mandana arash

Succession planning is a strategic approach for the long-term future of an organization. It compensates the lack of expertise due to the departure of employees by transferring and preserving knowledge. Considering the lack of experienced nurses in clinical centers and the challenge of employing new nurses, the researcher decided to present the factors affecting human capital based on the succession approach in nurses in a form of a model.

This practical research adopts mixed approach. In the qualitative part, the participants were 12 experts using the purposeful sampling method and in the quantitative part the samples were 148 nurses working in Alborz and Fayaz hospitals who were selected through simple random method. They entered the study in the academic years 2022-2023. The data collection tools were semi-structured interviews and researcher-made questionnaires.

After analyzing the content factors affecting succession were extracted in the form of four factors (education, culture, management, and resources) which were used as a framework for developing a questionnaire. The sufficiency and factor loading of the data were checked by the factor analysis method and the factor of organizational resources and the component of organizational justice were found to have the greatest effect on the succession and the designed model was evaluated under the category of very good models.

Succession approach is a smart way of thinking to preserve experienced staff in the organization. The policy makers of the nursing profession who face the challenge of the absence of expertise are prioritizing the factors to circulate knowledge and create an effective pool of talents in the profession. Under such circumstances, future needs can be dealt with and access to goals and survival in treatment organizations seems to be easier.

Professional commitment plays an essential role in the improvement of the performance and professional behaviors of nurses and a major part of it is formed and developed during university education. In this regard, the present research aimed to design and evaluate the development model of professional commitment in nursing students.

The present applied research was quantitative in terms of data type and descriptive in terms of survey-correlation type. The data were collected through a researchermade questionnaire from 305 participants who were selected using a simple random method from nursing students of Islamic Azad University, Karaj Branch, Iran between 2020 and 2021. Data analysis was performed based on factor analysis and structural equation modeling in SPSS (version 26) and Smartpls 3 software.

Sampling adequacy and factors affecting the development of professional commitment were confirmed using exploratory factor analysis in the form of eight factors (individual, structural, socio-cultural, educational, managerial, economic, legal, and spiritual) and 60 components. Furthermore, the factor load of each factor was determined by confirmatory factor analysis. The final model designed by the structural equation method was evaluated as a very good model.

There is a lack of an efficient nursing workforce and the development of professional commitment affects the desire of nurses to remain in their profession and provide quality and safe care. Therefore, it is necessary to consider the approved model resulting from this research as a valid framework in the policy-making of the nursing profession.

Commitment in nursing directly affects the output of performance and professional behavior. Training committed and skilled nurses is one of the university missions; thus, the study endeavored to explain the effective academic factors on professional commitment development in nursing students.

The current research is a mixed study, which is in the qualitative part of content analysis and in the quantitative part of descriptive analysis. Samples in qualitative phase were 20 hospital managers of Fayyaz Bakhsh and Alborz hospitals and faculty members of the Islamic Azad University of Karaj branch who were selected by purposive sampling method and in the quantitative phase were 305 nursing students of the Islamic Azad University of Karaj branch who were selected by simple random sampling entry in the academic years 2020-2021. Data collection instruments were semi-structured interview and researcher-made questionnaire. that Qualitative Data were analyzed by MAXQDA 2020 and Smart pls3 software.

After interviewing and analyzing data content, effective academic factors on professional commitment in both background and educational dimensions were extracted, which were used as a framework for making questionnaires. The data obtained from the questionnaire were analyzed by exploratory and confirmatory factor analyses and model designed.

Given the teaching principles of professional commitment among the students and preparing students for the future professional life is an important part of the responsibilities of universities, accordingly, the designed model can be considered as a framework in educational planning for managers.

Since nursing students as a professional force play an important role in health care systems and professional commitment is considered as one of the most important determinants of professional behavior, so the present study aims to determine the factors affecting the increase and sustainability of professional commitment in Nursing students and providing appropriate modeling is done.

The present study is a descriptive-survey study that is practical in aim and mixed in data. The Statistical samples of 20 nursing experts and 305 fifth- to eight semester undergraduate nursing students were selected. The experts were selected by purposive sampling method and students by simple random sampling. The main data collection tools were semi-structured interview and researcher made questionnaire. The Interviews were analyzed using maxqda 2020 software and questionnaire data by SPSS 26 and Smart pls3 software.

After collecting data and analyzing the content, effective factors were identified in eight dimensions, including individual, structural, cultural, socio-educational, managerial, economic, legal, and spiritual were extracted, and confirmed by structural equation method and a model was designed that individual factor with outer weight (0.99) had the highest share and managerial factor with outer weight (0.74) had the lowest share in increasing and sustaining the professional commitment of nursing students.

Based on the research results and the effect of professional commitment on retention and increasing the quality of performance, it is necessary for managers and experts in the nursing profession consider the study findings as a framework for modifying and reviewing professional programs and policies in order to Correction and improve health, care and treatment processes by training committed nurses.

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death, and its prevalence is increasing. Nutritional depletion is a common problem among chronic obstructive pulmonary disease (COPD) patients. It is caused, to a large extent, by an imbalance between low- energy intake and high- energy requirements. This problem adversely affects morbidity and mortality. The present study aimed to assess the effects of nutritional guideline education on spirometric tests (FEV1, FVC, FEV1/FVC) among patients with COPD.

A quasi-experimental study was conducted through a before and after design. Thirty hospitalized COPD patients drawn from Alborz hospital in Karaj were recruited to the study by random sampling. After filling the demographic questionnaire out, spirometric assessment was undertaken. Individual face to face education concerning proper nutrition was carried out during four sessions. Each session last 15 minutes and was given in four consequent days. Spirometric tests were measured again one and three months after education. They were followed up after discharge through home visits and telephone calls. Then, the indexes were compared.

Significant differences were found among mean FEV1 before intervention, one month (P=0.004) and three months after intervention (P=0.001). There were significant differences between mean FVC after one month (0.015) and three months after the intervention (P=0.000). Increased FEV1/FVC Indexes were reversely correlated with samples’ weight (P=0.034, r=0.426). FEV1/FVC Indexes three months after intervention were correlated with age (P=0.029, r=0.399). That meant older patients had higher FEV1/FVC values and Pearson coefficient test demonstrated the difference significant.

The study suggests that patients with COPD should be aware of effectual factors on respiratory conditions. They need to be instructed regarding the foods have negative or positive impacts on their respiratory function