Nursing And Midwifery Journal
Year:2022 | Volume:20 | Issue:3 (152)|Papers Count:8

Background & Aim: Moral intelligence is one of the dimensions of intelligence that can provide a framework for the correct functioning of humans and is theoretically considered as a predictor of behavior. The aim of this study was to investigate the relationship between moral intelligence and demographic characteristics of nurses working in intensive care units. Materials & Methods: The present study is a descriptive-correlational one conducted in 2009. The study population included 112 nurses working in the ICU wards of public hospitals in Amol city who were selected by census method. For data collection, demographic information form and standard moral intelligence questionnaire were used. Analysis was done using SPSS version 19 software and descriptive and analytical statistics, calculation of mean, standard deviation, Pearson correlation test, and Independent T-test were performed. Results: The results showed that the mean score of moral intelligence in the nurses working in ICU was 80. 20±, 7. 40 and very good. The highest score was related to the honesty and the lowest score was related to the compassion. The results of the Pearson’, s correlation test showed that there was a positive and significant relationship between the general score of moral intelligence and the variables of marital status (P=0. 03), age (P=0. 02), work experience (P=0. 02), and work experience in the ICU (P=0. 02). There was also a positive and significant relationship between honesty, responsibility, and compassion with the variables of age, marital status, and work experience in the ICU. There was also an inverse relationship between the overtime hours and the dimensions of the moral intelligence questionnaire. There was not a significant relationship between the overall score of moral intelligence with gender and with participation in the ethics seminar. On average, married people had higher responsibility, forgiveness, and moral intelligence than single people. Conclusion: Considering the particular conditions of the special care units and the necessity of the presence of capable nurses in these units, it is superlative that married nurses with older age, higher work experience, and more work experience work in these units. It is also the responsibility of the managers and planners of the treatment units to reduce the working hours of the nurses working in these units and to carry out a correct assessment of needs before holding in-service training programs to help improve the moral intelligence of these nurses.

Background & Aims: Making skin-to-skin contact between mother and baby immediately after birth and starting breastfeeding within the first hour of birth is the fourth step of the ten steps of the BabyFriendly Hospital Initiative (BFHI). However, this step is still not properly done in Iran. This study was designed with the aim of analyzing the factors preventing skin-to-skin contact in the first hour of life in healthy term infants. Materials & Methods: This research is a qualitative study with a content analysis approach. Data were collected by in-depth and semi-structural interviews using open-ended questions. Sampling was done in a purpose-based manner and continued until data saturation was reached. In total, we interviewed 27 experts, managers, and personnel of maternity service providers. Results: A total of 824 codes were extracted from the interviews, which were compared based on content affinity and then organized into 7 themes, 19 categories, and 75 subcategories. After qualitative data analysis, the themes were compared based on the four components of Walt and Gilson's policy triangle in four categories of creators, content, background, and process and included in them. We categorized instruction challenges as part of the content barriers within the topic, deficiencies of knowledge and awareness, skills, and the nature of the platform for conducting the contact process as part of the process barriers two topics, the challenge of supervision and monitoring at all levels of the system as well as the effective environmental components in the implementation of the contact program as part of the structural obstacles two topics, and finally the topic of the effective actors including the beneficiaries and their subordinates as part of obstacles related to the actors. Conclusion: Maternity ward staff face serious obstacles to skin-to-skin contact in the first hour of birth, especially in receiving continuous and sufficient training, having the necessary motivation and support from managers, and establishing modern supervision and reward system for optimal skin-to-skin contact in the first hour of birth.

Background & Aims: The level of satisfaction of paramedical students of the University of Medical Sciences and its impact on the society, health, and health care system leads to bring up a highly efficient workforce and greater productivity. The aim of this study was to evaluate the satisfaction of paramedical students of Urmia University of Medical Sciences with their field of study and the factors affecting it in 2019. Materials & Methods: This descriptive cross-sectional study was performed on 242 students from different fields of study in the paramedical faculty of Urmia University of Medical Sciences. The data collection tool was a standard and structured questionnaire that consisted of two parts. Data were analyzed using descriptive statistics, t-test and analysis of variance. Results: The average score of students' interest in their field was 42. 34 out of 54 points. Most students (73. 6%) were interested in their field of study. There was a significant difference between age, field, transfer with the interest in the field. Among the other items of the questionnaire, “, the position of the field in society”,was one of the influential factors, while the item “, I chose my field with full knowledge”,had the weakest role. Conclusion: Interest scores were relatively lower in older students. Among other paramedical disciplines, health information technology students showed the least interest. Due to the effect of interest in the field of study on students' motivation, academic performance, snd their performance in the clinic, it is necessary for officials to develop programs to Improve the labor market and the material and spiritual status of various fields of medical sciences.

Background & Aims: Health workers are in the front line of the epidemics and face a lot of stress. So maintaining their physical and mental health affects the quality of work and satisfaction of the patients. The aim of this study was to investigate the relationship between general health and COVID-19 anxiety level in the nursing students of Babol Azad University, Iran. Materials & Methods: This descriptive-correlational research was conducted in the second semester of 2020-2021 in Babol Azad University, Iran. The study population included 90 undergraduate nursing students who were selected by stratified random sampling. Research tools include General Health Questionnaire (GHQ) and Corona Disease Anxiety Scale (CDAS). Statistical analysis was performed using SPSS version 20 software. Descriptive tests for frequency and t-test, correlation and multivariate regression were used. Results: The findings of the current research showed that the highest percentage of the research samples (53. 1%) had a score between 22-42 out of 84, which shows that public health has been threatened and damaged in some areas of anxiety, depression, and physical and social aspects. In the field of COVID anxiety, the largest percentage of samples (87. 7%) had a score of 0-16 out of 54 in the COVID anxiety scale. The results of Pearson's correlation test showed that there was a significant positive correlation between the anxiety of COVID and the dimensions of anxiety, depression, and physical signs of general health, and a negative significant relationship (p≤, 0. 05) between the anxiety of COVID and the social dimension of general health. Conclusion: The findings of the present research can provide useful information to educational officials of the universities to improve their educational environment and reduce stress factors, to implant stressmanagement workshops, and doing advices to the students about dealing with the anxiety of COVID19, to take an important step towards improving the general health of nursing students and improving their quality of care.

Background & Aims: Today, with increasing competition, health centers are taking steps towards client satisfaction with a tendency to strategic and systematic actions. The purpose of this study was to investigate the effect of nurses' performance on client satisfaction in private hospitals of Tehran province, Iran, and ranking their performance indicators. Materials and Methods: This descriptive-survey study was performed along the summer of 2021 in all the private hospitals in Tehran. The opinions of 384 patients referred to the private hospitals and 15 expert nurses were collected in Buyukozkan et al. (2011) questionnaire and paired comparison tables, and were used as the basis for analysis. In this study, we used confirmatory factor analysis to classify the performance indicators of nurses on the satisfaction of the clients and the combined approach of analytical network process to rank performance indicators. We also used Dimatel to investigate the cause-effect relationships of the satisfaction criteria of the clients. Results: Five performance indicators including tangible factors, responsiveness, reliability, assurance, and empathy on client satisfaction were examined. Perceived quality criterion had the highest impact and importance among client satisfaction criteria (0. 995). Reliability (0. 431), responsiveness (0. 160), Assurance (0. 148), empathy (0. 131), and tangible factors (0. 128) were placed in the next ranks, respectively. Conclusion: Despite the similarities and differences between the opinions of expert nurses and clients, managers and nursing supervisors of private hospitals should pay attention to both sources of information (experts and clients) in making decisions about improving clients' satisfaction from the services of these centers, and by using the obtained priorities, they also should plan to strengthen and correct the irregularities.

Background & Aims: Fears of childbirth during the Covid-19 crisis and disruption in safe maternal care may be exacerbated. The aim of this study was to assess the prevalence of fear of childbirth in the Covid-19 crisis and its predictors in pregnant women. Material & Methods: The cross-sectional study was done on 330 referred to pregnancy clinics affiliated to Babol University of Medical Sciences in the Covid-19 crisis, from May to November 2021. The Hartmann questionnaire was used to assess the fear of childbirth. The mean score of the Hartmann questionnaire, 28, was considered as the fear of childbirth. The studied variables were compared in two groups of women with fear and without fear of childbirth. Results: The age range of the pregnant women was 18-45 years. The mean score of fear of childbirth in women was 35. 95 ±,9. 44 in the range of 14-56. 82. 7% of the women were in the group with fear of childbirth. In the final analysis with logistic regression model, only the tendency to delivery type remained as a significant factor in the model,in other words, the odds ratio of the tendency to vaginal delivery in women with fear of childbirth was about 73% lower than women without fear of childbirth (B = 0. 273, PV = 0. 015, CI = 0. 096-0. 774). Conclusion: Findings of the study indicate an increase in the frequency of fear of childbirth in the Covid-19 crisis. Also, the fear of childbirth was significantly related to the decrease in desire for natural childbirth. According to its negative effects on maternal and infant health, this issue should be considered by the health promotion policy-makers and health-care providers.

Background & Aims: Family health is affected by the quality of the spouse's relationship. The communication patterns are among the important criteria of this relationship and facilitate improvement of mental health of the couples. The present study was conducted with the aim of investigating the predictive role of communication patterns in marital distress and instability. Material & Methods: The research method of the present study was descriptive-analytical of predictive correlation type. The statistical population of the study included all couples referred to the Gynecology and Obstetrics Clinic of Ali-Ibn-Abi-Talib Infertility Center in Zahedan, Iran. In this research, 60 infertile women were selected randomly using available sampling method. Data analysis was done using spss software version 24. Results: The obtained results showed that the three variables of communication pattern, instability, and discouragement had means of 1. 83, 1. 82, and 2. 00 and standard deviations of 0. 717, 0. 792, and 0. 803, respectively. Conclusions: The results of the study indicated that the expectation/withdrawal style related to the variable of communication patterns has a predictive role in marital distress and marital instability of the couples. It is also clear from the results of the research that the marital instability alone or together with the interaction styles of the couples could play a role in marital distress of the couples.

Background & Aims: Development of the registry system for substance abuse poisoning may be useful in the systematic collection of information, prevention of poisonings, identification of people and monitoring them, ease of access to information, and decision-making in allocating resources. Evaluation of the usability of information systems is one of the most important ways to improve disease registration programs. The purpose of this study was to evaluate the usability of drug abuse registration system from the users' point of view at Urmia University of Medical Sciences. Materials & Methods: This study was a cross-sectional descriptive one conducted in 2022. In this study, the opinions of 21 system users were evaluated. Census sampling method was done from the cases reffered to the Imam Khomeini Educational and Medical Center in Urmia, Iran. Data collection tool was a standard QUIS questionnaire with 32 questions in 6 dimensions including: general interaction with the system, screen, system terms, learning ability, general capabilities of the system, and usability and user interface. The data were analyzed using SPSS version 16 software. Results: The results showed that the average score obtained in the six dimensions of the usability evaluation of the registry system for substance abuse poisoning were: 8. 52 in system terms, 8. 36 in screen, 8. 28 in learning ability, 8. 04 in general capabilities of the system, 7. 98 in usability and user interface, and 7. 73 in the general interaction, respectively. Conclusion: From the user's point of view, working with the registry system for substance abuse poisoning is simple and easy to learn, and the screen and system terms are appropriate. However, the users were relatively satisfied with the capabilities of system configuration capabilities and its reports. Therefore, the designed system requires some changes to improve the quality of reports.