فصلنامه مدیریت پرستاری
سال دوازدهم شماره 1 (پیاپی 43، بهار 1402)

Corona disease, in addition to causing physical damage, also left a serious impact on people's mental health; Therefore, the purpose of this research was the effectiveness of reality therapy training on distress tolerance and impulsivity of people who have recovered from corona disease in rehabilitation centers of Shahrekord.

This study was a semi-experimental study that was conducted on people who have recovered from Corona disease in Shahrekord city. The statistical population of this research was people who recovered from corona disease in Shahrekord city. 30 people were selected by purposive sampling and randomly assigned to two experimental and control groups. Both groups completed distress tolerance and impulsivity questionnaires as a pre-test, and after 8 sessions of reality therapy protocol training to the experimental group, the two groups answered the above questionnaires again as a post-test, and the data were analyzed with statistical tests. Analysis of covariance were analyzed.

The results showed that reality therapy training has an effect on distress tolerance and impulsivity of people recovered from corona disease (P<0.01).

According to the findings, in the reality therapy approach, with the help of controlling strategies, irresponsible behaviors can be reduced, and therefore, by using the behavioral strategies available in the reality therapy approach, as well as proper emotion management, the impulsivity of people who have recovered from corona disease can be reduced.

If the employees and managers are committed, the social responsibility of the University of Medical Sciences and health and treatment services can be improved to generate income. Therefore, investigating and scrutinizing the factors affecting the income of the University of Medical Sciences and healthcare services is very important in making detailed management decisions. Therefore, the main purpose of the research is to investigate the effect of organizational commitment on financial performance with the mediating role of social responsibility in the University of Medical Sciences and Health Services of Central Province.

The nature and method of the research was causal and applied in terms of purpose. The statistical population of this research is 243 middle and high level employees of the University of Medical Sciences and Health Services of the Central Province. The data collection method is field research. A questionnaire was used to collect data. In this research, a standard questionnaire was used and it was approved by the supervisor and consultant, hence the validity of the research questionnaires was confirmed. The reliability of the questionnaires was confirmed as (0.766). Structural equations and Lisrel software were used to test research hypotheses.

The research findings indicate that organizational commitment has a positive effect on financial performance with the mediating role of social responsibility. Organizational commitment has a positive effect on financial performance. Organizational commitment has a positive effect on social responsibility. Social responsibility has a positive effect on financial performance.

More committed people adhere to the values and goals of the organization and will play a more active role in the organization and will help the organization to achieve its financial goals and hence improve financial performance. Care and commitment to protecting the rights of employees leads to them also working for organizational goals, including financial goals, and hence improving financial performance.

One of the essential tasks of pre-hospital emergency workers is to document and complete the mission form using electronic and paper forms. The current study was designed with the aim of determining the level of satisfaction of pre-hospital emergency operatives in using electronic registration and reporting forms.

This descriptive cross-sectional study was conducted on 88 operatives of pre-hospital emergency room in Saveh city in 1402-1401. The samples were included in the study based on the inclusion criteria and by census. The data collection tool included a demographic information questionnaire and a researcher-made satisfaction questionnaire of electronic registration and reporting forms. Data were analyzed using descriptive and inferential statistics and SPSS version 23 software.

The mean and standard deviation of the total satisfaction score of the samples with the electronic registration and reporting forms (Asayar program) were 81.12 and 12.46, respectively, which were significantly (p<0.001) higher than the average. Among the dimensions of the questionnaire, the speed of recording information, ease of use, and comprehensiveness respectively received the highest satisfaction scores. The satisfaction of employees in the access dimension was lower than in other dimensions.

The level of satisfaction of pre-hospital emergency operatives with electronic registration and reporting forms (Asayar program) has been optimal.

Breast cancer (BC) is the most common cancer diagnosed in women in and one of the foremost factors behind the death of women worldwide. Hence, early diagnosis and intervention increase the probability of recovery and reduce the mortality rate. This study examined the effect of written exposure therapy and mindfulness-based stress reduction on managing pain and mental adjustment in women with breast cancer.

Sixty females with breast cancer referred to the Shahid Rajaei Hospital in Babolsar, Iran were randomly assigned to one of the three WET (n = 20), MBSR (n = 20) or control (n = 20) groups. WET is a 5-session low-intensity exposure-based intervention for treating PTSD. MBSR is a systematic educational program during an 8-week period. The control group had no additional contact. Measures assessing managing pain and mental adjustment were administered at baseline, post-intervention, and 2-month follow-up.

Both the WET and MBSR groups achieved significant improvement in managing pain and mental adjustment with statistically significant differences between groups. However, However, no significant difference was reported between the effectiveness of the interventions used in the present study on pain management and adaptation to cancer in breast cancer patients.

Both WET and MBSR appear to have beneficial effects in in increasing pain management and psychological adjustment in breast cancer patients in Iran. Therefore, experts, researchers and therapists in this field can use these interventions as effective treatment options based on research evidence to improve the psychological functions of breast cancer patients along with their medical treatments and, accordingly, health indicators.
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The nursing profession is associated with difficult and stressful conditions and some psychological consequences. Also, one of the most important health potentials described in theoretical and research bases is the sense of coherence. Therefore, the present study was conducted with the aim of investigating the effect of perceived stress on psychological distress and psychological well-being with the mediating role of sense of coherence in nurses.

The present study was a cross-sectional correlational study. The research community included all nurses working in hospitals and medical centers in Tehran. In this study, 200 people were selected by convenience sampling method. The research tools are: Cohen Perceived Stress Scale (1983), Kessler's psychological distress questionnaire (2003), Ryff Psychological well-being scale (1989), Antonovsky’s Sence of Coherence Scale (1993). Pearson correlation, structural equation modeling and SPSS and AMOS version 23 software were used for data analysis.

The results of the findings show the fit of the desired model. In addition, the obtained results indicate a direct, positive and significant effect between perceived stress and psychological distress (T=5.556; P<0.001; β=0.385). Also, there is a direct, negative and significant effect between perceived stress and psychological well-being (T=3.407; P<0.001; β=0.173). In addition, the sense of coherence played a mediating role in the relationship between perceived stress and psychological distress and psychological well-being.

The results of this study show the importance of the mediating role of sense of coherence in the relationship between perceived stress and psychological distress and psychological well-being. In other words, the sense of coherence acts as a health potential in a stressful work environment; therefore, it is necessary to design interventions based on this component, because it can probably significantly change a person's physical and psychological functions in a stressful work environment.

Turnover among nurses is one of the important issues for managers in this field. Many factors such as Workplace Incivility and quality of work life affect nurses' Turnover Intention. In this regard, the aim of the current research is to investigate the effects of nurses' quality of work life on Turnover Intention with the moderating role of Workplace Incivility.

The present research was of the descriptive correlational type. The target population consisted of all nurses working in Imam Reza, Shahid Madani, and Children's hospitals in Tabriz. A sample of 320 nurses was selected using the available sampling method. Data were collected through a two-part questionnaire, including demographic information and research variables. Descriptive and inferential statistics were employed for data analysis. The data analysis tool used was SmartPLS version 3.2.8, based on the partial least squares (PLS) method.

The results obtained from the model analysis indicated that the hypotheses related to the impact of the quality of work life on Turnover Intention have an inverse effect (t = 3.01, p = -0.163). The Workplace Incivility has a direct effect on the Turnover Intention (t = 11.99, p = 0.583). Additionally, the moderating effect of the Workplace Incivility in the relationship between quality of work life and the Turnover Intention among nurses was confirmed (t = 6.84, p = -0.327).

Based on the results obtained, it can be concluded that the effects quality of work life and the Workplace Incivility on nurses' Turnover Intention are confirmed. Furthermore, the moderating the effect of the atmosphere moderator Workplace Incivility was also proven in the effect of the quality of work life on the Turnover Intention, that is, the more uncivil the work environment is, the effect of the low quality of work life on the increase of Turnover Intention is also greater.

Nursing managers suffer a lot of stress due to the nature of their job. Emotional intelligence is the most important trait in the management category for adaptability and better job performance in critical and stressful times. Emotional intelligence helps decisively to better adapt to the surrounding environment or create a suitable environment to achieve effective management in health care and can also effectively increase the psychological empowerment of nursing managers in the work environment.

This research was conducted with the aim of determining the relationship between the emotional intelligence of nursing managers and the psychological empowerment of nursing managers of a selected military hospital.

This cross-sectional descriptive study was conducted on 195 nursing managers in the selected military hospital in 1401. Data collection tools included demographic information questionnaire, Bradbury and Graves (2005) emotional intelligence questionnaire, and Spritzer and Mishra (1997) empowerment questionnaire. The collected data were analyzed using SPSS version 26 software using descriptive and analytical statistical tests (chi-square tests, t-test, ANOVA, analysis of variance and Pearson correlation).

139 (%71.3) nursing managers had average emotional intelligence, 56 (%28.7) had high emotional intelligence, and none of the managers had low emotional intelligence. There was a positive and strong correlation between the emotional intelligence score of the participants in the research with psychological empowerment (r=0.89) and a significant level (P<0.05).

The result of the study showed that emotional intelligence components positively affect the dimensions of psychological empowerment of military nursing managers. It is necessary to use the training strategy to improve emotional intelligence skills with an impact on the mental health of nursing managers of military hospitals in the face of crises and disasters and its effect on the psychological empowerment of nursing managers. Therefore, it is suggested that hospital managers increase the emotional intelligence of nursing managers in the treatment environment by holding training courses to lead to an increase in their psychological empowerment.

Happiness creates a positive feeling towards personal and organizational life in nurses and also leads to better job performance, increased commitment and responsibility in the nurses' work environment. Oneness behaviors and Religiosity that arise from the beliefs and worldview of nurses can create a better understanding of the relationships in the environment and influence their happiness. The purpose of this research is to investigate the effect of oneness behaviors and religiosity on the happiness of nurses in a Pasargad hospital, and the effect of these two variables was also investigated with the mediation of mindfulness.

The present research method is descriptive-survey. The statistical population included 180 nurses of Pasargad hospital in Tehran in 1402. 123 people were selected from the statistical population by simple random sampling method and standard questionnaires were used to collect data and their reliability and validity were confirmed. Questionnaires were distributed among the nurses of different parts of the hospital within three days and after ten days they were referred to collect them. Structural equation modeling was used to analyze the research data using SMART-PLS software.

Oneness behaviors (t=413.3, β=0.324) and religiosity (t=2.810, β=0.262) have a positive and significant effect on nurses' happiness. Also, oneness behaviors and religiosity through mindfulness also increase the happiness of nurses. According to the vaf index, 25.6 percent of the effects of oneness behaviors on happiness are through the mediation of mindfulness, which is 31.9 percent in the index related to religiosity.

According to the findings of the research, it is possible to increase the happiness of nurses by strengthening oneness behaviors and religiosity. Also, these factors can make nurses happier through mindfulness. The training of mindfulness techniques can create a better understanding of difficulties and sufferings in nurses and cause more satisfaction in them.

The outbreak of the Covid-19 pandemic caused fundamental changes in the field of human resources, especially among the employees of the healthcare system. Nurses working in medical centers and hospitals face many challenges during the provision of medical services, which affect the quantity and quality of their services. Challenges that hinder the realization of joining professional nursing. Examining all challenges from the perspective of nursing metaparadigm will lead to the formation of a deep and broad view of the variety of problems and their effects on nursing.

A narrative review was used to write this letter to the editor.

Being aware of the challenges in society and applying effective solutions leads to creating a systematic vision and active performance. Challenges achieved in 3 levels; Macro, mezo and micro are placed in 4 dimensions of person, environment, quality of health and nursing.

Paying attention to the variety of challenges and their effects from the philosophical point of view and metaparadigm of nursing will broaden the vision of the leaders and managers of this profession. Improving the professional competence of nurses depends on having the right environment and professional requirements. The goal of health for all, which is one of the goals of sustainable development, will be realized with the realization of professional nursing in the society.

People with health anxiety have misconceptions and incorrect interpretations of health and excessive sensitivity to their physical symptoms. Therefore, the current research was conducted with the aim of predicting health anxiety based on metacognitive beliefs, Alexithymia and experiential avoidance in nurses.

The method of this study was descriptive-correlation. The research community consisted of all nurses in the emergency department of hospitals and medical centers in Kermanshah. In this study, 180 people were selected through convenience sampling and answered the Acceptance and Action Questionnaire, Toronto Alexithymia Scale, Short Form of Health Anxiety Inventory and Metacognitions Questionnaire. The collected data were analyzed using Pearson's correlation coefficient and multivariate regression analysis in SPSS-24 software.

The results showed that there was a positive and significant relationship between metacognitive beliefs, Alexithymia, and experiential avoidance with health anxiety in nurses (P<0.01). The results of multivariate regression analysis also revealed that %76.5 of the variance of nurses' health anxiety is explained by metacognitive beliefs, Alexithymia, and experiential avoidance.

According to the results, it can be said that if people's evaluation of physical symptoms is problematic only when specific metacognitive beliefs are high, therapeutic interventions that target metacognitive beliefs instead of symptom evaluation may be more effective. Also, treatments based on acceptance and commitment and mentalization that lead to reduction of experiential avoidance and increase of mentalization capacity and subsequently reduction of health anxiety are suggested for nurses.