نشریه مراقبت امروز
پیاپی 40-41 (پاییز و زمستان 1397)

Quality of life is a direct result of the sense of well-being. Chronic kidney disease is a kind of disease that affects all aspects of health. Synergy is a professional model that investigates characteristics of nurses and care needs of patient from different aspects to gain maximum results. This study is done to see the impact of training of synergy model to nurses on the quality of life of dialysis patients in Shiraz Namazi Hospital.   This is a quantitative-semi empirical-single group study. Statistical population of this study includes all dialysis patients in Namazi hospital in 1393 (100 people). 30 sample patients and 15 nurses are identified and simple sampling is used. The intervention was education of synergy model in nurses. The data were completed before and after 12 weeks of intervention, using demographic data form, SF-quality of life questionnaire, and synergy checklist. Data were analyzed using t-test, regression and correlation.   The findings of this study showed that education of synergy model in nurses improved the quality of life scores of eight dimensions of dialysis patients including, physical function, physical pain, social function, emotional role, general health and two dimensions of physical health and mental health (P= 0.000).   This study showed that tainting synergy model to nurses has a considerable impact on increasing life quality of Hemodialysis patients.

In psychology, happiness is defined as a positive emotion which lasts longer than a temporary good feeling; It is a steady condition among one's positive emotions and understanding of life. Happiness is beneficial to the whole society, but the effects of happiness on university students, as the new blood and future makers of nations, have been of greater interest to researchers. The present study aims to explore the factors that induce happiness in nursing and midwifery students. The present study is a descriptive-comparative work of research conducted in 2017 on 200 nursing and midwifery students at the Islamic Azad University of Jahrom in the south of Iran. The subjects were selected based on the census sampling method. To determine the degree of happiness in the subjects, the researchers used the Oxford Happiness Questionnaire developed by Argyle et al. The questionnaire consists of 29 multiple-choice items scored on the Likert scale between 0 and 3. The reliability and validity of the questionnaire have been tested and confirmed in several studies. The collected data were analyzed using ANOVA and T.test. The mean happiness score of the subjects was found to be 40.1±9.1. On the happiness scale, the students' happiness level was medium. 21.9% of the students had low happiness levels (a score of 0 to 28), 71.5% had acceptable happiness levels (a score of 29 to 57), and 6.6% had high happiness levels (a score of 58 to 87). An analysis of the data showed that there was not a significant relationship between the subjects' levels of happiness and any of their demographic characteristics except their term of study (p>0.05). The findings of the present study show that the degree of happiness among nursing and midwifery university students is medium. Since nursing and midwifery university students are a potential labor force in the healthcare systems of societies, it is essential that they maintain acceptable levels of happiness which is a criterion of psychological health. Accordingly, it is recommended that organized measures be taken to improve the psychological health of students and keep it at satisfactory levels throughout the duration of their education.

Signs of Burnout are numerous and should not be fatal with temporary fatigue and temporary fatigue. In human resource research, employees are considered as intangible assets that competing organizations cannot copy. These assets have an unavoidable and unique competitive advantage and are conducive to human resource performance. The aim of this study was to determine the correlation between age and the Burnout rate of nurses in Valiasr Hospital in Eghlid city.   In this descriptive-analytic cross-sectional study, nurses of Valiasr Eghlid Hospital with a sample size of 90 were enrolled. Data were collected using a questionnaire of demographic characteristics and two standard questionnaires such as Maslash Job Burnout Questionnaire (MBI) and Personality Morning – Evening Personality (MEQ). Data were collected by self-supplementation. Data analysis was done on descriptive statistics and inferential statistics with linear regression analysis.   The standardized coefficient of variables of age and gender on occupational Burnout was 0.506 and the calculated t-statistic was 5.93. There was a significant relationship between age and bodily personality with the degree of Burnout (P = 0.000).   Organizations can function in different situations and make optimal use of existing psychological capital. Understanding the personality of individuals for organizations such as government, private, and so on can reduce the job burnout of employees. Nursing managers can work with the identification of the subordinate or elderly personality of the nurses to pay attention to this personality aspect in the planning of nursing shifts.

In order to achieve educational goals, the use of creative, critical thinking and research methods in nursing education has been considered as the first priority. And on the necessity of providing educational programs in a combination of several teaching methods, attention to new methods and techniques of education with the emphasis on creative thinking and problem-solving and student-centered education are emphasized to enhance self-learning and continuous learning. The aim of this study was to determine the satisfaction of nursing students from combined education.   This quasi-experimental study was conducted at Jahrom Islamic Azad University in a study on the status of health by census method on 104 third semester nursing students in the first semester of 2015-2016 academic year. In this study, for teaching physical examination course lecture, question and answer, and video presentation teaching methods in the theory unit, and peer teaching groups for practicing at the patient's bedside were used. The data collection method was self-report and data gathering tool was the researcher-made questionnaire on students' satisfaction of education whose validity and reliability were confirmed (a=0.9). Descriptive statistics including mean and standard deviation were used to analyze the data.   The findings of the research showed that most of the students (88%) were satisfied with the implementation of combined education and with such things as using the educational video to make the content more relevant and skillful, and educating peers, they increased their incentive to learn how to conduct their examinations (80 percent), and agreed.   The pattern of integration training has been effective in improving the level of students' perception and satisfaction. Student satisfaction with teamwork in learning physical examination showed that this training method makes learning better. Also, educators and planners of medical education can make the students more active in learning by using this method and increase their willingness and willingness to develop knowledge and professional interest. It is obvious that further studies on the application of this method in other inhibitors can identify the characteristics, Benefits and problems of the integrated method of education and determine its effectiveness.