Quarterly Journal of Nursing Management
Year:2022 | Volume:11 | Issue:1|Papers Count:9

Introduction: Clinical competence is practical competence and the ability to combine knowledge, skills, attitudes and values in a clinical situation and is essential for performing a professional role. Clinical competence is very important in various fields of nursing, including education, clinic and nursing management. Therefore, this study was conducted as a systematic review with the aim of factors affecting the clinical competence of nurses. Methods: In this review study, articles published between 2010-2011 (2010-2020) were reviewed. The databases of Elsevier, Web of Sciences, Pubmed Google Scholar, and Scopus were examined. Original and review articles in Persian and English were selected in full text. After evaluating the inclusion criteria and quality of articles, 13 eligible studies were identified and reviewed. Results According to the purpose of this study, including individual factors affecting the clinical competence of nurses (work experience, age, work experience, work experience in the current ward, higher education, work while studying, emotional intelligence) and environmental-organizational factors affecting clinical competence Nurses (knowledge of patients' culture and care based on patient culture, job satisfaction, consultation with colleagues) were obtained. Conclusions: Based on the obtained results, managers should plan to improve the clinical competence of nurses according to the factors identified in the present study.

Introduction: The prevalence of coronavirus and the formation of its mutant species has caused stress and anxiety in communities. Fear and anxiety caused by coronavirus are destructive and can lead to mental disorders in people. The aim of this study was to predict corona stress based on coping strategies with stress, quality of life and psychological well-being among nurses in Kermanshah. Methods: The method of this research was descriptive-correlation. The statistical population consisted of all nurses in Kermanshah in April 1400. A total of 200 people were selected as a statistical sample by voluntary sampling through online response to questionnaires. In this study, Corona stress scale (Salimi et al., 1399), stress coping strategies questionnaire (Lazarus and Folkman, 1998), short version of the World Health Organization quality of life questionnaire (2004) and psychological well-being scale (Reef, 1989) were used. . Data analysis was performed using multivariate regression simultaneously with the help of SPSS-22 software. Results: The correlation results showed that stress has a positive relationship with emotion-oriented coping strategy and a negative relationship with problem-oriented coping strategy, quality of life and psychological well-being. The results of regression analysis showed that the strongest predictor of corona stress was emotion-oriented coping with Beta = 0. 854, and yet all variables had a significant share in the regression equation. Conclusions: The results of this study showed that the application of problem-oriented coping strategy and high quality of life and psychological well-being can be associated with a reduction in coronary stress. Therefore, by using strategies and interventions focused on increasing the levels of quality of life and psychological well-being, steps can be taken to reduce nurses' stress.

Introduction: Nurses' organizational commitment improves interaction with patients and companions, increases patient safety and the quality of nursing care. Therefore, the purpose of this study is to review the studies conducted on organizational commitment in Iranian nurses. Methods: This systematic study has examined the articles published between 2011 and 2021 from the major international and national databases of Google Scholar, IranDoc, Science Direct, SID, Magiran, web of science, PubMed, Scopus and Cinahal, in both Persian and English language. key words,Organizational commitment and nurse in Persian databases and Organizational Commitment nurse in English sources and its Mesh equivalents were used using Boolean operators “, AND”,and “, OR”, . Conducting research in Iran was the main inclusion criterion for selecting articles. After evaluating the quality of the articles 701 initial studies, 26 articles were recognized as eligible and included in the study. Results: The results of extracting the findings of the articles showed that 12% of the nurses' organizational commitment studies report a high level and 50% a medium level. Factors affecting nurses' organizational commitment including,1) individual factors (age, marital status, education level, work experience, position, type of ward, shift and employment) and 2) various organizational factors (professional ethics, moral intelligence, stress management with skills training communication, participatory management style, organizational citizenship behavior, job empowerment, trust in hospital education, quality of life, distributive and interactive justice, organizational identity, psychological empowerment, self-efficacy, job satisfaction, organizational justice, organizational support, organizational trust, delegation) Especially job satisfaction. Conclusions: Nurses' organizational commitment is not at a good level and needs to be improved. In order to prevent leaving the job and improve the quality of nursing care, health care system managers in planning and decision making, it is necessary to consider individual and organizational factors affecting organizational commitment, especially job satisfaction, and work to increase nurses' organizational belongings.

Introduction:Nurses play an important role in improving the performance of health organizations and the lofty goals of the organization,But always in difficult and critical situations,such as the corona epidemic,nurses face a lot of stress that can increase their tendency to leave the service,Because their durability is one of the most important concerns of the organization,The aim of this article was to investigate the effect of Perceived of the supportive role of the organization and the motivations Prosocial on the job Sustainability of nurses at Dr,Shariati Hospital in Tehran by considering the mediating role of emotional commitment,Methods:This research is of cross-sectional descriptive-survey type and is of applied type which was conducted in 2020-2021,All nurses working in different wards of Dr,Shariati Hospital in Tehran were 211 people in the study population,all of whom were selected as a statistical sample due to the size of the population,The main tool for data collection was a questionnaire,which was used to assess the variable of the role of organizational support perceived by the Eisenberger et al,(1986) questionnaire,To assess the community motivation variable from the Grant Scale (2008),The Mir and Allen (1991) questionnaire was used to measure the variable of emotional commitment and finally to evaluate the variable of job retention,a researcher-made questionnaire based on literature and theoretical foundations was used,Data analysis was performed using Spss23 and Smart PLS software version 3,Results:Findings show that perceived organizational support with a significant coefficient (21/115) has a significant and positive effect on job retention and with a significant amount (9/937) on emotional commitment,Community motivations with a significant amount (23/052) have a significant and positive effect on job retention and with a significant coefficient (12/354) on emotional commitment,Also,emotional commitment with a significant amount (8,000) has a significant and positive effect on job retention,Finally,emotional commitment with a significant coefficient (42/235) leaves an indirect mediating effect between perceived organizational support and job retention,and finally with a significant amount (48/263) has an indirect mediating effect between societal motivations and job retention,Conclusions:According to the results,managers should increase their support for front-line personnel in the event of a crisis caused by coronary heart disease and provide tangible support that is understood by employees so that they are more willing to perform their duties and Be committed and stay purposeful in your job,In addition,it was found that the nurses' societal motivations acted as a driving force for helping people in coronary conditions,

Introduction: The Covid 19 epidemic has a variety of psychological consequences. These consequences can have a negative impact on the mental health of pregnant women, therefore, recognizing the important cognitive and emotional components is necessary to prevent and treat the psychological distress of pregnant women more than before,so, The aim of this study was to investigate the role ofmentalization, psychological flexibility and difficulty in regulating emotion in predicting psychological distress and sleep problems in pregnant women During the Corona Epidemic. Methods: The method of this study was descriptive-correlational. The statistical population of this study was all pregnant women who referred to health centers in Sanandaj in 1400. For this purpose, 230 of these people were selected by available sampling method, they answered the Reflective Functioning Questionnaire, the Psychological Flexibility Inventory, the Emotion Difficulty Scale, the Kessler Psychological Distress Questionnaire, and the Sleep Disorder Questionnaire. After collection of questionnaires, the collected data were analyzed simultaneously using Pearson correlation coefficient and multivariate regression analysis. Results: The results showed that there is a significant relationship between mentalization, psychological flexibility and difficulty in emotion regulation with psychological distress and sleep problems in pregnant women (p <0. 01). The results of multiple regression analysis also revealed that 71. 6% of the variance of sleep problems and 75. 7% of the variance of psychological distress can be explained by mentalization, psychological flexibility and difficulty in regulating emotion. Conclusions: According to the findings, it can be concluded that mentalization, psychological flexibility and difficulty in regulating emotion can predict psychological distress and sleep problems in pregnant women during the Covid 19 epidemic.

Introduction: Nurses' participation in health policy making for the quality of patient care as well as improving the position of nurses is a vital and inevitable necessity. Therefore, this study was conducted with the aim of barriers and facilitators of nurses' participation in health policy. Methods: In this narrative review study, using keywords related to nurses 'participation in health policy making, barriers and facilitators of nurses' participation in health policy making, studies were conducted that were published in Persian or English and in full text, in the period 2010 to 2022., Searched in Science Direct, PubMed, Scopus, Google Scholar, SID and Magiran databases. Articles that were not in line with the purpose of the research were excluded from the study. Out of 100 searched articles, 12 related articles were finally selected. Results: Barriers to nurses' participation in health policy are related to factors such as organizational factors, factors related to nurses themselves and facilitators of organizational participation to individual, organizational and environmental factors. Conclusions: Identifying barriers and facilitators of nurses' participation in health policy making can enable nurses to build a better future for their nursing position and because policies affect all aspects of nursing practice by changing the position of nursing publicly many changes in quality Care will be provided to patients. On the other hand, considering that students are familiar with policy-making in the specialized doctoral program, it is suggested that familiarity with policy-making be included in the undergraduate curriculum.

Introduction: Nosocomial infections are a major problem in modern medicine that have numerous causes and lead to many costs and complications. This study aimed to determine the observance of infection control principles by physicians and operating room staff of hospitals in Maragheh University of Medical Sciences and compare it with the standards. Methods: The present study is a descriptive-analytical study that was conducted in 2020 in Maragheh. A questionnaire that was made by the researcher for each group working in the operating room units and a checklist for reviewing the operating room environment and equipment was used as special tools for data collection. Data with statistical tests of one-way analysis of variance (ANOVA), unpaired t-test, and Pearson in SPSS 25 software were analyzed. Results: In total, 51 people participated in this study. 71. 1% of participants were female and 28. 9% were male. The average age was 34. 81 ±,9. 04 years. There was a significant relationship between observance of infection control standards and participation / non-participation in infection control retraining courses among anesthesia team members (p = 0. 03) and surgery team members (p = 0. 04). Also, there was a significant relationship between the field of study of the surgical team members and the observance of infection control standards (p = 0. 047). Conclusions: In general, the results of this study showed that the performance of the participants in terms of observance of infection control standards in the operating room was desirable. It is recommended that infection control retraining courses, especially for anesthesia personnel, be considered to maintain the current optimal condition as well as improve performance.

Introduction: The global prevalence of COVID-19 virus and the implementation of the resulting restrictions have caused a great deal of fear and anxiety in the community, which in turn has led to many psychological problems. The aim of this study was to investigate the effect of fear of Covid 19 on psychological well-being of employees with the mediating role of job insecurity and moderator of mindfulness in Lorestan University of Medical Sciences. Methods: The present study is a descriptive-survey study. The statistical population of the study was 320 employees of Lorestan University of Medical Sciences. Based on Krejcie and Morgan table, a sample size of 175 people was selected by stratified random sampling method. To measure the variables of the research, a questionnaire was used which included four sections of fear of Covid 19, psychological well-being, job insecurity and mindfulness. The reliability of the questionnaire was confirmed using Cronbach's alpha method and its validity was confirmed using convergent validity. For data analysis, structural equation modeling and Spss and PLS software have been used. Results: The results showed that at the 95% confidence level, fear of Covid 19 has a negative and significant effect on the psychological well-being of employees (β,=-0. 316,P <0. 05),In addition, fear of Covid 19 through job insecurity has a negative and significant effect on employee psychological well-being (β,=-0. 324,P <0. 05),Mindfulness also has a moderating role in the relationship between fear of Covid 19 and psychological well-being of employees (β,=-0. 069,P <0. 05). Conclusions: According to the findings, it can be said that fear of Covid 19 has a significant role in reducing psychological well-being of employees by creating job insecurity, Meanwhile, the component of mindfulness also has a moderating role in the relationship between fear of Covid 19 and psychological well-being, In other words, employees with higher mindfulness are less likely to experience a decrease in psychological well-being due to fear of Covid 19, so it is necessary to reduce the fear of Covid 19 in employees by strengthening mindfulness, which is also a trainable component.

Introduction: Today, it is important to use methods to identify and reduce them is of crucial importance. The aim of the present study was to determine the safe performance of nurses using the SHERPA technique in the hospitals affiliated with the Islamic Azad University of Medical Sciences in Tehran. Methods: This cross-sectional descriptive study was conducted using the SHERPA method in 2019. The study population and samples included the nurses in the internal wards of Bu-Ali and Amir Al-Momenin hospitals. The data were collected through interviews and direct observations. the information obtained was recorded on the SHERPA worksheet and analyzed using the SPSS software. Results: 59 errors were identified in the drug administration task, most of which associated with functional errors (n=22). Visit (n=16), recovery (n=12), and communication errors (n= 9) accounted for other frequent errors, respectively. Selective errors were the least frequent (n=0). The error risk levels for unacceptable risks, undesirable risks, acceptable risks with the need for revision, and acceptable risks without the need for revision were 38. 98%, 37. 28%, 6. 77%, and 16/94 %, respectively. Finally, reviewing error recovery indicated that 53 errors could not be recovered but 6 ones could. Conclusions: There is a need to apply a risk prevention method to identify potential risks and monitor errors. Hospital officials should pay special attention to functional and communication errors in hospital occupations.