Iran Journal of Nursing
Year:2017 | Volume:30 | Issue:106|Papers Count:10

Background & Aim: Appropriate quality of life not only is determined by disease, but also is depends to psychological condition such as job burnout, perceived social support and psychological hardiness. The research aim was to investigate the role of job burnout, perceived social support and psychological hardiness in predicting nurses’ quality of life.Materials & Methods: The study was descriptive–analysis from type of correlation. The statistical population was including all nurses in Tehran affiliated hospitals in 2015. By multistep cluster sampling method, 400 nurses were selected. The study instruments were the Maslach & Jackson job burnout, Zimet & et al perceived social support, Kobasa psychological hardiness and World Health Organization quality of life questionnaires.Data analysis was performed in SPSS V.15 using coefficient Pearson correlation and multivariate regression analysis using Enter model.Results: The findings showed that Job burnout (r=-0.39) had a significant negative relationship with nurses’quality of life also perceived social support (r=0.61) and psychological hardiness (r=0.45) showed a significant positive relationship with nurses quality of life (P<0.01). In a predictor model, job burnout, social support and psychological hardiness could predict59/3 percent of nurses’ quality of life alterations (R2=0.593).Conclusion: The job burnout, perceived social support and psychological hardiness variables had effective roles in predicting nurses’quality of life. Hence, it is proposed that counselors, therapists and planners consider the symptoms of these variables and design appropriate programs to improve nurses’ quality of life.

Background & Aims: The objective of the present research was to determine the relationship of self-directed learning (SDL) readiness with acceptance of electronic learning and academic progress of nursing and midwifery university students in 2014.Material & Methods: The study population for this descriptive correlational research included all the M.S.students at Nursing and Midwifery School of Gonabad University of Medical Sciences. The total sample size was calculated to be 200, using the quota stratified sampling method, based on the Krejcie-Morgan tables. To collect data, the Fisher et al.’s self-directed learning readiness scale (2001), the electronic learning scale based on TAM (Technology Admission Model), and academic average of students in the first semester of 2014 was used. To analyze the data by SPSS V.16, the MANOVA statistical tests, and multiple regression analysis were used.Results: Research results indicated that there is no significant difference between different dimensions of selfdirected learning readiness of male and female students (P>0.05). Moreover, self-directed learning readiness has a significant relationship with electronic learning and academic progress (P<0.01). Self-directed learning readiness is also a suitable predictor of the acceptance of electronic learning and academic progress of university students.Conclusion: Considering the importance of the role of self-directed readiness, it is recommended to carry out further studies on factors influencing self-directed learning. Training courses for increasing the self-directed readiness of university students are also recommended.

Background & Aims: Accreditation is one of the standard assessment systems that plays an essential role in improving the quality of health services. This study tries to explore the challenges in the accreditation program by reviewing the studies and extracting their results and proposing solutions to address them.Materials & Methods: This study was performed in 2017 as a narrative review. Articles were extracted from databases of Google scholar, Scopus, Ovid, Since Direct, ProQuest, Ovid, and PubMed from 2004 to 2016.About 30 articles were found in English and Persian, the text of each article was assessed several times and challenges of the studies were extracted, described, and classified Results: The results of this study were categorized under 14 themes: using inappropriate standards, inappropriate tools and inappropriate method for evaluating organizations, increasing costs, human resources, inadequate training, increasing workload, stress, lack of motivation, lack of teamwork and inadequate information of staff, shortage of time and duration of implementation, inappropriate scoring method, patient dissatisfaction, lack of backup resources and implementation method, subjective view of evaluators, copy of accreditation standards of other countries, not reviewing the content of the standards, and lack of budget allocation Conclusion: Organizations that institutionalize the accreditation process in the body of their education, awareness and organizational culture can reach a higher level of quality in health services. Therefore, it is recommended to the authorities to read all the identified challenges and consider these points in their planning.

Background & Aims: Sex education is one of the most difficult and most sensitive types of education.Meanwhile, parents' knowledge and attitudes, especially mothers, has the most important role in the education of healthy sexual behavior to children in pre-school. For this purpose, this study was conducted to evaluate knowledge and attitude of mothers towards preschool sex education.Materials & Methods: In this descriptive study, 200 mothers of preschoolers were selected from health centers under the affiliation of Iran University of Medical Sciences, using multi-stage random sampling. Data were collected by valid and reliable self-administered questionnaires through self-report. Then data were analyzed, using SPSS software (v.23) and frequency tables.Results: The results of this study showed that the mean score of mothers' knowledge was 28.56 ± 4.04 (Range: 0-40)and the mean score of attitude was 49.85 ± 7.45 (Range: 15-75) that represents the average knowledge and attitude of mothers. There was a significant relationship between attitudes and educational level (P>0.001).Conclusion: Given the mothers' average knowledge and attitude towards pre-school sex education, it seems necessary to develop appropriate educational contents and strategies to increase mothers' knowledge and attitude.

Background & Aims: The use of information and communication technology as a modern technology is rapidly expanding in current world and has been known. The aim of this study was to investigate the relationship between nursing students’ attitudes andthe exploitation of information and communication technologies.Materials & Methods: This was a correlational study conducted using the convenience sampling method. The study participants were 102 undergraduate and postgraduate nursing students from Gilan and Hamedan Universities of Medical Sciences; also School of Rehabilitation affiliated to Tehran University of Medical Sciences. The data collection instrument was a questionnaire by Hosseinzadeh et al. including the use of computer activities, Internet activities, and students’ attitudes towards information and communication technology. The data were analyzed by descriptive and inferential statistics using the SPSS software version 16.Results: The assessment of relationship between the use of computer activity, Internet activity and attitude towards information and communication technologies revealed a positive and significant correlation between the use of computer and attitude (r=0.51, P<0.001).Conclusion: The results of the study indicated a positive correlation between nursing students’ attitudes and computer and internet skills. As the major goal of nursing education is professional competency, therefore, similar research is needed for guiding nursing students in using advance scientific technologies. It is suggested that future studies should address facilitators and barriers to Internet use in the pursuit of research and evidencebased practice in the bigger students’ and nurses’ groups.

Background & Aim: The birth of a preterm infant is a stressful event for parents and affects the quality of life especially in mothers. The present study aimed to compare the quality of life and sense of coherence among the mothers with term and preterm infants.Methods & Materials: This is a comparative study conducted on 50 mothers with term infant and 50 mothers with preterm infant. Data collection instruments were the WHO Quality of Life questionnaire and SOC-13 questionnaire which were evaluated in the two groups. T test, exact Fisher test, Chi-square and analysis of variance were used to analyze the data on the SPSS software version 19.Results: The study revealed that the sense of physical health among the mothers with term infant was higher than that of the mothers with preterm infant (P<0.017). In the group of mothers with term infant, there was a statistically significant relationship between all the dimensions of quality of life and sense of coherence (P<0.001), which was also reported in the group of mothers with preterm infant, except for physical health dimension (P<0.499).Conclusion: In terms of the physical health dimension of quality of life, mothers with preterm infant need appropriate care and planning to enhance their quality of life and sense of coherence.

Background & Aims: Despite the women’s high levels of capability in many areas of occupation, their presence in management positions is inconspicuous. The purpose of this study was to identify the barriers to female nurses’ progression to management positions.Material & Methods: The research was a descriptive, analytical study. The statistical population was all the nurses working at Imam Khomeini hospital in Ardabil 2014. A total of 150 participants were selected using the stratified random sampling. To collect the data, the Kattara’s questionnaire on the barriers to female nurses’progression to management positions was used. The exploratory factor analysis was employed to analyze the data using the SPSS software version 16.Results: The assessment of the role of each domain in the process of job progression showed that respectively, gender discrimination 9.01%, gender stereotype 8.27%, work relationships 8.17%, family support 5.92%, workculture conflict 5.84%, the glass ceiling 5.70%, leader support 5.66%, personality difference 4.34%, discrimination in access to the network 4.43%, and work-family conflict 4.40% played a role in the process of job progression.Conclusion: Gender discrimination had a significant difference in the distribution of management positions between menand women. In order to fill the gap, attracting attention of managers and authorities to women’s capabilities in the management positions is needed. Moreover, enhancing women’s self-esteem, having good work relationship with women and helping them to make a positive attitude towards their capabilities can solve the problems related to the female nurses’ progression to management positions.

Background & Aim: In modern societies, anxiety is one of the most common mental health problems.Nowadays, the attention ofmany religious psychologists has been drawn to the role of spiritual well-being in reducing mental disorders, including anxiety. The present study was designed to investigate the spiritual wellbeing and anxiety among the students in the School of Nursing and Midwifery at Rafsanjan University of Medical Sciences.Materials & Methods: This research was a cross-sectional and descriptive-analytic study in which 233 nursing, midwifery, and medical students of Rafsanjan University of Medical Sciences participated.The instruments were thePalutzian & Ellison’s Spiritual Well-Being Scale and Beck Anxiety Inventory. The obtained data were analyzed in the SPSS-20, using Pearson correlation coefficient and two-sample t-test statistical analysis.Results: The average spiritual well-being of nursing and midwifery students is moderate (98.97 ± 14.7) and their average anxiety was low(24.58 ± 13.7). Moreover, there was a negative correlation between spiritual health and anxiety (r=-0.398).Conclusion: According to the results, it is important to pay attention to spiritual health in nursing, midwifery, and medical emergency students. The spiritual health well-being causes anxiety decrement; thus, to promote spiritual health and reduce anxiety in students, it is necessary to make proper plans.