دکتر مولود رادفر

Nursing is one of the key jobs in healthcare. Quality of care is an important part of nursing and has been accepted by most nurses and researchers. The quality of nursing care is affected by different components of emotional and moral intelligence. In addition, emotional and moral intelligence affect better decision-making and problem-solving abilities, improving nurses' performance. This study was conducted to determine the predictive power of emotional and moral intelligence on the quality of nursing care.

The present study was cross-sectional-correlational descriptive research. Three hundred ninety-five eligible nurses who met the study inclusion criteria were selected by quota sampling. Data were collected using demographic characteristics, emotional intelligence, moral intelligence, and the quality of nurses' care questionnaires. Frequency and percent were used to analyze the descriptive results. Pearson's correlation coefficient and linear regression were used to examine the relationship between variables and predictions, and t-tests and variance analysis were also used in the analytical tests.

The results showed a relationship between emotional and moral intelligence with the quality of nursing care (P<0.001). Also, moral intelligence and emotional intelligence can predict the quality of nursing care.

Considering the positive relationship between emotional and moral intelligence with the quality of care and the fact that emotional intelligence can be learned and acquired, it is recommended that nurses attend classes and training courses to improve their emotional intelligence. Promoting and improving emotional and moral intelligence helps to maintain nurses' mental health and improve the quality of nursing care.

Embedding a foreign body inside the heart is considered a significant event in a person's life and causes a change in the level of control a person has over the environment and his choices. Therefore, correctly identifying the center or source of control can play an essential role in formulating strategies for the participation of these patients in useful health behaviors and adopting active coping strategies. Considering the importance of understanding the dimensions of the health locus of control and the lack of a similar study on these patients, the present study was conducted to determine the health locus of control in the patients with a permanent cardiac pacemaker who were referred to the dysrhythmia clinic of Seyed al-Shohadah Center in Urmia, Iran between 2022 and 2023.

In this descriptive-analytical study, 350 patients with permanent cardiac pacemakers referred to the dysrhythmia clinic of Seyyed al-Shohada Teaching Hospital in Urmia were selected using convenience sampling, and they completed the questionnaire. Demographic questionnaire and Multidimensional Health Locus of Control (MHLC) were used to collect data. This research was conducted over ten months, and all data was analyzed by SPSS software version 22 using descriptive statistics.

The results of this study showed that the highest mean scores among the dimensions of health locus of control belongs to external (28.90 ± 4.77) internal (26.03 ± 5.33) controls. Also, the lowest mean score was related to chance (17.76 ± 6.78).

It can be concluded that the center of health control of the patients with internal pacemakers is mainly from external control of powerful people. According to these patients, their health and care plan and definite consequences are controlled by medical staff, doctors, and specialists, and the patients feel that they have more prominent role in their health.

Schizophrenia and major depression are among severe and chronic psychiatric disorders that affect the most important area of a person's life, namely quality of life. Quality of life is very important in patients with chronic psychiatric disorders and is still low even after partial recovery. Today, quality of life is considered as one of the most important consequences of treatment of diseases, because quality of life is an important criterion for determining the effects of disease and its treatment on the individual and can be a useful guide to improve the quality of care. Hence quality of life assessment is important in patient care and clinical research. The purpose of this study is to compare the quality of life between patients with major depression and schizophrenia.

This cross-sectional study was performed in Razi Psychiatric Educational and Medical Center in Urmia in 2021. A total of 100 patients with major depression and schizophrenia were selected by convenience sampling method. The MC GILL questionnaire was used to assess the quality of life of patients with major depression and the SQLS Wilkesen questionnaire was used to assess the quality of life of patients with schizophrenia. Data were analyzed using t-test and Pearson correlation coefficient.

The mean age of the patients with depression was 34.28 ±7.257 and the mean age of the patients with schizophrenia was 36.80 ±9.225. The mean quality of life in patients with major depression was 45.62 ±14.75 ehile was73.56 ± 10.369 in the patients with schizophrenia. Comparison of the overall quality of life in patients with major depression and schizophrenia showed that the quality of life of patients with schizophrenia is in a more unfavorable situation (p<0.05). In general, it can be acknowledged that the quality of life in patients with psychiatric disorders can vary according to the type, severity of the disease, gender, age, and social support.

Major depressive disorder and schizophrenia affect major aspects of patients' quality of life. The impact of these two diseases on the quality of life of patients is different; as the quality of life of patients with schizophrenia are more affected by the disease than patients with major depression. Paying attention to the quality of life of these patients can be an important factor in the relative recovery of these patients.

Occupational burnout is usually as a long-term response to stressors and interpersonal emotions characterized by emotional exhaustion, depersonalization, and reduced personal success. The aim of this study was to determine predictive power of job stress on occupational burnout among nurses working in emergency wards of Urmia teaching hospitals in 2018.

This descriptive correlational study was performed on 120 nurses working in emergency wards of educational hospitals (150 nurse) affiliated to Urmia University of Medical Sciences in 2018 who were selected by relative classified sampling method. Data were collected by demographic checklist, Maslach Job Burnout Inventory, and nursing stress scale (NSS). Data were analyzed by SPSS software version 17 using descriptive and inferential statistical methods.

In this study, mean ± SD of total job stress, and burnout were 89.62±20.59 and 66.86 ± 19.81 respectively. Among the demographic variables, job burnout had a significant relationship with gender and job position and job stress with age and job position of nurses (P <0.05). The results also showed that there is a significant relationship between total occupational stress and all domains with burnout and its three dimensions (P = 0.000). In addition, multiple linear regression showed that job stress can predict job burnout in these nurses.

Job stress can be a predictor of burnout, so it is recommended that in preventing and reducing burnout, this factor should be carefully considered and by preparing training programs and interventions to improve and change the work environment of nurses to ‌The health of their work environment helped.

Cancer is the second most common cause of mortality after cardiovascular disease. Resilience is one of the best strategies to cope with diseases in patients. This study aimed to determine the effect of resilience-based group therapy on mothers’ perceptions of child's health status with cancer.

This randomized clinical trial was carried out on 48 mothers of children with cancer in Shahid Motahhari hospital of Urmia in 2017. Samples were randomly divided into two groups using Excel (RANDBETWEEN function). The data were collected using a demographic questionnaire, General Health Questionnaire (GHQ-28), and Coping Health Inventory for Parents (CHIP). Analysis of variance (ANOVA) test was utilized. P-value of less than 0.05 was considered significant.

The mean score of health status perception in the intervention group over time was significantly different compared to the control group (p<0.001).The mean and standard deviation of health status perception scores in intervention and control groups were 22.72 (5.91) and 10.95 (2.01), respectively.

Resilience-based group therapy intervention can be helpful as an effective support for mothers of children with cancer to understand their child's health status.

Professional socialization is an essential process of learning skills, attitudes and behaviors necessary to fulfill professional roles. The consequences of professional socialization are widely varied and influenced by personal, situational and organizational factors. The aim of this study was to review the role of educational activities on professional socialization of nursing students.

This narrative review study was carried out by searching library resources and the databases of CINAHL, Science Direct, Scopus, Google Scholar, Elsevier, SID, and Magiran for articles published during 2002-17. The keywords used for the search included socialization, professional, educational activity, and nursing students. Preliminary results yielded 106 articles of which 10 articles were selected for the review.

Contemporary studies show that professional socialization of nursing students is influenced by different factors among which the role of mentors, peers and effective role models is of great importance. Personal experiences and the role of clinical trainers are also important in facilitating students’ learning development and socialization.

Improvement and organization of the educational system and focus on selection of effective and interested clinical trainers, as well as utilization of mentors, peers and effective role models are the proposed solutions to facilitate and promote the professional socialization of nursing students.

Adolescence is a critical and most vulnerable age in terms of mental health problems a crucial period for developing obesity and associated mental health problems. Inappropriate eating behaviors and obesity in adolescence is a great concern which can be associated with the risk of many chronic diseases in adulthood and in fact main base of obesity in adolescents is wrong eating behaviors. The purpose of this study is to investigate the relationship between eating behaviors with body mass index among high school female adolescents in Khoy.
The method of study is descriptive- correlation. 264 girl's high school students in Khoy to multi stage random sampling were selected and enter the study. The Data were collected with Dutch Eating Behavior Questionnaire DEBQ, meters and digital scale. The Data were analyzed with using Spearman correlation.
Our results indicated that 64/8% of body mass index to normal levels and a total of 35/2% of samples are non-normal body mass index. A negative relationship existed between eating external stimuli and body mass index (-0/13) and positively associated between dietary restraint and body mass index (0/46)(p Results show that eating external stimuli and dietary restraint is effective on body mass index. Therefore Because the critical period of adolescence is important, focusing on eating behaviors and eating styles is important for the prevention of overweight and obesity in adolescents.

One of the major challenges in methadone maintenance treatment that leads to relapse in patients is lapse. Craving is also the most important factor of lapse and return to drug use after the treatment periods. The aim of this study is to determine the effectiveness of applying continuous care model on lapse and craving of patients that are treated with methadone maintenance therapy in Razi Psychiatric Hospital, Urmia, Iran.
Material and This quasi-experimental study was conducted on 95 patients (N=95) who were selected through the census sampling and randomly assigned to intervention (N=48) and control (N=47) groups. Continuous Care Model which consisted of four stages (orientation, sensitization, control and evaluation) was conducted on intervention group over a period of 3 months. At the end, two groups were compared. Craving questionnaire and lapse-and-absence check list were used to collect the data. The data were analyzed via SPSS.v22 using the dependent and independent t-test and Pearson correlation and Chi-square tests.
At the end of third month, the mean of the lapse reached in the experimental group from 2.07±0.89 to 1.57±1.1 and the mean of craving reached from 53.73±13.58 to 50.47±15.1 that showed a significant difference compared to the control group. (P-value The findings showed that continuous care model is effective to reduce lapse and craving of patients that were treated with methadone maintenance therapy. Therefore, it is suggested that this model should be implemented along with a medical treatment to prevent lapse and craving of patients.

Depression is a common disorder with symptoms like reduced energy and interest, feelings of guilt, difficulty in concentrating, loss of appetite, and thoughts of death and suicide. A problem in the treatment of depressed patients is re-admission. The goal of this study is to evaluate the effect of "adaptive sustainability" as a caring model on the readmission of depressed patients referred to Razi Academic Hospital in Urmia 2015.
This experimental study, after the intervention, was conducted on 100 of the depressed patients whom were randomly divided into two groups: control (n = 50) and intervention (n=50). For the intervention group, 4 staged adaptive model of sustainability-demographic status of the family, desensitization, collaboration and continuous monitoring- was conducted during 6 months while standard care was carried out for the control group. The two groups were compared based on readmissions within 6 months. To analyze the data, independent t test and chi-square tests were used.
The results showed that during the 6 months implementation of sustainability model, 5 out of 47 patients in the intervention group readmitted while 13 out of 47 patients readmitted in the control group (p˂0/05).
Implementation of adaptive sustainability model of care of depressed patients had a positive impact on reducing readmissions. Therefore, we recommend that this model should be implemented by health care providers to reduce readmissions of depressed patients.

There are numerous errors in food-drug administration through feeding tube. Appropriate performance of nurses can improve patient safety and prevention of complications. The aim of this study is to assess the effectiveness of small group teaching on the nurses’ performance of food-drug administration.
This was an experimental study that was done in Urmia Emam Khomeini hospital. 80 nurses were enrolled in the study by using census method. The intervention group was divided into four groups, and for each group, four training sessions (one and half hour) with the creation of thoughtful learning situation was held. Knowledge and performance in relation to food-drug administration were evaluated before, and one month after the training program.
The results showed that before training, status of nurses’ knowledge was poor in the control (90/6 percent) and intervention groups (80 percent). After the implementation of training for the intervention group, 97/1 percent of status of nurses’ knowledge in the intervention group was good. Before the training, most of the nurses did not have good performance in both groups. Implementation of the training for the intervention group caused improving the performance of the nurses.
There are errors in the time of food-drug administration through feeding tube. This can cause adverse effects. Hence, improvement and use of proper techniques in food-drug administration can increase efficacy of drug feeding and nutrition, it can increase patient safety and reduce the occlusion number of tube feeding.

Hypnosis is one of the psychological approaches that used in multiple sclerosis patients. The effect of hypnosis depends on individual hypnotic susceptibility. Hypnotic susceptibility is degree of response to the hypnotic suggestions and is a stable personal characteristic.The aim of present study was to determine correlation between personal characteristic and mental health with the degree of hypnotic susceptibility. This correlation study was carried out on 60 women with multiple sclerosis referring to the MS Society of Urmia. The data collection tools that used here include demographic questionnaire, General health questionnaire (GHQ) and Stanford hypnotic susceptibility scale (SHSS). In the investigation of the correlation between the variables and the hypnotic susceptibility of the samples, the Pearson correlation test result showed a statistical correlation between age and the degree of hypnotic susceptibility(r=-0.29,p value=0.023). In investigation of the correlation between the level of education and hypnotic susceptibility, the independent t-test results showed no statistically significant correlation between the two variables (p value>0.05). The results of ANOVA test also showed that there is no significant correlation between employment status of the samples and their hypnotic susceptibility (p value = 0.420). In analysis of relation between mental health and the degree of hypnotic susceptibility, Pearson correlation test results showed weak correlation between two variables (r=0.089, p value=0.499). In general it can be concluded that among the personal characteristics, the only significant correlation is between age and degree of hypnotic susceptibility of samples and hypnotic susceptibility is not influenced by other personal characteristics. It can also be concluded that hypnotherapy is a effective and safe treatment which could well be used in MS patients.

Loneliness is one of the major psychosocial concerns among patients with cancer. Diagnosis, acute treatment and complications of breast cancer may create experience of loneliness. Hope is an essential factor in the lives of cancer patients. Realistic hope, felt with the awareness of the problem, is an important factor for coping with the problems of the patient in an efficient manner. Social support is an important aspect of modern cancer cares. Social support plays a major role in adaptation with chronic and serious illnesses, such as cancer. The purpose of this study was to investigate the effect of dimension of social support on hope and loneliness in patients with breast cancer.

The method of study was descriptive-correlation. 100 patients with breast cancer were selected randomly and enter to study. The data were collected with GHQ, Miller Hope Scale, the UCLA Loneliness Scale and Social Support Questionnaire -Sarason. Data were analyzed with using Pearson correlation.

A positive relationship existed between social support and hope (r = 0/88) and negatively associated with loneliness (r = - 0/91). A negative correlation between hope and loneliness was found (r = - 0/93) (p<0.05).

The findings suggest that social support influence on hope and loneliness. Planning should be considered for social support of patients with breast cancer in order to heal psychological problems such as loneliness and hopelessness and to enhance the quality of life of patients.