate the knowledge and attitude of nurses regarding the nursing process in the emergency departments (8 centers) of Tabriz University of Medical Sciences.

This descriptive research was conducted in the Emergency Departments of Medical and Educational centers of Tabriz University of Medical Sciences. Two hundred and sixty-three emergency nurses were included in the study. Sampling was done by census method and nurses completed the electronic questionnaire of knowledge and attitude toward the nursing process. Finally, the data was analyzed using SPSS v22.

 The results show that the overall mean score of attitude toward the nursing process is 50.33, and the overall mean score of awareness towards the nursing process is 24.19; both of them are at the average range. Also, the results show a statistically significant relationship between the nurses' age and the nurses' experience with their knowledge (p=0.016).

According to the results of the study, it can be concluded that although the nurses' level of knowledge and attitude about the nursing process was average, they accepted the nursing process as a care framework. Investigating the items of the questionnaire showed that the nursing process implementation is time-consuming and also is mainly written. Therefore, it is possible to empower and encourage nurses to use the nursing process quickly by using the necessary training and eliminating unnecessary tasks.

Iran is one of the countries experiencing a sharp decrease in fertility. The present study aimed to determine and compare the factors affecting childbearing in single-child and multiple children mothers.

In this descriptive study with a cross-sectional-comparative design, 200 married women with medical records in the health center were randomly selected and given into two groups. The first group included mothers with one child over four years of age who did not decide on the subsequent pregnancy, and the second group comprised mothers with two or more children. The data collection tool was a demographic information questionnaire and a fertility pattern questionnaire. Data were analyzed in SPSS ver.20 software using independent t-test and Chi-square test.

From 200 mothers who entered the study, 97 had one child, and the other 103 had two or more children. The mean age was 27.47±5.55 years for the first group and 4.65±4. 32.34 years for the second group, and the difference was statistically significant (p=0.000). Comparison of the factors affecting fertility in the two groups showed that the most significant difference was in the mean score of government support and welfare facilities, mothers' employment, high costs and economic problems, and spouses' opposition to childbearing (p=0.000).

According to the results, economic issues were among the first factors affecting childbearing. It seems that it is impossible to take steps to increase childbearing and prevent a single-digit growth rate by advertising alone. In this regard, economic and social factors should be considered, and perhaps the economic support of families would be helpful.

The job performance of human resources in organizations is one of the key indicators of their evaluation in the rapid changes of this century. This research was conducted with the aim of structural analysis of the relationship between the components of perception of job characteristics and job performance based on the mediation of work alienation.

The present study was descriptive of correlation type and based on structural equations. The statistical population of this study included all 240 health and treatment workers in the oil industry of northwest Iran in different categories. Among these 240 people, 145 were selected based on the Karjesi and Morgan table and by stratified random sampling method. Questionnaires were used to measure all the variables, and the psychometric properties of the questionnaires were evaluated and their validity was estimated. To analyze the data, PLS software was used at a significance level of 0.05.

The results showed that the ability to predict employees' job performance based on job characteristics with the mediation of alienation from work with a coefficient of determination of 0.96 and the ability to predict alienation from work based on job characteristics with a coefficient of determination of 0.88 were high. There was a positive and significant relationship between feedback, identity, and perceived importance of job characteristics with job performance. There was a significant inverse relationship between the diversity dimension of job characteristics and alienation from work and between alienation from work and job performance (P<0.05).

Human resource management programs that can improve the perception of job characteristics and reduce work alienation can improve the work performance of health workers.

Improving the self-management of hypertension treatment in patients with Transient Ischemic Attack (TIA) is effective in reducing the incidence of stroke in these patients. The aim of the present study was to investigate the effect of education based on the health belief model on improving self-management behaviors of high blood pressure in patients suffering from transient ischemic attack.

In this semi-experimental study conducted as a pre-test-post-test with intervention and control groups, 54 eligible patients were selected by convenient sampling method and randomly assigned to intervention and control groups. Self-management educational interventions based on the health belief model were conducted for the interventional group during three sessions. The control group received routine interventions. Data were collected using self-management and health belief standard questionnaires before and three months after the intervention. Data were analyzed by SPSS version 16 statistical software.

The results of the study in relation to demographic and background characteristics showed that before the intervention, both intervention and control groups were homogeneous in relation to all variables except body mass index. Also, the results showed that after the intervention, the mean scores of self-management and health belief between the intervention and control groups had a significant difference (p<0.001). Also, the findings showed that despite the fact that the average blood pressure reduction in the intervention group was more than the control group, there was no statistically significant difference between these two reductions.

Based on the findings of the research, education based on the health belief model is an effective educational method in improving self-management of blood pressure in TIA patients. Therefore, it is recommended to implement education based on the health belief model to strengthen self-management behaviors in these patients.

Anxiety as a factor affecting the health of the body in the preoperative period reduces immune reactions and increases the risk of wound infection, the patient's hospitalization, and treatment costs. Communication therapy is one of the ways to reduce anxiety that creates an effective therapeutic relationship. Therefore, a study was conducted to determine the effect of therapeutic communication training by role-playing to nurses on patients' anxiety before abdominal surgery in Imam Khomeini Hospital in Urmia in 2019.

In this quasi-experimental study, nurses were selected by convenient sampling and randomly assigned to the control and intervention groups. In the intervention group, nurses were taught communication skills by role-playing in an 8-day course. No intervention was performed in control (except for routine care). Before and after the intervention, the test was performed as a pre-test and post-test using the Spielberger questionnaire. The data obtained from the research units were analyzed by SPSS 16 statistical software using Chi-square and t-test to evaluate the research results.

The results did not show a statistically significant difference between the control and intervention groups in terms of state anxiety score (P = 0.698) and hidden anxiety scores (P=0.72) before the intervention. However, after training of communication skills, there was a statistically significant difference between the control and intervention groups regarding state anxiety score (P = 0.006) and hidden anxiety (P=0.001).

The results showed that training communication skills in the role-playing method in nurses leads to better therapeutic communication between them and the patient, better retelling of concerns by the patient and also reducing their anxiety level before abdominal surgery. Considering the role of nurses' communication skills in reducing anxiety in patients before surgery, it is suggested that communication skills should be taught to nurses using effective educational methods, including role-playing.