مجله دانشکده پرستاری ارتش
سال نوزدهم شماره 1 (پیاپی 36، تابستان 1398)

Health care staff tendency to leave the profession, is one of the major challenges in that the health system. The lack of nurses and Professional leave have had major problems in patient care, quality care and medical expenses. The purpose of this study was to determine the management strategy for maintaining clinical nurses.

This paper is a review article that based on collecting data from library resources and databases PubMed, Science Direct, SID, Google Scholar with the literature review from 2000 to 2018 with keywords clinical nurse, Tendency to leave the profession, management strategies has been developed.

Characteristics of working conditions and principles of management such as workload, role stress, work schedule, level of autonomy, and interpersonal relations within organization, coordination, training, motivation and organizational climate such as ethics, support, equality, justice, and power are very important in staying in the nursing profession.
 
Discussion and Conclusion:

The individual factors and characteristics of the work environment are very effective for nursing staff to stay in the nursing profession. Nursing managers can have a positive impact on job satisfaction and tendency of clinical nurses to leave the profession with regard to different staffing conditions and the improvement of the work environment.

Pain evaluation in patients in the intensive care unit who are not often able to communicate verbally due to changes in level of consciousness, connection to the mechanical ventilation and receiving sedative medications, is a difficult and complex task and one of the most important problems of nurses. Appropriate pain measurement in these patients requires the use of a valid and reliable Scale in which behavioral and physiological indicators are used for monitoring and assessing pain. The purpose of this study is to introduce a non-verbal pain Scale for evaluating pain in patients who are not able to communicate verbally, and to review the stages of the edition and revision of its versions and validation, validity and reliability of the Scale versions.

A Structural overview with words Non-verbal pain tool, Accreditation, Intensive Care Unit, Pain was carried out in the databases Ovid, Science Direct, Scopus, PubMed, and the Google Scholar search engine the period of time from 1990 to2015, and then, content analysis was done on appropriate and relevant articles based on the relevance of the articles with the subject of the research.

Nonverbal pain scale (NVPS) was first developed by Ohdner in 2003 based on the replacement of appropriate dimensions and relevant with adult needs in scales available for patients without verbal communication which grades the state of the face, activity, guard status, change in vital signs (physiological group 1) and other physiological symptoms (physiological group 2). Vegman revised the NVPS and reported that in the second version, the respiratory group has been replaced the with the former physiologic group two. The new respiratory group includes respiratory rate gradation based on the baseline, arterial oxygen saturation as an estimated pulse oximetry, and ventilator compliance.

Discussion and conclusion:

Non-verbal pain scale (NVPS) is of particular importance for adult patients in intensive care units because it raises special issues of this unit. Its priority was confirmed based on researchers' researches due to the behavioral and physiological indices and satisfaction of nurses because of ease of use.

Changes in the health system have led to significant improvements in health technology in recent years and this also improves the quality of health services and the use of intelligent systems in the health system, especially artificial intelligence systems, is becoming more and more important. Therefore, the health system staff should choose strategies to increase their ability to use intelligent systems in the health system and to solve their challenges. The purpose of this study is to investigate the challenges and strategies for implementing intelligent systems in the health system.

The present study was a systematic overview with a comprehensive search of web sites, validated journals, SIDs, PubMed, Scopus, Google Scholar search engine and related books in this area. Basic approaches to the implementation of intelligent systems Especially the expert system and artificial neural network were presented in the health system. To search the English input language and key words, the Health system, Intelligence, Electronic health records, Challenges and solutions, and their combination, were used and the time range from 1998 to 2015 was considered for the selection of articles. The articles were about 120 articles, of which about 97 articles were included in the study, and then these articles were evaluated in terms of title, abstract and full text. After removing repetitive and unrelated, about 22 articles related to Research was selected.

Using the knowledge and knowledge of specialists when designing intelligent health systems and the familiarity of IT professionals with health issues and health challenges, which will help with interdisciplinary courses. The deficiencies in the country's communications infrastructure, including lack of coverage and Internet access at certain speeds in some parts of the country, are among the other challenges that the Ministry of Communications and Information Technology, as the developer of communications infrastructure development, is required to provide the appropriate communication infrastructure to the health system. Other challenges include the limited technology and cost of the system.
 

Intelligent health system has many potential. But successful implementation of intelligent systems in the health system, in addition to paying attention to the principles needed for any other intelligent system, including the consideration of organizational, managerial, economic, and technical factors, also requires the items mentioned in this article, which is required by the field activists Health in the implementation of these systems.il.com

Asthma is a chronic inflammatory disease of the airways that is characterized by symptoms of coughing or wheezing, shortness of breath. Asthma is the most common chronic disease in childhood and the first cause of absence from school. Asthma is the third leading cause of hospitalization for children under the age of 15 years. The incidence of wheezing in Iran over a recent year in children ages 6 to 7 and 13 to 14 years old is 7.6% and 10.7%, respectively.
The study was conducted considering the importance of the prevalence of children's asthma in the world and Iran and the role of nursing education in reducing the rehospitalization of children.

This is a review study that is conducted based on online resources including (PubMed, Google Scholar, Magiran, and Sciences Direct), library resources and theses by using keyword (nursing education, asthma, and hospitalization) over the years 1994 and 2017.

Medical treatments without effective strategies such as nursing education cannot have an effect on re-admission. Education by multimedia has a better impact on improving the quality of life of children with asthma. The caregiver characteristics of the child have a profound effect on her readmission. In a study in Scotland, it was found that nurse planning and follow-up in the care of children with asthma reduced the incidence of the disease, with hospitalization decreasing from 25% to 8%

Discussion and Conclusion:

nursing education is one of the most important components in discharge from hospital. This training is appropriate to age, environment, culture, severity of disease and treatment protocol. It is suggested that a complete training package be issued to these patients when they are discharged to reduce their re-admission and reduce costs.

Nursing is an ethical activity and every decision a nurse adopts normally has a moral dimension. Moral Sensitivity as a first step in the ethical decision-making process, before a person can make a moral judgment it is necessary. Reviewing the literature suggests that various factors affect the level of ethical sensitivity, one of effective factors is education. Accordingly, in this study, the effect of training on nurses' ethical sensitivity has been studied.

This is a review article. For the formulation it, library studies and online search in databases (Google Scholar, Iran Medex, PubMed and SID) between 2003 and 2016 was done.

The existence of ethical sensitivity increases the quality of care and development of nursing professional practice. Moral sensitivity increases when it comes to learning and developing knowledge. The results of most studies show that ethics education and its pursuit have a significant impact on the ethical sensitivity of nurses. Also, the lack of ethics education can hinder the development of ethics in the nursing profession and the sensitivity of professional ethics.

Discussion and Conclusion:

Learning and attending ethical courses is effective in increasing the ethical sensitivity of nurses. With this in mind, it is necessary to increase the level of ethical sensitivity of nurses by planning appropriately and providing appropriate and continuous training programs.

"The spiritual dimension of human existence" plays an important role in his physical-psycho-social health. Nurses' attention to spirituality and "spiritual wellbeing" is very important for providing holistic care. The aim of this study was to determine the effect of spirituality on the quality of nursing care.

This qualitative study was conducted with "library method" and "non-systematic review". Researches and available articles were reviewed from 2005 to 2017 on the provision of nursing care and the impact of spirituality. The search was performed by using the keywords: "spirituality", "the quality of patient service", "nurses", "patient" in Iranian medex internal files, Magi ran, Iran Doc. SID, Medline, Scopus, Pro Quest, Ovid. According to the inclusion criteria and targeted sampling, 33 Persian and English articles were reviewed.
 

In this research, the study of scientific evidence indicates the important role of spirituality in health, goodness and quality of life of patients and the quality of services provided by nurses. Assistance in meeting the spiritual needs of patients is an essential element of clinical care. Paying attention to spiritual care in nursing is necessary for achieving professional care.
 

Spiritual care increases the health and well-being of the patient and the family. In the planning of nursing education, paying attention to "nursing professional competency enhancement strategies" is necessary for providing spiritual care, by professors, instructors and active nursing researchers.

Emergency centers play an essential role in patients' satisfaction as part of a community health service system. About half of patients get hospitalized in the hospital through going to emergency centers. Therefore, the quality of the services provided in the emergency centers is of high importance. Patient satisfaction is one of the important indicators of the quality of health care. Due to its importance in health care centers, this article reviews the conducted studies.

Using an integrated review study of all relevant articles during 2004-2017, and based on the data collected from the integrated search in the internal and external databases such as Scopus, PubMed SID, and Google scholar were investigated and analyzed.

Various factors such as type of service, duration of counseling, and physician office visit have an impact on patient satisfaction. Initial encounter, understanding physical factors, the physical environment of emergency centers, and nursing services are an integral part of hospital management strategy. The results show increased communication skills and nurses' autonomy, aging, and reducing the patients' literacy rate are effective in raising the level of satisfaction. Population congestion in emergency centers is another factor affecting patient's satisfaction and care.

Discussion and Conclusion:

Patients' satisfaction of serving in emergency centers depends on various factors by which, in addition to increasing patients 'satisfaction, improvement of weaknesses in this area, reduces patients' complaints and leads to economic consequences and reputation for that center.

Schizophrenia is one of the most severe chronic diseases in psychiatry. The person with this disease receives the highest level of family care. The diversity and severity of family care roles in schizophrenic patients can create a lot of psychological burden in family caregivers and disrupt family functioning. The purpose of this study is to status of psychological burden and the role of family careers in patients with schizophrenia.

This study is a review article that was searched in electronic and paper sources for year 1990-2017 in SID, Magiran, and Google Scholar, Science Direct and PubMed databases. The key words of schizophrenia, family careers, psychological burden, function, mental patients was used.

The caring pressure for families of schizophrenic patients causes disorders of family relationships, restrictions on social activities, work and recreation, financial problems and physical problems, anxiety, depression, poor quality of life, violent behavior with patients. Studies have shown that these families have poorly functioning, so that the coherence and consistency of the family of these patients and the understanding of their members of their own will also lead to problems. The families of these patients are less capable of solving the problem, performing tasks and roles to meet the emotional and economic needs, verbal and nonverbal communication, and emotional response.

Discussion and Conclusion:

Psychiatric team can help the vulnerable population by providing emotional and psychological care through the role of the teacher. Family therapy interventions will help the patient's relatives to change their attitude towards the disease, its signs and symptoms, and to alleviate stress and psychological stress, and provide them with mental health.