فصلنامه مدیریت پرستاری
سال دهم شماره 2 (پیاپی 36، تابستان 1400)

Iran is one of the countries that is affected by health and has increased the emerging disease of Covid 19. Covid 19 disease increases the physical effect, which also has a psychological effect that causes it to be affected, so this study aims to determine the job stress for exploiting the side of nurses in another hospital in northeastern Iran in Other cases of covid 19 disease are performed.

The present cross-sectional study was performed on 31 nurses of a hospital in northeastern Iran in the spring of 1399. The sampling method was full census. Data collection tools were demographic questionnaire, HSE job stress questionnaire and Achieve productivity. The collected data were analyzed using descriptive statistics and Pearson correlation tests in SPSS 26 software.

Findings of the study showed that there is a spiritual relationship between job stress and productivity of nurses in Corona ward (r=-0.559) and (P = 0.001) and based on sampling performed in less job stress score was 74.6. Which goes up and has a minimum score of 89/93 can be an indicator of average working efficiency.

Caring for Covid 19 patients increases job stress and, consequently, reduces productivity. Therefore, it is necessary for managers to adopt supportive, incentive and educational measures to increase productivity and reduce job stress in nurses in the context of covid 19 epidemic.

Nurses are the largest group of care providers in the health care system. Therefore, In the field of health services, the quality of care among the nurses is considered as one of the most important factors.

The present study was a descriptive correlation with the structural equation modeling approach. The study population consisted of 393 nurses of public hospitals in Borujerd, from which 195 people were selected as sample members by two methods of random cluster sampling and systematic random method. Data were collected by nurseschr(chr('39')39chr('39')) moral distress, quality of nursing care, narcissism and motivational self-regulation standard questionnaires. The quality of the measurement model and the structural model were confirmed by cv.com and cv.red tests, respectively. According to the GOF index, the quality of the final research model was equal to 0.451. These indicated that the model had a strong fitting.

The results Showed that, moral distress has a negative effect on the quality of nursing care(-0.518)and motivational self-regulation(-0.399)and a positive effect on narcissism (0.527). arcissism has a negative effect on the quality of nursing care (-0.170) and motivational self-regulation has a positive effect on the quality of nursing care (0.160). Also, Also, the mediating role of narcissism and motivational self-regulation reduces the effect of nurseschr(chr('39')39chr('39')) moral distress on the quality of nursing care (-0.090) and (-0.064), respectively.

According to the finding and results of the study, it is necessary for managers to pay attention to reduce nurseschr(chr('39')39chr('39')) moral distress and improve their motivational self-regulation by emphasizing the reduction of the role of narcissism to increase the quality of nursing care.

with regards  to the corona virus emerging disease and the importance of their anxiety on mental health nurses, The aim of this study was to evaluate the prediction of corona anxiety based on cognitive emotion regulation strategies, anxiety sensitivity and psychological hardiness in nurses.

This study was cross-sectional from type of correlationa. The statistical population of the study was all nurses working in hospitals in Karaj in the last quarter of 1399, from which 400 people were selected by convenience sampling. In this study, coronary heart disease (CDAS), Cognitive Emotion Regulation (CERQ), Anxiety Sensitivity Inventory (ASI-R) and Psychological Hardness Scale (PHS) were used to collect data. The collected data were analyzed using Pearson correlation coefficient and multivariate regression analysis with enter  model SPSS-19 software.

The results showed that there is a positive and significant relationship between cognitive regulation strategies of maladaptive emotion and anxiety sensitivity with coronary anxiety (P <0.01). There is a significant negative relationship between adaptive cognitive emotion regulation strategies and psychological hardiness with coronary anxiety (P <0.01). Also, the results of multiple regression analysis revealed that 61.9% of the variance of coronary anxiety is explained by cognitive regulation of emotion, anxiety sensitivity and psychological hardiness.

According to the results, to reduce coronary anxiety in nurses, programs can be designed to increase positive cognitive emotion regulation strategies and their psychological toughness and reduce negative cognitive emotion regulation strategies and their anxiety sensitivity and implemented through electronic and virtual workshops.

The aim of this research is to determine the effect of applying FOCUSPDCA strategic program of the pre-operative care process on hemodynamic status of caesarean women.

this is a quasi-experimental study conducted in 2016, in one of  Dorud-Iran hospitals. Samples were selected using objective-based random method. Samples (n=70) were divided into the test and control groups. Data collection instruments was pressure gauge and a watch. Validity and reliability of the questionnaire was assessed and confirmed. At first, hemodynamic parameters including pulse rate, systolic and diastolic blood pressure were measured in control group three times: the night before surgery, the moment of entering the operation room, and after surgery in recovery room. After sampling in control group, the FOCUSPDCA strategic program was implemented. The program consisted of nine steps. They were implemented one after another. Then, the test group was selected and the memberschr(chr('39')39chr('39')) hemodynamic parameters were measured. The SPSS-17 was used for data analysis.

The mean systolic blood pressures were 113.17 and 91.14 before and after operation in control group, respectively; while they were 115.14 and 107.71 in the test group. Moreover, the mean diastolic pressures were 69.43 and 59.43 before and after operation in the control group, respectively, while they were 65.43 and 62.14 in the test group. The variance analysis test revealed a meaningful statistical difference between the mean systolic and diastolic blood pressures among the two groups. The control group experiences drop in blood pressure, while the test group faces no considerable drop in blood pressure. The average of heart rates in the control group were 13.91 and 104.71 before and after operation; while they were 80.26 and 79.1 in the test group. The variance analysis test revealed a significant statistical difference between the two groupschr(chr('39')39chr('39')) heart rate (p<0.001). Heart rate reduced in test group.

According to the result of the study hemodynamic situatin has been improve in the test group. Therfore, it is suggested that the program to be implement .in order to improve the health care process in the hospital.

The knowledge and skill of HR is the most important source of the organizationchr  competitive advantage, considering each of these skills and capabilities that each of them has been developed and strengthened in a long - term process, combined with the combination of genetic capabilities and individual efforts in the context of the environment. therefore, the purpose of this research is to develop the human resource brand pattern in organizations and universities, which are compatible with the social and cultural status of iran and individual, organizational and social values of the selected research community. in the development and presentation of this pattern, its dimensions and components are endemic and tailored.the present study has been done in combination (quantitative qualitative). accordingly, in the first part of the research in order to provide a comprehensive model of branding of human resources, the qualitative research method was used. thus, after identifying the categories, concepts and code of human resources through Meta-synthesis, to provide optimal combination of model components in order to optimize the relationship between human resource brand categories, the initial model was obtained and then validated through partial least - squares (pls)method.the findings show that the main categories extracted from the Meta-synthesis method are approved by the experts community and the present research model consists of eight main categories and 43 sub categories. it can display the branding pattern of human resources with an islamic approach to the universities of medical sciences in tehran. The results of the study indicate that the following eight dimensions: 1.branding of human - islamic resources,2. Assessment of human resource performance and 3.Training and development of human resources,4. Organizational Leadership,5.organizational justice and 6. Human resource satisfaction and commitment 7.organizational culture 8. branding of human resources has a great role in the process of branding human resources

The Covid-19 epidemic began in February 2017 in Iran. The first groups involved in this epidemic were nurses and in addition to physical problems, they faced death anxiety caused by this disease. Therefore, this study was conducted to determine the relationship between death anxiety and Mental Health of Nurses Working in Bushehr Persian Gulf Martyrs Hospital at the Time of Coronavirus Virus.

This is a descriptive-correlational cross-sectional study. Participants in this study were 208 nurses working in Bushehr Persian Gulf Martyrs Hospital who were included in the study by census. Data were collected using the General Health Questionnaire GHQ-28 (Goldberg & Hillier) and Death Anxiety Scale DAS (Templer). Data were analyzed using Pearson correlation test and multiple regression analysis using SPSS software v. 22.

The mean age of nurses was 32.45 ± 6.45 years. 53.5% of nurses experienced high death anxiety. All dimensions of death anxiety and mental health were directly and significantly correlated (P<0.001). Dimensions of fear of death (β = 0.21, P = 0.005) and transient time and short life (β = 0.40, P <0.001) were able to predict changes in GHQ-28.

"Fear of death" and "transient time and short life" were the most important dimensions that were able to predict the mental health of nurses at the time of coronavirus 2020.

Stroke is the most common cause of cerebrovascular disease, the third leading cause of death and the second leading cause of disability in developed countries, leading to physical, sensory, cognitive, psychological, functional and social changes in individuals  lives. One of the essentials in supporting stroke patients is that their caregivers receive appropriate training to acquire the necessary skills to perform their supportive role, so this review study provides answers to the question of the necessity of education for stroke caregivers.

This is a narrative review study and in order to collect data and obtain relevant scientific documentation, electronic search in Farsi and English languages separately and in combination from 2000 to 2020 using keyword support. , Supportive program, supportive interventions, burden of care, family caregivers of patients, stroke, integrated study, Persian databases including Medlib Medical Articles Database, SID Academic Jihad Database, Magiran Country Journal Database, Research Information and Documents Scientific Iran Doc and Iranian Journal of Medical Sciences Database Iran M edex and keywordsSupport, Supportive Plan, Supprtive Intervention, Care Burden, Caregiver, Family Caregiving, Stroke, Mixed method study were used in Medline, ProQuest, Ovid, Science Direct databases as well as Google scholar search engine. From the articles found 61 articles related to the subject were included in the study.

Reviewed studies show a high burden of care in the family caregivers of people with stroke. The duration of the disease, its progressive course, as well as the lack of definitive treatment and a moderate to severe dependence on the caregiver, double the burden of care burden. Becomes a family caretaker. High levels of burden of care can lead to disorders such as depression, anxiety, and physical problems in caregivers of stroke patients. There is also evidence that continuing stress in caregivers of stroke patients in addition to increasing the burden of care, leads to decreased physical health and poor quality of life of caregivers. A review of the above studies also shows that family caregivers of patients with stroke face numerous problems and challenges, including lack of sufficient knowledge and skills to care, and hopelessness, especially after discharge. To be supported in various emotional, informational, caring, educational, and instrumental aspects. Caregivers also have many needs while taking care of these patients, which need to be adapted to the patientchr condition based on different cognitive and behavioral approaches and to manage problems with less

Studies show high burden of care in the family caregivers of people with stroke, so one of the essentials in supporting stroke patients is that their caregivers need the necessary skills to perform their supportive role of education. Appropriate to receive. Accordingly, it is essential to support the various emotional, informational, caring, educational and instrumental aspects.

Independent interventions to any kind of care that the nurse performs on behalf of the patient and do not require a doctor's order and promote the comfort, comfort and health of patients. Therefore, this study was conducted with the aim of performing independent interventions in the ICU.

This study was conducted with a qualitative approach and using conventional content analysis. Participants included 12 nurses who were included in the study by purposive sampling method and were interviewed face to face and semi-structured. After collecting data, all interviews were conducted and reviewed and classes were extracted. First, the semantic similarities were reviewed and sub-categories were identified, and then the sub-categories were re-examined in one category.

Or the results of nurses' experiences were extracted from the implementation of independent interventions, 3 with the main class and 8 with the subclass. Categories under the headings "Nurse Characteristics" with 3 subcategories (scientific and practical mastery, motivation, ability to communicate interpersonal), category "Barriers to independent intervention" with 3 subcategories (executing doctors' orders, high workload of nurses, distrust of nurses) The category of "facilitators of independent interventions" was extracted with two subcategories (support of nurses, support of physicians). Discussion and

Data analysis showed that in order to provide optimal care while paying attention to the nature of work of intensive care units, the role of the nurse in providing safe care and independent interventions should be considered and management and implementation barriers identified and to remove barriers. , Support measures should be taken.Abstract Background &

Independent interventions to any kind of care that the nurse performs on behalf of the patient and do not require a doctor's order and promote the comfort, comfort and health of patients. Therefore, this study was conducted with the aim of performing independent interventions in the ICU.

This study was conducted with a qualitative approach and using conventional content analysis. Participants included 12 nurses who were included in the study by purposive sampling method and were interviewed face to face and semi-structured. After collecting data, all interviews were conducted and reviewed and classes were extracted. First, the semantic similarities were reviewed and sub-categories were identified, and then the sub-categories were re-examined in one category.

Or the results of nurses' experiences were extracted from the implementation of independent interventions, 3 with the main class and 8 with the subclass. Categories under the headings "Nurse Characteristics" with 3 subcategories (scientific and practical mastery, motivation, ability to communicate interpersonal), category "Barriers to independent intervention" with 3 subcategories (executing doctors' orders, high workload of nurses, distrust of nurses) The category of "facilitators of independent interventions" was extracted with two subcategories (support of nurses, support of physicians). Discussion and

Data analysis showed that in order to provide optimal care while paying attention to the nature of work of intensive care units, the role of the nurse in providing safe care and independent interventions should be considered and management and implementation barriers identified and to remove barriers. , Support measures should be taken.

Sleep disturbances are one of the most important problems of nurses working in emergency departments. In numerous previous studies, the negative effect of stress on فاث sleep quality has been confirmed. Because reducing the severity of stress in nurses' workplaces, especially in the short term, may not be easily feasible, it is important to consider coping strategies with stress and its relationship to sleep disorders.

In this cross-sectional, descriptive-analytical study, 250 nurses from the emergency departments of BUMS located in South Khorasan province participated. Data were collected through the Demographic Information Questionnaire, the Pittsburgh Sleep Quality Index, and The Coping Inventory for Stressful Situations. Data were entered into SPSS software V 19. Independent t-test, one-way analysis of variance and Pearson correlation were used to analyze the data. P values lower than 0.05 were considered significant.

The mean score of nurses' sleep quality was 11.85 ± 6.44. There was a fair, inverse and significant relationship between problem-oriented strategy score and sleep quality (p = 0.001, r = 0.376) and a weak, direct and significant relationship between sleep quality score and emotion-oriented strategy. (P = 0.003, r = 0.20). Also, the relationship between sleep quality and avoidance strategy was not significant (p = 0.10, r = 0.114). Female nurses reported lower sleep quality than male nurses (P = 0.001). Also, in nurses with a job tenure of more than two years in the emergency departments, sleep quality was significantly lower than nurses with lower job experience in the emergency departments  (P = 0.003).

In programs designed to increase the quality of sleep of nurses working in emergency departments, teaching problem-solving strategies to deal with stress can be considered as an important component.

Given the importance of the impact of this anxiety on human behavior and Focusing on the professional careers of employees who are constantly exposed to death reminders throughout the day, the aim of this study was to identify the causes of death anxiety and its consequences under the heading of the antecedents and consequences of death anxiety in the nursing community.  

The present study is of mixed type (quantitative and qualitative). The study population is Imam Hossein Hospital in Shahroud and the study samples are 17 experts (nurses of Intensive Care Unit and Emergency department). In the qualitative part, first, using content analysis and meta-synthesis method, the factors have been extracted and categorized, and then in a quantitative part, after distributing Fuzzy Delphi questionnaire in two levels, the criteria have been screened and prioritized.

In the qualitative section, after conducting a library research, 126 primary codes (66 antecedents and 60 consequences) were formulated in the form of 75 concepts (29 antecedents and 36 consequences). After analyzing the information, these concepts were classified into 42 primary themes (21 antecedents and 21 consequences), 14 basic themes (8 antecedents and 6 consequences) and 5 general categories (3 antecedents and 2 consequences). The result of analyzing the expertschr('39') response to their agreement with the identified concepts showed that a total of 27 antecedents and 26 antecedents were approved by nurses.

According to the ranking of factors, the results of this study indicate that more attention of the Human Resources Department to the antecedent factors plus regarding conscientiousness, high workload, night shifts and lack of social support can reduce the consequences of this kind of anxiety such as burnout, job stress, compassion fatigue and job dissatisfaction.