مجله آموزش پرستاری
سال یازدهم شماره 3 (پیاپی 53، امرداد و شهریور 1401)

The main objective of this research work is to examine the effectiveness of cognitive-behavioral education (CBE) based on intolerance of uncertainty and emotional regulation on behavioral activation/inhibition systems (BIS) and generalized anxiety disorder (GAD) of students with social anxiety disorder.

The target population was 300 students at Islamic Azad University of Birjand in 2020. Of these, 231 students completed the social anxiety, generalized anxiety and intolerance of uncertainty questionnaires. A total of 60 students with high scores of social anxieties were identified. A diagnostic interview was conducted on the candidate students by the purposive sampling technique. Finally, the tested students were randomly split into two experimental (CBE-based on intolerance of uncertainty and emotional regulation) and one control group. The experimental group was trained for ten sessions of an hour and a half for the diagnosis and treatment of reading disorders. Two months after training, post-training questionnaires were distributed between the students. Statistical data analysis was performed by SPSS 25.

Analysis of covariance showed that CBE-based on intolerance of uncertainty and emotional regulation significantly changed BIS (p<0.05). The Bonferroni test showed that mean score values of the activation system increased meaningfully in the experimental group compared with the control group. A statistically significant difference was explored between the mean score values of inhibition systems in the two experimental groups. Analysis of covariance also indicated that CBE-based on intolerance of uncertainty and emotional regulation considerably reduced GAD (p<0.05). The Bonferroni test showed that mean score values of GAD reduced significantly in the experimental group compared with the control group.

The results of this study indicate that CBE is an effective educational approach for treating students who struggle with anxiety disorder. It is recommended that CBE be used in university counseling centers for treating students who struggle with anxiety disorder.

COVID-19 has put unprecedented pressure on healthcare systems around the world and posed different challenges for nurses. The aim of this study was to investigate the mediating role of mindfulness in the relationship between corona anxiety and quality of professional life in nurses.

The present study was a descriptive correlational study and its statistical society consisted of all nurses working in public hospitals in Birjand (N = 550) in the period from April to June 2021. Research tools were distributed among 300 people. Convenience sampling method was used to select the sample. Professional quality of life scale, Corona disease anxiety scale and five-facet mindfulness questionnaire were used to collect data. Data were analyzed using structural equation modeling and SPSS-22 and Lisrel 8.8.

Out of 300 distributed questionnaires, 269 people answered the questionnaires completely. The mean and standard deviation of age were 32.54 and 7.85, respectively. The highest correlation was observed between the description and observation component of mindfulness (p <0.01) and the lowest correlation was observed between the burnout component of professional quality of life and physical anxiety (p <0.01).The results showed that the direct path of Corona anxiety to mindfulness (p<0.01), mindfulness to professional quality of life (p<0.01) and corona anxiety to professional quality of life (p<0.05) was significant. Furthermore, it was found that the indirect pathway between corona anxiety and professional quality of life is mediated by mindfulness (p<0.01).

The findings of this study supported the mediating role of mindfulness in the relationship between corona anxiety and professional quality of life. Therefore, it seems necessary to consider the role of these predictor variables by specialists, therapists, health care organizations and institutions when hiring, training, internships and retraining of nurses.

Clinical nursing education provides an opportunity to learn the skills and competencies required by the profession. Therefore, using modern educational methods such as concept mapping in nursing can be useful. The purpose of this study was to explain the perceptions of nursing students in education using concept mapping.

This qualitative study had a conventional content analysis and was conducted on 16 sixth-semester nursing students of Rasht Islamic Azad University, who passed the clinical unit of intensive care nursing by using concept map in 2018-2019. Data were collected via semi-structured in-depth interviews, and data analysis was performed by Graneheim and Lundman's conventional content analysis method using MAXQDA software.

The main theme of the study was "effective clinical education", which encompassed three categories of "efficiency of clinical education" consisting subcategories of "deepen learning", "self-directed learning, "objectification of nursing process" and "adaptation", "guiding the thought process" consisting subcategories of "get a comprehensive view", "reinforcement of critical thinking and clinical judgement" and "reflection" and "a step toward becoming a professional" consisting subcategories of "professional interaction", "client-centered care" and "seeking help".

The results showed concept map is a useful tool in clinical nursing education that students considered it effective clinical education. This method is a powerful tool in clinical nursing education in designing nursing care plan that can replace traditional methods.

Motivation is a complex process of the individual; organizational and social factors and the performance of employees is a function of their ability and motivation. Identifying and analyzing motivational factors is very important. This study was conducted to explain the experiences of nursing managers on factors affecting job motivation.

This study, which is a contract content analysis, was conducted by in-depth and semi-structural interviews with nursing managers of hospitals affiliated with Birjand University of Medical Sciences. The participants' statements were recorded with their consent by voice recording, and then handwritten word for word. The number of participants was eight depending on the data saturation, and saturation was achieved when new information was not obtained during data analysis and coding. Data analysis was performed simultaneously with data collection using the content analysis method and Grinheim method.

Content analysis of nursing managers' experiences of factors affecting job motivation five categories including individual self-motivation factors, professional motivational abilities, motivational support, organizational, motivational factors and financial motivational factors and ten subcategories including motivational personality dimensions, Ethical motivators, professional competence, functional ability, motivational support of the workplace, motivational support of the family, management structures, the system of encouragement and punishment of the organization, receiving appropriate salaries and rewards were extracted.

According to the results of this study, nursing managers can take a step toward maintaining and promoting nurses' job motivation by giving more importance to internal motivation factors and improving the quality of nursing care, and useful and constructive solutions for the development of health organizations. That plays a key role in community health.

Compassionate care has important effects on patient care quality and is an
indispensable element of patient-centered care. The aim of this study was to determine the mediating role of personal intelligence in the relationship between moral agency and compassionate healthcare in nurses working in the corona ward

The research method applied in this study was correlational and of structural equation modeling. Participants statistical of the present study include 247 nurses of corona care units in the west Azerbaijan Province at 2020 years that have been select by convenience sampling. Mayer personal intelligence questionnaire, Rodriguez compassionate healthcare scale, Black moral agency test and demographic questionnaire were used for data collection. The data were analyzed by Pearson correlation coefficient, Bootstrap and Sobel test.

The results indicated that responsibility, group pressure and external attribution with the role of personal intelligence are involved in explaining the models of compassionate healthcare in nurses working in the corona ward, in which case the variance of compassionate healthcare in nurses through variables of the model is explained by 19% in total. The direct effect of personal intelligence (0.18), responsibility (0.15), group pressure (-0.16) and external attribution (-0.17) were significant in estimating compassionate healthcare. Also, the results of the Sobel test showed that the indirect effects of responsibility (t-value = 2.17), group pressure (t-value = 2.46) and external attribution (t-value = 2.42) through personal intelligence on compassionate healthcare were significant.

Considering the direct and indirect effects of the personal intelligence and moral agency on compassionate healthcare, it can be concluded that compassionate healthcare can be increased by enhancing responsibility and personal intelligence.

For the nursing bachelor's degree to be more successful in Iran and to identify the strengths and weaknesses of its curriculum, it is necessary to conduct comparative studies and benefit from the experiences and strategies experienced in successful universities. This study aimed to compare the Iranian undergraduate nursing curriculum with the University of Southampton, UK.

The present study is a comparative descriptive study that was performed using Bereday's four-step model including description, interpretation, proximity, and comparison. The details provided from the Iranian bachelor's nursing curriculum are taken from the website of the Ministry of Health in Iran and the University of Southampton.

Despite the similarities in the content of some courses, there are differences in terms of admission requirements, and course length between the two educational systems. At the University of Southampton, there is an emphasis on training managers with a research-oriented approach and technology integration, but this issue has received less attention in Iran. At Southampton, attention to research at the end of the study has led the student to identify problems and be drawn to research, while in Iran, a nursing research lesson is taught at the beginning of the course. Educational strategies at Southampton are student-centered, but in Iran they are teacher-centered. The day problems are seen in the online curriculum of the University of Southampton, but there is less flexibility in the Iranian curriculum and a focus on knowledge-based. Graduates in the UK are directed towards hospitals and society, but in Iran, graduates are mainly directed towards hospitals, and their ability to take on other social roles is not seen.

In addition to developing professional skills, the Iranian Nursing Bachelor's training program needs to focus on training managers with a research-oriented approach. It is also necessary, to on student-centered principles instead of teacher-centered; emphasize problem-oriented instead of knowledge-oriented, and community-oriented instead of hospital-oriented.

Interventions such as life skills training can improve the physical and mental well-being of people with multiple sclerosis, so this study aims to determine the effect of life skills training on resilience and psychosocial adjustment of patients with multiple sclerosis. It was performed at Kashani Hospital in Isfahan in 2020.

This quasi-experimental study was a single group before and after. The sample consisted of 85 people with multiple sclerosis who had inclusion criteria who was referred to Kashani Hospital in 2020. Demographic information questionnaire, psychosocial adaptation scale to disease and Conor Davidson resilience questionnaire were used to collect information. Life skills training program was performed, and data analysis was performed with SPSS software version 21 and descriptive statistics and paired t-test.

This study showed that there was a significant difference between the mean score of resilience and psychosocial adjustment of patients with multiple sclerosis before and after training. The mean score of resilience before training was 71.43 and psychosocial adjustment was 105.32 after training the mean score of resilience increased to 92.29 and the mean of psychosocial adjustment to 134.98 and this difference was statistically significant (p <0.001).

Applying life skills training is effective in the degree of resilience and psychological and social adjustment of patients with multiple sclerosis because the main purpose of these trainings is to prepare and help the patient to solve the problems and problems faced by the disease. Therefore, the use of these trainings is recommended for these patients.

Multiple sclerosis is a neurological and progressive disease. Living with MS has many negative and positive effects on patients' physical and mental health. This study aimed to investigate the effect of emotion-focused therapy on post-traumatic growth and psychological capital in women with Multiple Sclerosis.

This study used a quasi-experimental method (a pretest-posttest plan with a control group). Participants consisted of 30 women with Multiple Sclerosis who were selected using a convenience sampling method and were randomly divided into two groups of experimental and control groups. Our measuring tool was a psychological capital inventory and posttraumatic growth inventory which was completed by the participants. Then, the participants in the experimental group participated in 10 sessions of 60 min of emotion-focused therapy in 10 weeks but the control group didn’t receive any therapy. Analysis of covariance method was used to analyze data.

Analysis of data showed that there was significant difference in psychological capital and posttraumatic growth in the experimental group, compared to the control group. (P≥ 0/05) There was a significant deference in all the subscale of psychological capital (self-efficacy, hope, resilience and optimism) and the fourth posttraumatic growth subscale (communication, personal strength, value of life and new ways) in women with MS in the experimental group (P≥ 0.05), but no significant difference in the spiritual change subscale.

The result showed, emotion-focused therapy can be an effective intervention to increase psychological capital and posttraumatic growth in MS patients and can be used to improve the psychological state and better cope with the disease.