فهرست مطالب الهامه نصیری

Despite numerous physical, psychological and social problems in hemodialysis patients, these patients also experience some positive psychological changes, called "posttraumatic growth". Posttraumatic growth is a complex concept associated with many factors, such as the characteristics of individual emotional intelligence. The purpose of this study was to determine the relationship between emotional intelligence and posttraumatic growth in hemodialysis patients in Ardabil province. This descriptive-correlational study was conducted on all hemodialysis patients referred to hospitals in Ardabil Province in 2017. The Instruments used was included demographic characteristics form, Short form of Emotional Intelligence and Posttraumatic Growth Inventory. Data analysis was performed using descriptive and inferential statistics in SPSS version 15. Most of the patients were male (55%), married (88.8%) and illiterate (45%). The mean and standard deviation of posttraumatic growth and emotional intelligence were 69.94±12.78 and 140.88±19.47, respectively. Also, emotional intelligence was associated with posttraumatic growth (r=0.617, p<0.001). The results of the study showed that emotional intelligence had a direct correlation with post-traumatic growth. So, it can be suggested that education and promotion of emotional intelligence in hemodialysis patients can promote the development of post-traumatic growth.

Workplace incivility is one of the destructive behaviors in any organization, especially in the organizations providing health services. The purpose of this study was to assess the perceived incivility among nurses working in four educational-hospitals affiliated to Ardabil University of Medical Sciences (ARUMS).
This study was a descriptive-correlational design. Study population were all nurses working in educational hospitals in the city of Ardabil. Through a consensus sampling approach, the Guidroz's “Incivility in Workplace Questionnaire” was given to all nurses working hospitals affiliated to ARUMS and 600 out of 900 nurses returned the completed questionnaires. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Pearson correlation coefficient in SPSS software.
500 persons (83.3%) from 600 nurses participating in the study were female. The findings showed that perceived incivility among nurses originates from physicians (3.63±0.94), patient-family (2.99±0.85), general incivility (2.80±0.75), head nurses or supervisors (2.75±0.85), and other nursing colleagues (2.71±0.69). In addition, the differences between the mean scores of perceived incivility between these five sources were statistically significant (p Based on the findings of this study, nurses experience incivility from various sources especially from physicians and patients. So, it is necessary for hospital managers to address and resolve the uncivil behaviors through continuous education, role clarification, and improving the nursing’s image in the society.

Inappropriate collaboration between nurse-physician effects on patient outcomes, job satisfaction of nurses, and hospital costs. This study aimed to determine nurses and physicians attitude toward nurse-physician collaboration in intensive care units of Ardabil.
This descriptive correlational study was performed on 126 nurses and 61 physicians working in intensive care units of educational and therapeutic centers of Ardabil University of Medical Sciences. Data were collected using the Jefferson scale of attitudes toward the nurse-physician collaboration. Descriptive statistics (mean, standard deviation and frequency) and inferential statistics (T-test and one-way ANOVA) were used to analyze the data.
The mean scores of the nurse-physician collaboration from nurses and physicians viewpoints were 47.83±3.9 and 47.85±4.25, respectively. There was no significant difference between attitudes of nurses and physicians toward collaboration (p=0.97). Comparing the scores of nurses-physicians in the four areas showed asignificant difference in “care vs. treatment” (p=0.025) and “nurses autonomy” (p=0.008) areas.
The results showed that nurses and physicians had a positive attitude toward nurse-physician collaboration. However, in some areas of collaboration, there are still differences in the attitudes of nurses and physicians. Given the importance of nurse-physician collaboration, especially in intensive care units, planning is needed to improve their attitude toward collaboration.

Nowadays using research results is an important issue in nursing and it is linked to the quality improvement. Although in developed countries, professional nurses are trying to establish their practice based on research evidences, nursing care is a routine-oriented practice in Iran. Since for changing every kind of people’s behavior we need to know their attitude towards that issue, this study was conducted to determine nurses’ attitude towards using research results in clinical practices. In this descriptive study, 234 ICU nurses of educational hospitals in Ardebil Medical Sciences University have been selected through census method in 2013. A two-part researcher-made questionnaire was used to measure the attitude. The first part measured demographic information and the second part measured the attitude towards research. Data analysis was done by using SPSS18 statistical software and descriptive and inferential statistical tests. The results indicated that 69.2 percent of the samples had positive attitude and 27.4 percent had neutral attitude and 3.4% had negative attitude towards using research results in clinical practices. There was a significant statistical relationship (p<0.05) between level of studying clinical articles and the working ward with the mean of attitude score. Most of the nurses have positive attitude towards using research results in clinical practices. Therefore designing some mechanisms for providing the conditions of using research results such as easy access to publications and introducing information resources is an effective step in implementation of research-based cares.

The need for innovative nurses in intensive care wards is felt to provide exclusive complex care to very ill patients. The present study aimed to determine the level of innovation in critical care nurses and the individual and organizational factors associated with it. In this descriptive - analytical study، 205 subjects were selected by consensus included critical care nurses of educational-therapeutic centers in Rasht in 2013. Data collection instrument included Kirton Adaption - Innovation Inventory with questions related to individual and organizational characteristics. Questionnaire scoring was based on five-point Likert scale Mean score of “innovations«score in nurses was 120. 88±15. 15 and 95. 24% of nurses were innovative. Also، among personal factors، the level of innovation was significantly related to variables such as gender (p=0. 012)، educational level (p=0. 039) and age (p=0. 037)، and in organizational factors، management experience (p=0. 006)، having education course on creativity and innovation (p=0. 014) and type of critical care ward (p≤0. 001) employed were significantly correlated. According to large proportions of innovative nurses، healthcare managers and policymakers must create a receptive، trusting and appropriate atmosphere to facilitate the implementation of original and creative ideas of nurses to solve some of health care system problems.