Journal of Multidisciplinary Care
Volume:8 Issue: 3, 2019

The effect of emotional intelligence on the success of individuals in health care organizations is very important. Therefore, the aim of this study was to investigate the effect of Benson relaxation and progressive muscle relaxation on emotional intelligence of nurses in special departments.

In this clinical trial study, 105 nurses of the intensive care units of Ayatollah Kashani and Hajar hospitals in Shahrekord during 2018-2019, were randomly divided into two groups: Benson's progressive muscle relaxation and relaxation intervention group (35 people) and one group Control (35 people). The Benson relaxation intervention group performed Benson relaxation exercises for up to 20 minutes once a day for three months. The progressive muscle relaxation intervention group performed relaxation exercises for 45 minutes during three months on a daily basis. The data was collected through questionnaire of Shirring Emotional Intelligence and demographic information that was completed in three groups during before, immediately after, and three months after the intervention. Data were analyzed by descriptive and inferential statistics using SPSS version 18 and with significant level (P= 0.05).

Based on the results of ANOVA test with repeated measurement, the mean scores of emotional intelligence before and immediately after intervention in the progressive muscle relaxation group were significantly different (P= 0.008), while this difference was not significant in the control group (P = 0.515). It was also found that the mean score of emotional intelligence in Benson relaxation group was not significant before and immediately after the intervention (P = 0.345), while before and three months after intervention in Benson relaxation group was significant (P = 0.002).

The results showed that progressive muscle relaxation and Benson have a beneficial effect on emotional intelligence and can be implemented and educated as useful tools for improving the emotional intelligence of nurses in critical care units.

Kidney is one of the most distinguished organs of the body. Impairment in kidney function can cause serious harm to the person's physical and mental health. In the event of kidney failure, dialysis will perform kidney’s function, and the person will need dialysis for the rest of his or her life. Therefore, the aim of this study was to investigate the effectiveness of integrating spiritual and cognitive counseling on the level of resiliency and self-efficacy of hemodialysis patients in city of Khorramabad.

A quasi-experimental study was carried out using pretest and post-test methods. The statistical population of the study included all patients who were using hemodialysis in Khorramabad’s Shahid Rahimi Hospital during the spring of 2019. The method of sampling for this study included random selection of 30 patients based on set inclusion and exclusion criteria. They were then randomly assigned into experimental and control groups (15 individuals each). Then, under identical and simultaneous conditions, the pretest was performed with Resiliency and Self-Efficacy questionnaire for participants of both groups. The group intervention protocol was then performed on the experimental group, which included a combined version of spiritual and cognitive counseling for eight 90-minute sessions. Meanwhile, the control group did not receive this or any specific interventions. Following the conclusion of these sessions, a retest was performed (post-test) on the members of both groups.

The results of multivariate and single-variable covariance analysis showed that the intervention of the combined model of spiritual and cognitive counseling had a significant effect on increasing the resiliency and self-efficacy of the participating hemodialysis patients (P<0.001).

According to the results of this study, the combination of spiritual and cognitive counseling appears to be able to effectively increase the resiliency and self-efficacy of hemodialysis patients. Therefore, this method can be used by counselors and other mental health personnel to increase the resiliency and self-efficacy of hemodialysis patients.

Infertility is a complex life crisis that results in deep emotional and psychological pressures on couples. infertility and its treatment stages are areas of stress and hopelessness. The purpose of the present was to investigate the effect of a combined positive cognitive behavioral therapy approach on infertility stress and hope in infertile women.

The method of this Research was quasi-experimental with pretest-posttest with control group. The statistical population of this Research was all infertile women referring to infertility treatment centers in Khorramabad city in 1398. The sampling method in this Research was 30 out of all infertile women who filed in 1398 in infertility treatment centers of Khorramabad city and were randomly selected and then divided into two experimental and control groups. The controls (each group of 15) were replaced. Then, under the same and simultaneous conditions, pre-test was conducted in the form of infertility and hope stress questionnaires from both experimental and control groups. Then the intervention was performed on the experimental group using the Cognitive Behavioral Therapy Approach for 10 sessions for 90 minutes but the control group did not receive any intervention. At the end of the sessions, post-test was again taken from both groups.

The results of Multivarate and univariate covariance  analysis showed that intervention of positive cognitive behavioral intervention had a significant and Meaningful effect on reducing infertility stress and increase hope in infertile women (P <0.001).

According to the results of this Research, it can be said that the integrated approach of positive cognitive behavioral therapy had a significant effect on reducing infertility stress and increase hope in infertile women. Therefore, it is recommended that such treatments be used to promote mental health in infertile women.

The most important factor affecting the quality of care is the ability of nurses to make effective clinical decisions. Since identifying nurses 'perceptions of clinical decision making is an important step in improving the quality of care, this study done to determine nurses' perceptions of clinical decision making in hospitals of Shahrekord University of Medical Sciences.

The study was a descriptive research. The study population consisted of clinical nurses working in Ayatollah Kashani and Hajar hospitals in Shahrekord and Seyed al-Shohada in Farsan. 300 nurses were selected through quota random sampling. Data were collected using demographic information questionnaire and Persian version of Clinical Decision Making in Nursing Scale (CDMNS). Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Mann-Whitney and Kruskal-Wallis) and SPSS (V 21).

The mean score of nurses' perception of clinical decision making was 119.11±13.53which was high. The mean decision scores on subscales A, B, C and D were (29.15± 3.38), (33.76 ± 3.50), (25.9 ± 4.1) and (29.30±4.2) which was lower in the subscale of search for information and unbiased assimilation of new information. The results also showed that age, background and unit were significantly correlated with scores of perception of decision making (P<0.05).With increasing in age and background, perception of decision making decreased. And perception of decision making in cardiac unit was more than other units.

Since nurses’ perception in “Search for information and unbiased assimilation of new information” subscale in experienced nurses is low, Therefore, planning should be made to increase the ability of experienced nurses to search for new information.

Keywords: Clinical decision making, Nurse,Perception

The aim of this study was to determine the effect of thinking distraction on the anxiety severity in patients undergoing extracorporeal shock wave lithotripsy in the ESWL department of Ayatollah Kashani hospital in Shahrekord.

This is a clinical trial study that was conducted in 2018 in 120 patients referred to Ayatollah Keshāni Hospital in Shahrekord for the purpose of extracorporeal shock wave lithotripsy. Patients were selected through convenience sampling and divided into experimental and control groups  in a quasi-random method. In addition to routine care, the test group received the natural sound of the event along with its beautiful scenery, and the control group received routine care only. The patient's anxiety was measured based on the Spielberger questionnaire. The collected data were analyzed using SPSS software, descriptive statistics and t test.

Mean anxiety score changes in distraction receiver group, - 21/56± 98   and in the control group was -5/21± 8/12. There was a significant difference (p = 0.001) between the control group and group receiving the thinking distraction  .

distraction method is effective in reducing anxiety in patients undergoing extracorporeal lithotripsy and can be used to manage pain in the future.

Spiritual intelligence as a capability of behaving with sympathy and wise along with internal and external peace is the key part in confronting with stressor challenges in critical care units. Indeed, nurses can utilize that in the best way to manage stressful situations related to units and patients. Therefore, this study aimed to assess the effect of training on spiritual intelligence and its' components.

This quasi-experimental was conducted on 82 nurses (40 nurses in experiment group and 42 nurses in control group). Sampling was done in convenience method in critical care units of affiliated hospitals to Lorestan University of Medical Sciences (Shahid Rahimi and Shahid Madani hospitals). King spiritual intelligence scale was used for data gathering which its validity and reliability were confirmed. This scale was fulfilled by participants three times (before study, immediately and one month after study). Eight training sessions was held for experimental group as a workshop. There wasn't any intervention for control group. Data were analyzed by using descriptive and inferential statistics and software SPSS15. (p=0.05)

The covariance analysis (by adjusting the effect of the base values of spiritual intelligence) showed that the main effect of intervention on the mean scores of spiritual intelligence was significant (p<0.05), so that after the study in the experimental group the mean scores of spiritual intelligence reached from  3.37 before the study to 78.50 after the study. Also, the covariance analysis revealed that the main effect of intervention on the mean scores of four dimensions of spiritual intelligence were significant (p<0.05), so that the training results in significant increase of the mean scores of them in the experimental group.

Based on the results that the spiritual intelligence of nurses was at the medium level before training and the training of spiritual intelligence increased their spiritual intelligence, so by using protocols for educating and improving the spiritual intelligence in nurses, their stress in their work places and life would be reduced and finally the quality of care will be progressed.

General health is not merely the absence of illness or disability, but a state of well-being that enables one to cope with the stresses of life, become professionally and academically useful. Parents' multiple sclerosis complications have potential effects on the health of their offspring. Therefore, the aim of this study was to evaluate the effect of program based on Roy’s adaptation model on general health of offspring of patients with multiple sclerosis.

This semi-experimental study was done on 80 offspring of parents with multiple sclerosis, member of the MS association and the welfare organization of Shahrekord in 2018. Samples were selected as available, Roy form were completed by them and those who scored less than 80%, entered the study. The general health questionnaire was completed in both groups before, after and two months after the intervention. In the intervention group, a program based Roy’s adaptation model was developed, implemented and followed up for six session (2session education, of general education and 4 session direct intervention). Data were analyzed by SPSS21 software and statistical tests.

 Before intervention, the mean of general health scores between the two groups was not statistically significant (p = 0.716). But there was a significant difference immediately after (p = 0.025) and two months after the intervention (p <0.001). General health scores in the intervention group showed a significant increase.

Using a program based on Roy’s adaptation model has a positive effect on general health of  offspring of people with multiple sclerosis.

On one hand, preterm infants need to be confined to bed . because of maintaining the vitality and continued evolution of body systems. On the other hand, various exposures to offensive procedures can cause a lot of stresses that contradict neuron-sensory evolution. Direct observation of preterm infants and recognizing its behaviors can help nurses to do evolutionary supportive care, so they can control preterm infants pain and stress; So, goal of this research is determining the effect of lullaby on sleep patterns changes in premature neonates after endotracheal suctioning.

 25 confined to bed preterm infants were studied in NICU ward of  Hazrat Zeinab (peace be upon her) hospital of Shiraz in 1395 in this clinical trial. Samples were selected by packing method accidentally and allocated to two groups of A,B. If preterm infant was in group A, at first received lullaby by headphone 10 minutes before and also 10 minutes after suction. Then a headphone without lullaby (silent) was put on head of preterm infants 24 hours later. If preterm infant was in group B, it will be reversed. At last, each infant was evaluated twice In both cases the physiological responses were recorded,
 then Collected through the APIB tool. Physiological filmed responses were recorded by tool of APIB. Data were analyzed by use of software SPSS ,Mann- Whitney Test.

  The results showed that there was not significant difference between mean sleep score 10 minutes before suction in lullaby and silence group) P=0/077), but the mean sleep score of 10 minutes after suctioning was significantly difference in the two groups.( P=0/004). Also, Comparison of the mean sleep score in the lullabies group before and after the suctiont and also in the silence group with a significant level of 0.001 Showed a significant difference.

According to the findings of this study, lullaby is effective in improving sleep patterns of preterm infants following painful procedures. It is recommended that nurses use this method as an effective intervention to improve the sleep patterns of neonates admitted to the neonatal intensive care unit..