فصلنامه سلامت و مراقبت
سال بیست و پنجم شماره 3 (پاییز 1402)

Improving learning effectiveness in nursing education is of particular importance. Various methods are used to improve learning effectiveness. The purpose of this study was to compare the effects of two methods, a slide-based lecture videocast and a handout, on learning and satisfaction of nursing students.

A quasi-experimental design without pretest was used to conduct this study during the second semester of the 2016–2017 academic year at Ardabil University of Medical Sciences. The study sample consisted of 54 nursing students studying in their third semester. The health assessment course which consisted of 10 sessions, were randomly divided into two groups. After the first 5 sessions (Group 1) of lectures and PowerPoint presentations in the class, a handout was given to students. At the end of the next 5 sessions (Group 2) of lectures and PowerPoint presentations in the class, video files of lectures screen recordings were made available to the students. Multiple-choice questions were used to evaluate learning outcome at the end of the semester. The student satisfaction form was used to evaluate students’ satisfaction with the teaching-learning process. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Independent T, Wilcoxon and Mann-Whitney U) using SPSS v15.

Data analysis showed that the average learning outcome score in handout offered sessions was significantly higher than in videocast ones (p<0.001). In addition, the mean score of students’ satisfaction for handout and videocast were 39.18±5.86 and 39.81±6.32, respectively, and there was no statistically significant difference between them (p=0.39).

Although slide-based lecture videos did not improve student learning as much as handouts, it is recommended to provide and offer the video lectures to the students during each class session in addition to the traditional learning methods such as handouts and books.

Health literacy is a global issue and its education and improvement has become an important measure in this direction. Therefore, medical science universities have an urgent need to realize and substantiate the health literacy of their employees. However, for this reason, a comprehensive model for universities of medical sciences has not yet been identified and formulated, and many of its antecedents remain unknown. The purpose of the present research was to design and validate the health literacy improvement model for teaching staff of Ardabil University of Medical Sciences.

The current research was a mixed methods studyusing a grounded theory approach for the qualitative part and a survey for the quantitative part. In the qualitative phase, the in-depth interviews with experts and eminent professors of Ardabil University of Medical Sciences were conducted based on the purposeful sampling method. Theoretical saturation was reached after 10 participant interviews. After analyzing the qualitative data through coding inspired by Glaser's theory and using MaxQDA v.21 software, the model was designed. In the quantitative phase, the model was validated using structural-interpretive equation modeling method and smart PLS software was used. For this purpose, 234 teaching staff at Ardabil University of Medical Sciences was randomly selected to complete a questionnaire consisting of 24 questions.

According to the results, in open coding, 213 primary codes, in axial coding 71 major categories and in selective coding 11 core categories in the form of causal, contextual, intervening conditions, strategies/actions, consequences and the main phenomenon (health literacy) was classified. In this section, health literacy was designed as the main phenomenon in the form of a logical model and based on its understanding with conditions (causal, contextual and intervening), strategies/measures and consequences. Finally, the results of structural-interpretive equation modeling showed that the final model obtained from the qualitative part of the research had a good validity.

In general, due to the high validity of the designed model, it can be implemented in universities of medical sciences and with its implementation; we can expect a fundamental improvement in the health literacy of the teaching staff of Ardabil University of Medical Sciences.

Constant confront with critical situations intensifies the burnout of nurses in intensive care units and forces them to make numerous ethical decisions in their care. Therefore, this study aimed to determine the job burnout, ethical decision-making and their relationship among nurses working in intensive care units at Namazi Hospital, Shiraz.

This descriptive-correlational study was conducted in 2019-2020. The number of 120 nurses working in the intensive care units was selected using the convenience sampling method. Data were collected using Maslach's job burnout (1986) and ethical decision-making questionnaires. Data were analyzed with SPSS-23 using descriptive (mean, standard deviation, frequency and percentage) and inferential (Pearson's test and multiple linear regression) statistics.

The results showed that the nurses’ mean scores for job burnout and ethical decision-making scores were 68.13±23.62 and 56.33±12.23, respectively, and were at a moderate level. Additionally, the results indicated a negative and significant relationship between job burnout and ethical decision-making (p<0.001). The age variable also had a predictive role in job burnout and ethical decision-making (p<0.001).

Providing holistic care in the intensive care units requires a high level of ethical decision-making ability, so this level appears to be inadequate. Furthermore, the notable magnitude of job burnout, its significant and negative impact on ethical decision-making, and the predictive role of age in them, require policymakers to pay more attention. Therefore, they should investigate job burnout and ethical decision-making and recruit young nurses along with experienced nurses in intensive care units.

The spread of the Covid-19 and the resulting long-term quarantines has changed the lifestyle of a wide range of people and the pushed all of humanity towards self-care. Therefore, the purpose of the current study was to investigate the relationship between psychological self-care and resilience and creativity in response to Covid-19 with the mediating role of lifestyle in women.

This was a descriptive and correlational study. The study population included all the housewives in Kermanshah city in 2022, of which 363 women were selected through convenience sampling method. The resilience scale by Connor-Davidson (2003), lifestyle questionnaire by Laali et al. (2012), the test of creative thinking by Torrance (1966), and the self-care questionnaire by Boroujeni et al. (2020) were used to collect data. Data were analyzed using structural equation modeling and 2 statistical softwares which were SPSS-22 and Smart PLS.

The results showed a direct relationship between psychological self-care and resilience and creativity in response to Covid-19 disease in women (β=0.237, p<0.05). The lifestyle variable also played a mediating role in the relationship among them (Sobel=4.635, Sig<0.001).

It can be claimed that resilience and creativity along with lifestyle play an important role in women’s psychological self-care in response to Covid-19. Therefore, the mental health professionals should pay more attention to improve the mental health during the pandemics.

Nurses play an important role in providing quality care for patients. Employees with higher job satisfaction and a better quality of work life are more productive and efficient. This study was conducted with the aim of comparing the quality of work life and job satisfaction of nurses working in corona and other wards.

This study was descriptive and analytical. The number of 150 people was selected through convenience sampling among the nurses working in the corona ward, and 150 people were selected through simple random sampling from other wards of the medical training centers in Ardabil city. Data collection instruments included the Brooks and Anderson Quality of Nursing Work Life Questionnaire, the Minnesota Job Satisfaction Questionnaire (MSQ), and the demographic characteristics sheet. Data were analyzed using descriptive statistics (number, percentage, mean and standard deviation) and inferential statistics (t-test and analysis of variance) using SPSS software version 22.

The mean score of nurses for the quality of work life in the other wards was 136.42±17.17 and in corona wards was 133.92±13.70 (p<0.05). Furthermore, the mean score of the job satisfaction in the corona and normal wards were 43.21±6.37 and 45.16±6.43, respectively. There was a statistically significant difference between the job satisfaction level of nurses working in corona and other wards (p<0.05).

The results showed that the level of job satisfaction of nurses in corona wards was lower than that of nurses in other wards. Implementing interventions that consider the influential variables such as work experience, overtime hours, income, and the number of night shifts can be effective in improving and increasing the job satisfaction of nurses working in corona wards

Due to the adverse effects of emotional disturbances on physical, social and mental health, people suffer from the psychological or emotional trauma associated with death. Therefore, this study was conducted with the aim of comparing the effectiveness of acceptance and commitment-based therapy and logo therapy in reducing death anxiety in students with emotional disturbance.

This was a quasi-experimental study with pre-test-post-test and follow-up with a control group design. The study population included all the students of Islamic Azad University, Ardabil branch, during the academic year 2019-2019. The research sample was selected in the following two phases. A) Identification phase: A total of 300 students, who were selected according to the convenience sampling method, completed the emotional disturbance questionnaire. B) Sample selection phase: Finally, 45 students out of the first phase were selected as the study sample. They reached 1 standard deviation above the cutoff point in their emotional disturbance scale scores. They were assigned to two experimental groups and one control group (15 people each) based on a random number generator (http://stattrek.com/statistics/random-number-generator.aspx). For the first experimental group, the acceptance and commitment-based therapy and for the second experimental group, logo therapy was performed in 8 sessions of 75 minutes each over 4 weeks. Data were collected using Templer's (1970) death anxiety scale. Data were analyzed using SPSS version 16 software and analysis of variance using repeated measures.

The results showed that logo therapy and acceptance and commitment-based therapy interventions had an impact on death anxiety among emotionally disturbed students (p<0.05). Additionally, the results of the post-tests showed that there was a significant difference between the two treatment methods on the death anxiety variable (p<0.05).

According to the results both logo therapy and acceptance and commitment-based therapy significantly improved death anxiety in the students with emotional disturbance. However, the effect of logo therapy was statistically more significant than that of acceptance and commitment-based therapy. Therefore, the use of these interventions is recommended for students with emotional disturbances.

Intensive Care Units nurses prioritize their assigned tasks due to their high workload, which may result in missing some care. On the other hand, accurately documenting these care activities is very complex, time-consuming, and may affect the provision of complete care. Therefore, this study was conducted with the aim of determining the quality of nursing records and its relationship to missed care by Neonatal Intensive Care Units (NICU) Nurses in Tabriz.

This descriptive correlational study was conducted in 2022, using a census study, on all 151 nurses working in the Neonatal Intensive Care Units of Al-Zahra, Mardani, Azar, and Taleghani hospitals in Tabriz. The data collection was performed using the Nursing Report Quality Questionnaire and the Tubbs-Cooley Missed Care Questionnaire. Data analysis was performed using descriptive statistics, Spearman's correlation test, and t-test using SPSS-26.

The average score of the total nursing records quality was 56.19±8.69. The most neglected cares were "Parents inclusion in baby’s care" and "Parents education about home management of illness". The number of 12 cares had a significant relationship with the quality of nursing records (p<0.05). Among theme, "Medication administration principles follow", "Medications administration in scheduled time" and "Infection control precautions follow" had the highest correlation coefficient (p<0.001).

From the nurses’ perspective in neonatal intensive care units, the quality of nursing records was above the average and most of the cares are provided completely. At higher quality recordings, the missed cares are less likely. Considering that there are many detailed cares in the neonatal intensive care units, recording them accurately can be important in reducing the negligence of care.

The spread of coronavirus not only threatens physical health but also negatively affects the mental health of society. The aim of this research was to compare the effectiveness of schema therapy and neurofeedback in reducing depression in people with a history of Covid-19.

The current research method was quasi-experimental with a multi-group pre-test-post-test design with a control group. The study population included all depressed people with a history of Covid-19 who visited counseling clinics in Tehran during the first 6 months of 1401. Among the mentioned population, 45 people were selected by convenience sampling method and a simple randomization was used to divide them into three groups of 15 people as the neurofeedback treatment group, schema therapy group and control group. They answered the Beck’s depression questionnaire in two stages: pre-test and post-test. Analysis of covariance using SPSS-25 software was used to analyze the data.

Results showed that the depression scores of the intervention groups in the post-test compared to the pre-test were significantly reduced, and this rate was higher in the schema therapy group than in the neurofeedback group (p<0.01).

Based on the results, both schema therapy and neurofeedback methods can help to reduce depression in people with a history of Covid-19, although it appears that schema therapy has been more effective. Therefore, these two treatments can be used to improve the mental health of the society