مجله آموزش پرستاری
سال سیزدهم شماره 5 (پیاپی 67، آذر و دی 1403)

The Quality of Nursing Work life affects health and job satisfaction and directly impacts the healthcare services provided to patients. This study was conducted to determine the current status of the quality of nursing work life and identify the factors that influenced them among the nurses in Imam Khomeini Hospital in Esfarayen in 2019.

 This cross-sectional study evaluated the quality of work life among nurses at Imam Khomeini Esfarayen Hospital (2019-2020). One hundred nurses were selected using census sampling that adhered to the stipulated inclusion criteria, and a questionnaire was completed about their characteristics and Walton's quality of work life. In the present study, content and face validity were qualitatively examined using the opinions of several educational and clinical specialists, and no changes were made regarding the simplicity and clarity of the items. The scale's reliability was determined using internal consistency, yielding a Cronbach's alpha coefficient of 0.86, indicating an acceptable reliability level for the questionnaire. After data collection, analysis ensued by applying descriptive statistics encompassing frequency, mean, and standard deviation in conjunction with independent tests and Fisher analytical tests utilizing SPSS version 16 software.

In this investigation, 23.5% (23 individuals), 64.3% (63 individuals), and 12.2% (12 individuals) exhibited low, moderate, and high levels of work-life quality, respectively. There was a significant relationship between the organizational position and a secure and healthy work environment (p= 0/01), the general living environment (p=0/004), and the enhancement of human capabilities (p= 0/002), as well as between the overall state of work-life quality and working shift variables (p=0/009) and organizational position (p= 0/006).                                    

 The study showed that nurses with fixed shifts and administrative positions had a higher quality of life. Managers and planners should note nurses' work-life balance and take appropriate measures to improve it. This will help create better conditions for nurses to provide high-quality care.

Unstable clinical conditions require training of nurses with high critical thinking. Therefore, it is necessary to use new educational methods. Therefore, the present study was conducted with the aim of comparing the effect of teaching concept mapping and problem-solving methods on the critical thinking of nursing students.

A semi-experimental study was conducted on 75 nursing students of the fifth semester of Golestan free universities in the first semester of 2023-2024. The sampling method was multi-stage. Through a lottery, among the five independent nursing colleges, three colleges were selected from the east, west and central regions of Golestan province and with the letters inside them were (A conceptual map group), (B problem solving group) and (O control group) were assigned to three groups of concept mapping (Aliabadkatoul unit), problem solving (Azadshahr unit) and control (Gorgan unit) and 25 people from each faculty were included in the study. Concept mapping and problem-solving training was carried out in eight weekly 90-minute sessions for two months. The California Critical Thinking Skills Questionnaire (Form B, 1990) was completed before and after the intervention. Data were analyzed with SPSS version 24 software and mean and standard deviation, Fisher's test, chi-square, independent and paired t test, and ANOVA test at a significance level of less than 0.05.

The average scores of critical thinking in the concept map group (before 10.12±3.71, after 15.52±5.47), problem solving (before 10.56±3.25, after 20.4±5.42) and the control was (before 10.32±3.11, after 10.92±3.82), and a statistically significant difference was observed between the three groups (P<0.05). According to the Bonferroni test, the effect of problem-solving method of teaching in increasing the critical thinking score was more than that of concept map method (P<0.05).

According to the results of this study, the problem-solving method can be used to increase critical thinking in nursing students.

Uniforms play a crucial role in establishing identity and distinguishing the professional roles of healthcare workers. There is no comprehensive legislation regarding the uniforms for various levels and categories of nurses in our country. As a result, patients often struggle to differentiate nursing staff from other healthcare team member. This situation has led to confusion and challenges for patients and, sometimes, dissatisfaction among nurses. This study aims to explore the lived experiences of nurses concerning nursing uniforms.

This research employs a qualitative descriptive phenomenological approach. In-depth, semi-structured interviews were conducted with 20 nurses from June to August 2023 at the School of Nursing and Midwifery and affiliated healthcare centers of Isfahan University of Medical Sciences. The interviews were analysed using a seven-step coding method developed by Colaizzi, followed by coding with the MAXQDA 2020 software.

Following the data analysis, 110 initial codes were identified, leading to the emergence of 11 sub-themes, and 4 main themes, which encompass professional identity, functional aspects, aesthetic dimensions and communicative aspects.

Participants in this study emphasized the significance of having a distinct, clean, and tidy uniform. They regarded these features not only as indicators of professional identity but also as a factor influencing role differentiation, enhancing job value, and increasing self-confidence. They expressed a preference for using scrubs due to the comfort they provide and the reduced risk of infection. From an aesthetic perspective, they believed that appropriate uniforms help create a professional image. From a communicative standpoint, uniforms play a significant role in establishing effective communication and increasing patients' trust in nurses.

Supporting the family foundation is a matter of high importance in various societies. Therefore, the present study aimed to investigate the effectiveness of structural family therapy and transactional analysis therapy on marital satisfaction in couples with marital dissatisfaction.

This semi-experimental study was conducted with a pretest-posttest design with a control group and follow-up 2 months. The statistical population was all the couples with marital dissatisfaction in Shiraz City in the summer and autumn of 2023. Then, 150 couples with marital dissatisfaction were introduced. Among the 150 couples examined, 45 couples were eligible by simple randomization in three groups, including the structural family therapy experimental group (15 couples), the transactional analysis therapy experimental group (15 couples) and the control group (15 couples). Then, experimental groups underwent structural family therapy (10 sessions 90 minutes) and transactional analysis therapy (10 sessions 90 minutes), and the control group remained on the waiting list and did not receive training. To collect data Enrich marital satisfaction questionnaire in pre-test, post-test, and follow-up, repeated measures analysis of variance was used with SPSS version 28 software to analyze the data.

The results showed that both interventions significantly affected marital satisfaction (P<0.05). In addition, the results of Bonferroni post hoc test showed that structural family therapy is more effective than transactional analysis therapy on marital satisfaction (P<0.05).

: Based on the results of the present study, it can be said that structural family therapy and transactional analysis therapy can be used as a treatment method to on marital satisfaction in couples with marital dissatisfaction and priority of use in in increase marital satisfaction is with structural family therapy.

Teamwork is crucial in the operating room to ensure quality patient care and good outcomes. However, various factors affect the effectiveness of teamwork in the operating room. Therefore, the purpose of our study was to investigate the attitude and perception of operating room staff toward teamwork and associated factors.

In this cross-sectional study 267 people were recruited by convenience sampling technique from 5 teaching hospitals in Ahvaz, Iran in 2023. The "T-TPQ and T-TAQ" were used to evaluate teamwork in the operating room. Data were analyzed by SPSS v26 using descriptive and analytical tests.

The mean scores of perceptions and attitude towards teamwork were reported as 3.86 ± 0.4 and 3.78 ± 0.5, respectively. Also, there was no significant relationship between the variables of age, sex, education level, and type of operating room, dominant shift, role, work experience and the amount of monthly activity hours to perception teamwork. But the attitude towards teamwork was a predictor variable for the perception of teamwork in operating room.

The present study showed a positive attitude towards teamwork among operating room personnel, but none of the demographic variables had any effect on the nurses' perception and attitude towards teamwork. In addition, the findings showed that the attitude towards teamwork is effective on the perception of the teamwork of the personnel. Therefore, it is suggested to increase the staff's perception of teamwork in the operating room by providing the necessary training and improving the attitude towards teamwork.

The field of medical surgical nursing is of special importance due to its wide scope and scope of practice, its history and the highest rate of student acceptance among other nursing fields. And it needs to be continuously reviewed in terms of alignment with the needs of the society. Therefore, this research was conducted with the aim of comparative comparison between Iran and Yale University in America.

The current research is a comparative descriptive study )1402( in which the important indicators of the medical surgical nursing training program of nursing schools of Iran and Yale University of America were purposefully selected. It was done using four stage Bereday 's model with description, interpretation, Juxtaposition and Comparison.

Both educational programs have formulated their philosophy, vision and values ​​according to the cultural and social background of their country. The possibility of part-time study, scholarship, obtaining a letter of recommendation, the need to have work experience, a language certificate and professional qualification are among the findings that are different from Iran's internal surgical nursing master's program, also between the total The practical and clinical hours of these two training programs are different.

The comparison between Iran's medical surgical nursing master's program and Yale University in America shows that there are similarities in the content of the courses and significant differences in the conditions and method of accepting students and the type and number of course units. Due to the breadth of the master's degree in medical surgical nursing and in order to achieve the goals of the field, more clinical and practical training units should be provided and the conditions and methods of accepting students should be reconsidered.

Psoriasis is a chronic inflammatory skin disease linked to heightened stress levels and a substantial negative impact a patient's quality of life and their ability to tolerate distress. This study aimed to compare the effectiveness of cognitive-behavioural therapy and compassion-focused therapy in improving distress tolerance among women with psoriasis.

This semi-experimental study utilized a pretest-posttest design with a control group and included a follow-up period of two months. The research's statistical population comprised all women with psoriasis in Tehran during the autumn of 2024. A total of 45 women diagnosed by a physician were randomly assigned to three groups: 15 women in the cognitive-behavioural therapy group, 15 women in the compassion-focused therapy group, and a control group containing 15 women. The first experimental group participated in eight sessions of 90 minutes each of cognitive-behavioral therapy, while the second experimental group attended ten sessions of 90 minutes each of compassion-focused therapy. Data were collected using the Distress Tolerance Scale (DTS) developed by Simons and Gaher . For data analysis, we employed analysis of variance with repeated measures along with the Bonferroni post hoc test. The analysis was conducted using SPSS version 28.

The results indicated that both interventions significantly affected distress tolerance (P<0.05). Furthermore, the Bonferroni post hoc test results revealed that compassion-focused therapy was more effective than cognitive-behavioral therapy in improving distress tolerance (P<0.05).

Based on the results of this study, both cognitive-behavioral therapy and compassion-focused therapy can be effective treatment methods for improving distress tolerance in women with psoriasis. However, compassion-focused therapy is prioritized as the more effective approach for enhancing distress tolerance in this population.

With age, people gradually lose their past physiological, psychological and social functions, and this causes them to feel lonely. On the other hand, self-efficacy determines how much time people spend on their activities and how flexible they are in dealing with various situations. The purpose of the present study was to determine the relationship between the feeling of loneliness and its dimensions with the self-efficacy of the elderly.

This is a descriptive, analytical, correlational study in which 335 elderly individuals covered by comprehensive health centers of Gorgan city were included in the study in 2022. Sampling was done using a stratified method with proportional allocation. Data was gathered through a demographic checklist, and Social-Emotional Loneliness Questionnaire for Adults (SELSA-S), and Sherer's General Self-Efficacy Questionnaire. The questionnaires were scored through a Likert scale. Previous studies confirmed the validity and reliability of the questionnaires. The data was analyzed by SPSS version 21 software. Spearman correlation, Umann Whitney, and Kruskal-Wallis tests were employed for data analysis. The significance level for all statistical tests was set at p < 0.05.

The study sample consisted of 71% (n=238) female older adults. The average loneliness score among the participants was 34.89 ± 9.39, while the average self-efficacy score was 58.08 ± 8.98. Loneliness exhibited a significant negative correlation with self-efficacy in older adults, (r=-0.203, p<0.001). Self-efficacy also demonstrated a significant negative correlation with dimensions of romantic loneliness, family loneliness, and social loneliness (p<0.001).
 

These results provide valuable insights into the association between self-efficacy and loneliness among older adults and can serve as a foundation for mental and social health interventions and programs targeting this population.