مجله پژوهش پرستاری ایران
پیاپی 69 (بهمن و اسفند 1399)

Dysphagia after cerebrovascular accidents can lead to various complications such as pneumonia and patient mortality. Evaluation of dysphagia in these patients by nurses is very important and nurses need to have dysphagia screening knowledge and performance in this area. The aim of this study was to determine the effect of dysphagia screening education in patients with cerebrovascular accidents on nurses knowledge and performance.

This is a pre- and post-intervention study in which 80 nurses of the neurology and emergency departments were randomly divided into two groups of control (n = 40) and intervention (n = 40). The intervention of this study was the educational program of dysphagia evaluation in patients with cerebrovascular accidents. Data were collected using a demographic questionnaire, a researcher-made knowledge questionnaire and a performance appraisal checklist. Data was analyzed using descriptive and analytical statistical methods.

The results showed that the mean knowledge (P = 0.075) and nurses’ performance (P = 0.652) of dysphagia screening in the intervention and control groups before the intervention were not statistically significant. After the intervention, there was a statistically significant difference between the control and intervention groups in terms of the knowledge of nurses (P > 0.001). The mean of nurses’ knowledge in the control group was 7.63±2.25 and in the intervention group was 10.65 ± 1.47. Also, the performance of nurses in screening dysphagia was 3.63 ± 2.03 in the control group and 7.85± 1.84 in the intervention group, which was statistically significant (P > 0.001).

Education has an effect on nurses’ knowledge and performance in dysphagia screening in patients with cerebrovascular accidents. Implementing an educational program for nurses caring for these patients can help prevent pneumonia and increase patient safety.

Nursing informatics is effective on the optimal use of technology and health promotion. Using the experiences of successful countries in this field, can facilitate the improvement of nursing care quality. The purpose of this study is a comparison of nursing informatics development factors in Iran and leading countries.

The present study was conducted in a descriptive-comparative study in 1398. The leading countries in nursing informatics were selected by determining the top countries with the highest number of articles published in the field of nursing informatics. Research steps were based on Rosswurm and Larrabee’s Conceptual Model. The principles of the TIGER international project as indicators were reviewed in the literatures of Iran and selected countries and compared with the comparative matrix.

The results showed that Iran with 15 years of activity in the field of nursing informatics is new and the United States with a history of 60 years of activity in this field has been the most pioneer. In terms of development factors of nursing informatics, Iran scored the lowest activity in the comparative study compared to the countries surveyed, including the United States, the United Kingdom, Canada, Australia and Taiwan. Iran is not in a desirable position compared to these countries in terms of indicators of management and leadership, education and training, communication and cooperation, informatics design, information technology, policy-making and culture in nursing informatics.

Considering the importance of using information technology in nursing, providing national empowerment programs for nurses can improve the useful use of information tools in order to improve the quality of nursing services and the outcome of health care.

Job satisfaction and related factors are very important in emergency nurses and have a significant impact on their performance. Accordingly, this study aimed at assessing job satisfaction and its related factors in pre-hospital and hospital emergency nurses  at Ahvaz Jundishapur University of Medical Sciences.

This research is a descriptive correlational study that was performed on 170 nurses working in pre-hospital emergency and hospital emergency wards in 2018 using simple random sampling. Data collection was performed by two tools including Wysocki and Kromm standard job satisfaction questionnaire and demographic questionnaire for 3 months. Data were analyzed using SPSS software version 22 using descriptive statistics including frequency and mean analytical statistics including Pearson correlation coefficient tests. A significant level (P <0.05) was considered to examine the relationship between variables.

Finding was revealed that 0.6% of nurses were completely dissatisfied and (84.7%) had moderate satisfaction and (14.7%) had high job satisfaction. Further linear regression analysis showed that the factors that had the most impact on job satisfaction were job nature (88.8%), supervision (71.8%), salary (69.8%), co-worker (67%), working conditions (62.2%) and promotions (60.2%). There was no significant correlation between demographic variables (gender, age, education and work experience) and total job satisfaction.

Due to the fact that in this study the job satisfaction of the majority of emergency nurses was at a moderate level, there is still a long way to go to reach a good and excellent level, so it is recommended to officials and stakeholders to create a suitable atmosphere in the workplace, solve the economic problems of the employees in order to increasing their job satisfaction.

The problem of infertility as a stressful event is associated with many psychological problems. The purpose of this study was to determine the effect of cognitive-behavioral group therapy on identity crisis and pregnancy probability of infertile women seeking IVF.

A quasi-experimental research with pre-test, post-test with control group was the statistical population of all infertile women applying for IVF in Qain in 1398 among whom women with weak identity were selected by purposeful sampling. Randomized alternatives were divided into two groups of 17 as experimental and control groups. Group cognitive behavioral therapy was administered to the experimental group in 10 90-minute sessions. Information about the research variables was obtained by Identity Crisis Questionnaire in two stages of pre-test and post-test from experimental and control group. The data were analyzed using mean and standard deviation tests, covariance analysis.

The results showed that the mean of identity crisis decreased after the experimental group (96/59) compared to the pre-test (138) but the difference between the mean pre-test (144/35) and the post-test (138/8) was significantly different. There is no evidence of the effect of group cognitive-behavioral therapy training on identity crisis in infertile women seeking IVF. Also, the difference between the two groups was in the goallessness (f = 11/11), absurdity (f = 18/97), hopelessness (f = 56/14), lack of confidence (f / 68/22), and worthless (f (20.9%), life dissatisfaction (55.3%), anxiety (21.7%), sadness (10.7%), aggression (15.5%), and anger (15.9%). 63) significant at p <0.05 level. Therefore, it can be concluded that there is a significant difference between the scores of identity crisis and its components in the experimental and control groups. The results also show that since p <0.05 there is a significant difference between the probability of pregnancy of infertile women applying for IVF in the experimental and control groups.

We conclude that cognitive-behavioral therapy affects identity crisis and its components in infertile women seeking IVF. Cognitive-behavioral therapy, by modifying negative beliefs and replacing them with positive and rational thoughts, leads to reduction of identity and component crisis. Its effects on infertile women apply for IVF. Also, group cognitive-behavioral therapy training has a significant effect on the probability of pregnancy of infertile women applying for IVF.

One of the major factors affecting the development of any organization is its employeeschr(chr('39')39chr('39')) mental health. Due to the job sensitivity of nurses, it is necessary to pay attention to their mental health. The present study was to investigate the Prediction of nursechr(chr('39')39chr('39'))s mental health based spiritual intelligence and life satisfaction.

Research method is of descriptive type. The population of the research consists of nurses of medical educational centers of Ardabil (N = 1026). The statistical sample (n = 351) was specified by Morgan table and was selected through accidental class sampling method. To collect data, 3 standard questionnaires including SCL-25, SWLS and kingchr(chr('39')39chr('39')) spiritual intelligence were used. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Pearson correlation and regression analysis) with the SPSS-22 software.

The analysis of the data showed that Spiritual intelligence and life satisfaction to be able to predict the mental health nurses. Form the components of Spiritual intelligence, two components: Transcendental Awareness (β =- 0.41) and Conscious State Expansion (β = -0.21), also spiritual intelligence (β = -0.30) and life satisfaction (β = -0.17) able to predict nursechr(chr('39')39chr('39'))s mental health.

Results of this study showed that Spiritual intelligence and life satisfaction can predict mental health among nurses, therefore it is essential that managers of health centers, planned to promote Spiritual intelligence and life satisfaction at their discretion. Through improving Spiritual intelligence and life satisfaction, improved mental health.

Inhalation of cigarette smoke in the environment is a threat to the health of mothers and infants. The prevalence of smoking is high. Peoplechr('39')s awareness and attitude about the effects of smoking is not good, the need to implement educational programs and appropriate interventions to prevent smoking seems logical. Regarding the importance of smoking in people and its side effects, no research has been done in this field in our country so far, and despite the importance of this issue, little information about exposure to environmental smoke in Iran, especially pregnant women and mothers. There is no baby available. Given the importance of the role of the mother in the health of infants, virtual network-based education can be used as a lively and useful method to improve knowledge and awareness in this field, and due to the role of nurses in health and education can be identified It is planned to take effective steps to improve the level of knowledge of mothers. Therefore, this study was conducted with the aim of "investigating the effect of virtual network-based education on knowledge, attitudes and behaviors to avoid exposure to secondhand smoke in mothers with infants admitted to the neonatal intensive care unit."

This study is a Experimental quasi study with the testing group and control group. the research community consists of 93 mothers of mothers with inpatient care in the neonatal intensive care unit of the University of Mashhad Medical Sciences. sampling method has been sequential.Before the intervention was performed, the questionnaire was completed by the samples with and attitude (2013)and a questionnaire for avoiding exposure to smoking (1998). the data were used in spss software 20 and for analyzing the findings from the statistical tests of chi - two and independent t were used.

The findings showed two groups of testing and control were homogenous in terms of demographic and contextual variables. The average number of mothers chr('39') knowledge scores were investigated after intervention(86/18±39/1) ,(attitudes score31/17 ± 09/2), (mean of avoidance behavior score91/63±49/7 ). therefore, the virtual networks based on knowledge, attitudes and behaviors of cigarette smoke have affected.

The study results showed a positive impact on knowledge, attitude, and behavior to avoid exposure to mothers of mothers with a stable baby in the neonatal intensive care unit. by applying the research results in this field, nursing service managers can design the map and route to achieving this important goal easier

The elderly are exposed to psychological and social harms due to various physical, occupational, social and other limitations. Symptoms of depression are common during this period and can increase the rate of vulnerability. The aim of this study was to investigate the effectiveness of emotion efficacy therapy on the level of depression and self-care ability of non-clinical depressed elderly.

The present study was a quasi-experimental study with pretest-posttest and control group. The statistical population included all elderly people with depressive symptoms who were members of the Sari Jahangidegan House in 1398. Of these, 30 were randomly selected and randomly assigned to the experimental group (15 subjects) and the control group (15 subjects). Data collection tools included the Geriatric Depression Scale and the Elderly Self-Care Questionnaire. Data were analyzed using SPSS-21 software and through analysis of covariance.

The results showed that emotion efficacy therapy was effective in improving the symptoms of depression and self-care ability of non-clinical depressed elderly (P <0.05).

According to the results of this study, emotion efficacy therapy can be an effective intervention in improving the symptoms of depression and strengthening the self-care ability in depressed elderly.

Infertility is one of the most important issues in the field of medicine and psychology, about which many studies and related physiological and psychological variables have been performed in infertile people. Therefore, the aim of this study was the effectiveness of combining group counseling based on commitment and acceptance with reality therapy on cognitive emotion regulation strategies and self-efficacy in infertile women.

The present study was a quasi-experimental based on which the subjects were randomly assigned to an experimental group and a control group and then an experimental operation was performed. Questionnaires of emotion regulation strategies and self-efficacy were used in pre-test and post-test. The statistical population of the present study was all infertile women in Shiraz who had referred to one of the infertility clinics and treatment centers in Shiraz in a period of three months (summer 1398). Among infertile women referred, 30 were selected by convenience sampling. Descriptive and inferential statistical methods such as analysis of covariance were used to compare the means of the experimental and control groups.

The results showed that the combination of group counseling based on commitment and acceptance with reality therapy has a positive and significant effect on cognitive emotion regulation strategies and self-efficacy in infertile women (P <0.05).

Therefore, based on the present findings, it can be said that to improve the level of self-efficacy and cognitive regulation of infertile women, using a combination of therapy based on acceptance, commitment and reality therapy is very useful and practical. And is suggested.

Research evidence suggests that emotion regulation is impaired in individuals with non-suicidal self-injurious. the aim of this study was to investigate the effectiveness of intensive short-term dynamic psychotherapy on emotion regulation in non-suicidal self-injurious people.

The study design was a single-case multiple-baselines. five (two male and tree females) were selected by available sampling based on Structured Clinical Interview Diagnostic Tools (SCID-II) and Millon Personality Inventory (MCMI-III) from counseling centers in Alborz province, Iran. The participants received 20 sessions of the intensive short-term dynamic psychotherapy individually. The participants were assessed at six stages (before therapy, after 4, 8, 12, 16, 20 sessions and 2 months follow-up) by the Difficalties in Emotion Regulation Scale (DRES) and Inventory of Statements About Self-injury (ISAS).

Data were analyzed using the indices for trend changes, slope and the visual inspection of the charts. The Cohenchr('39')s d, recovery percent index and effect size were used to determine the clinical significance. The results of the data analysis showed that intensive short-term dynamic psychotherapy is effective in enhancing the emotion regulation and reducing self-injurious behaviors of people with non-suicidal self-injurious.

According to the results of this study, it can be said that intensive short-term dynamic psychotherapy is a good option to increase emotion regulation and reduce self-injurious behaviors in individuals with non-suicidal self-injurious behaviors.

The conflict between work and family as a major issue affecting both employees and employers and their families is accompanied by prominent family problems such as family satisfaction, couple relationship quality, and parenting quality. Therefore, industrial and organizational psychologists have focused their research on finding moderating variables to reduce such adverse effects. Therefore, the present study aimed to investigate the role of work-self facilitating and work-family conflict self-efficacy in reducing the effect of work-family conflict on family satisfaction, couple relationship quality and parenting quality of nurses.

The present study was a descriptive-correlational survey. the research community consisted of married nurses with children of govermental ahvaz city hospitals , among which 240 were selected as sample members in a multi - step sampling method. Carlson et al. (2000) Work-Family Conflict, Aryee et al. (1999) Family Satisfaction, Chonody et al. (2016) Couple Relationship Quality, Arnol et al. (1993) Parenting scale, Demerouti (2009) Work-Self Facilitation, Cinamon (2006) Work-Family Conflict Self-Efficacy Scale Questionnaires were used for data collecting. Data were analyzed by pearson correlation and multiple regression analysis using SPSS-22.

Results showed that both dimensions of work-family conflict had a negative and significant relationship with family satisfaction, couple relationship quality and parenting quality (P <0.01), Also, work-self facilitation and work-family conflict self-efficacy were able to moderate the relationship between these variables.

The results show that both dimensions of work-family conflict had a negative and significant relationship with family satisfaction, couple relationship quality and parenting quality. In addition, work-self facilitation and work-family conflict self-efficacy were able to moderate the relationship between these variables. As a result, it is possible to reduce the negative impact of work-family conflict on the family variables mentioned by increasing the conditions of Work-Self Facilitation in the workplace for nurses and also increasing the level of Work-Family Conflict Self-efficacy.