مجله دانشکده پرستاری ارتش
سال بیست و سوم شماره 1 (پیاپی 44، تابستان 1402)

Bipolar disorder as a complex chronic disease is characterized by mood changes, mental pain followed by harmful behaviors such as suicide attempts. The present study was conducted with the aim of determining the relationship between suicidal thoughts and mental pain of people with bipolar disorders in 2022.

This study is a cross-sectional descriptive study on 200 patients with bipolar disorder selected from patients admitted to psychiatric wards in Iran hospital by continuous sampling. After obtaining written consent, mental pain and Beck suicidal ideation questionnaires were completed. Descriptive data were analyzed and reported using tables of frequency, mean and standard deviation and quantitative data by inferential statistics using independent t-test, chi-square and analysis of variance in SPSS-v.16 software.

Mental pain has a direct relationship with suicide in patients with mood disorders (0.653>0.001), as there was a direct and significant correlation between suicidal thoughts and all dimensions of mental pain except social distancing and emptiness. The highest correlation of suicidal thoughts was with the dimension of emotional disturbance (r=0.882) and the lowest correlation was with the dimension of confusion (r=0.182). Discussion and

The findings of the present study indicate the association and direct relationship between mental pain and suicidal thoughts in patients with bipolar disorder and the importance and necessity of considering this case in the treatment of these patients.

Burns are one of the most important and common causes for a person to suffer from skin lesions with partial thickness. The partial thickening site of the skin is very painful and has a discharge until the wound heals and it is prone to infection; therefore, to prevent physical injury and infection, a suitable dressing should be used on the spot. This study aimed to evaluate the effectiveness of some of the dressings that affect the wounds of the skin.

This narrative review study was conducted in 2020-2021.The printed and the electronic literature published in electronic database such as PubMed, Medline, Scopus, SID, and Cochrane Library between 2000 until 2021 in Persian and English were searched and assessed. Also, the Google Scholar search engine was used to search literature.

To accelerate the healing time without side effects is the most important aim of managing the skin removal site. Today, various dressings such as Vaseline, honey, plain moist gas, banana leaves, and a variety of modern dressings are used to repair wounds at the skin graft site with partial-thickness; but still one of the therapeutic challenges is finding the ideal dressing. Discussion and

To now, the role of modern dressings in improving the skin removal site cannot be ignored. However, any dressing that can accelerate the healing time of the skin donor with partial thickness and reduce the pain when removing the dressing and prevent complications such as infection and is also cost-effective is a good choice.

Improving the job performance of nurses is important due to their difficult and stressful professional conditions in medical centers; while training or applying positive thinking skills, it improves nurses' job performance. In the present study, a review of research on the impact of positive thinking skills or its application in various areas of nurses' job performance has been reviewed.

This article is a review study that uses data collection from library resources and searches in PubMed, Science Direct, Magiran, SID, CINAHL databases and using common search engines with keywords Education, positive thinking, job performance, nurses and their English equivalent have been done in the period of 2021-2011. Inclusion criteria were related to the topic of the impact of positive thinking and skills training on nurses' job performance, and articles that did not have sufficient evidence (such as conference reports and lectures) were excluded. Out of 12 articles, 7 articles related to the subject were extracted and analyzed.

Most of the studies were done on the effect of positive thinking or positive thinking skills on the topics of happiness, resilience, communication skills, quality of work life, burnout, hardiness, perceived work stress of in the nurses which were associated with positive results in improving each of the mentioned cases in the professional performance of nurses. Discussion and

Positive thinking skills has had an effect on improving and promoting various areas of job performance in nurses. Therefore, it is suggested to the authorities to pay more attention to the different dimensions of nurses' job performance and to improve them by having educational programs based on positive thinking so that they can improve the quality of their services in order to improve the professional performance of nurses.

In the last two decades, the epidemics of infectious diseases have increased worldwide. The epidemics of Severe Acute Respiratory syndrome (SARS), Middle East Respiratory Syndrome (MERS), and the recent pandemic of the COVID-19 have confronted the health sector management with several challenges. One of the vital skills in natural or man-made outbreaks is the ability to prioritize patients and injured people in accessing care and treatment and resources allocation. Although numerous articles and researches have been published about hospital triage and traumatic events, but there are few comprehensive and scientific texts on triage of biological events. So the aim of this article was the overview of triage in biological disasters.

The present study is a narrative review. The references were searched in credible databases. Such as Web of science, Scopus, Science Direct, PubMed, and Safety Lit. Search keywords included Bioterrorism, Bio event, Biological disasters, Epidemic, pandemic, Treatment, Priority, Sorting, triage. The search period ranged from January 2006 to September 30, 2019.

One of the difficulties of responding to biological disasters is the influx of people to receive medical services. Triage is used to prioritize such referrals. The development of triage tools in biological events requires interdisciplinary collaboration including infectious disease specialists, public health, epidemiology, and hospital administrators. This tool may eventually be used in the form of telephone screening or sending messages for self-assessment in affected areas. Discussion and

The multiplicity of people involved, the need for multi-organizational management and internal and external coordination, and attracting people's support are the characteristics of biological disaster management. Triage is an effective way to manage patients and clients of mass biological disasters. 

Medical errors and insufficient attention to safety culture and patient safety principles are serious public health problems and critical factors of patient mortality. Many studies have emphasized to the necessity of effective measures to increase safety culture and to observe the safety principles by nurses. Because of education of nurses had done by various methods, thus the aim of this review study was to comparing the effect of face-to-face and e-learning education on promoting safety culture and patient safety principles by nurses.

A literature review was conducted through a comprehensive search in the following Persian and English databases: SID, Irandoc, PubMed, Elsevier, PMC, and Science Direct between 2013-2022. “Patient safety”, “safety culture”, “safety principles”, “e-learning”, “electronic education”, “education”, and “nurse” were used for the search.

Fourteen studies were found that twelve of them were studied effect face-to-face education or e-learning and two of others related to comparison between face-to-face and e-learning in safety culture and patient safety principles by nurses. Both face-to-face and e-learning had been effective in promoting patient safety culture and safety principles by nurses. In two comparative studies, the results showed the promotion of safety culture and better patient safety principles in the group under e-learning. Discussion and

Based on the results of studies, both face-to-face and e-learning education can be effective in improving and promoting safety culture and safety principles in patients that lack of study in a comparative study of two learning methods, it is suggested to conduct more studies in this field among nurses in order to achieve the most desirable level of quality of nursing services and improve patient safety.

Nursing is considered an ethical profession and the ethical responsibility of decisions and actions rests with nurses. Therefore, nurses need moral courage and moral sensitivity to be able to perform humane care, stability and resist doing unethical things. Therefore, the purpose of this present study is to investigate the factors affecting moral courage and moral sensitivity.

This review article done by using the English keywords "Education, Ethics, Moral Courage, Nurses, Nursing Ethics", and their Persian equivalents from the databases of reliable scientific databases, PubMed, Science Direct, and Ovid. Web of sciences and Google Scholar search engine were conducted in the time range between 2000 and 2023. Articles that were not in line with the purpose of the research or were published in the form of a letter to the editor were excluded from the study. From the 35 searched articles, 15 articles related to moral sensitivity and moral courage were selected.

The results showed that factors such as age, education level, and type of employment, shift work, work experience, marital status, religious beliefs and moral education play an important role in increasing the moral sensitivity and moral courage of nurses. Discussion and

increasing the level of nurses' awareness of ethical principles and moral sensitivity will lead to the expansion of morally courageous behaviors in nurses. Therefore, it is suggested to carry out research on the effect of various educational interventions on the development of moral sensitivity and moral courage of nurses, or to investigate the relationship between moral sensitivity and courage with the quality of nursing care.

The sudden occurrence of dangerous and unstable situations creates the conditions for which fundamental and extraordinary measures are needed to resolve them. Emergency nurses are one of the first and most effective relief teams in crisis. The application of specific knowledge and skills by competent nurses minimizes health risks and life-threatening risks caused by crises. The purpose of this article is to review of the effect of hospital hazards training on the knowledge and attitude of emergency nurses in times of crisis.

This review article use of library resources and databases in search of the keywords " hospital risks", "hazard", "education", "nurse" and "emergency".

The most likely hospital hazards are geological hazards (earthquakes, landslides, and psychoticism), weather hazards (storms, tornadoes, extreme heat and cold, dust), and epidemiological hazards (infested animals). Choosing the right training methods for hospital hazard education is effective on the knowledge and attitudes of emergency nurses. Continuous training courses in crisis and accident management are essential. Discussion and

In order to create and maintain the readiness of nursing staff, training and implementation of disaster preparedness programs should be among the topics of continuous training. Conducting training courses and workshops can increase the knowledge and attitude of military personnel in the face of crisis.