Introduction and Objective: Clinical competency is very important in order to maintain power and authority to carry out nursing activities. Evaluating nursing clinical competencies is important in managing care process and determining their educational needs. This study aimed to compare the pediatric nursing clinical competency from the viewpoints of nurses and headnurses in pediatric educational therapeutic center in Guilan University of Medical Sciences in 2017-18 Materials & Methods: This is a cross– sectional, descriptive analytical study in which all nurses and headnurses employed in pediatric wards of hospital affiliated to Guilan University of Medical Sciences selected by census method. Data were collected by demographic tools and Liu standardized questionnaire, namely the competency inventory for registered nurses, (CRIN) and specific pediatric questionnaire designed by researchet to evaluate of pediatric nursing competency. Data were analyzed by SPSS 16, and descriptive and interfrential statistics. Results: The mean score of self-assessment of general clinical competence from nurses’ viewpoint was 170. 88± 16. 31 and headnurses’ was (159. 47± 20. 91) and mean score of specific clinical competence of nurses and headnurses were (78. 47± 10. 41) and (74. 22± 11. 59), repectively. There was significant relationship between variables such as age, marital status, employment status, level of education and interest in nursing profession and clinical competence (P≤ 0. 05). Conclusion: Results showed that the mean score of general and specific clinical competence of nurses was higher than headnurses’ mean score. Clinical competence was satisfactory from the viewpoints of nurses and headnurses and periodic assessment of the level of clinical competence was conducted by nursing managers to promote clinical skills.

Introduction: Leadership style can effect on nurses’ retention, job stress, job satisfaction and quality of work life. However, studies have shown different findings. This study aimed to determine the correlation of head nurses’ leadership style from nurses’ perspective and nurses’ job stress.Materials and Method: This method of this study was descriptive-correlational. In this study, 120 nurses working in hospitals affiliated with Alborz University of Medical Sciences by random sampling were selected. For data collection the “Multifactor Leadership Questionnaire”, and “Health and Safety Executive Questionnaire” were used. Later face and content validity and internal reliability were measured. Data were analyzed by SPSS/20.Findings: Dominant head nurses’ leadership style from 52% nurses’ perspective was transactional leadership style and job stress of 73% nurses was low. The results showed that nurses’ job stress in transformational and transactional leadership style from nurses’ perspective was low. Transformational leadership style with job stress (r=-0.35, P<0.001) and transactional leadership style with job stress had a significant negative correlation (r=-0.32, P<0.001).Conclusion: Concerning the negative relationship between transactional and transformational leadership style with job stress, appropriate leadership styles of nurse managers could result in reduction of stress. It is recommended that nurse managers use transformational and transactional leadership styles. Managers also need to reduce stress-causing situations.

Background & Aim: Professional collaboration play an important role in workplace’ health in healthcare organizations. Improving this collaboration may effect on nursing job satisfaction. This study aimed to determine the correlation between nurse/manager professional collaborative behaviors ans nurses’ job satisfaction. Materials & Methods: This descriptive, correlational, and cross-sectional study was conducted in 2016. The subjects were 106 nurses, head nurses, and supervisors worked in two hospitals affiliated to Shiraz University of Medical Sciences The convenince sampling was used. Data were collected using Stichler Collaborative Behavior Scale and Index of work satisfaction. Data were analyzed by SPSS software version 22 using Independent t-test, Pearson correlation, Kruskal wallis test, and ANOVA. Results: The mean score of nurses’ s collaborative behavior and job satisfaction were 45. 72 ± 1. 07, and 158. 68 ± 2. 09, respectively. A significant association was found between nurse/manager professional collaborative behaviors and nurses’ job satisfaction (r=0. 45, P<0. 001). Conclusion: The results of this study indicated that the mean score of collaborative behavior and job satisfaction was at the midpoint of expected score and there were association between these two variables. Therefore, it is recommended to promote the collaborative behaviors by holding workshops and training courses.

Introduction: Improving patient safety is one of the main pillars of health services. On the other hand, the professional communication between the health team members and some personality characteristics of nurses, such as Assertiveness, can affect the quality of services provided to the patient. Therefore, this study aimed to determine how safety culture is associated with nurse-physician collaboration and Assertiveness from nurses' perspective. Material & Methods: A cross-sectional study was done in 2018, in this study300 nurses from 9 teaching hospitals located in South Khorasan province were selected through convenience sampling. Data were collected using the HSOPSC Hospital Safety Culture Questionnaire, Ushiro Nurse's Contribution, and Ratus Determinism. Finally, using SPSS-22 software, Pearson correlation and And analysis of the Amos route. Results: The results of the study showed that the mean and standard deviation of the safety culture score was 123. 40 ± 14. 26, the Assertiveness was equal to 1. 99 ± 14. 82 and the mean value collaboration was 81. 5 ± 17. 96. On the other hand, the results of Amos analysis showed that the cooperation of the physicians and nurse directly and Assertiveness indirectly affects the culture of safety. This is how Assertiveness influences the culture of safety through the collaboration of physicians and nurses. Conclusion: The findings suggest designing programs aimed at improving the relationship between physicians and nurses and enhancing the skill of nurses and thus enhancing patient safety.

2Professional ethics is based on human values, tasks, rights and responsibilities and affects the professional and organizational conditions of nurses. In this regard, the aim of this study was identifying framework of the dimensions of nurses' professional ethics from the point of view their and physicians. This study was done with qualitative method, using semi-structured interview, with the participation of 26 physicians medical ethics specialist, clinical specialist, clinical assistant and intern and 20 nurses based on theoretical saturation with the purposeful sampling method and after obtaining informed consent from them. Content analysis method was used for data analysis, which was done in MAXQDA version 18 software. Findings showed professional ethics was based on a four-dimensional framework; The professional ethics of nurses in relation to the patient (six sub-components), in relation to colleagues in different job categories (four sub-components), in relation to the profession (three sub-components) and in relation to the hospital and medical organizations (two sub-components). The reliability of the coding of the components was obtained based on the Kappa index equal to 0.88. Therefore, it can be said. Framework of the dimensions professional ethics of the point of view of nurses found meaning in relation to themselves and others (patients, colleagues, organization and profession). The nurses, knowing and observing the details and nature of these communications, as well as the individual rights of these people from their own point of view; they can properly implement the principles of professional ethics in advancing the goals of the organization and increasing the quality of service provision and the satisfaction of others and raising the status of the profession.

Introduction: To safely prescribe medication in clinic, drug calculation ability is one of the basic skills that nurses must have. The major cause of medication errors is wrong dose calculation prescribed by nurses. This study aims to enhance the drug calculation ability of nurses of Hazrate Fatemeh Zahra hospital of Najaf Abad.Method: It was a quasi-experimental approach in which questionnaire was used to collect data. The population was nurses working in Hazrate Fatemeh Zahra hospital of Najaf Abad. Sampling method was convenience sampling. First, by using a researcher made questionnaire, pre-test was conducted from 43 people of the population. Then, intervention was done through workshops and after three weeks, the post-test was done. Reliability determined by using internal consistency and by split-half reliability and calculating Spearman-Brown reliability coefficient was 0.93. Data analysed with SPSS statistical software version 18 and statistical tests such as independent t-test, sign, Wilcoxon, Mann-Whitney, McNemar and Pearson's correlation coefficient was performed.Results: Out of the 43 nurses participating in the study, 21 nurses (48.8%) were at the intermediate level before training and after training all the nurses (n=43, 100%) were at the advanced level and answered at least 83% of the questions correctly. Before performing drug calculations course, the mean score of female nurses was 14.52 and the mean score of male nurses was 18.93 and the total mean score of nurses was 15.93. In the beginning, there was a significant difference between the scores of male and female nurses (P<0.05) and male nurses had higher total drug calculation score. After taking the course, the mean scores of female nurses increased to 23.03 and male nurses to 23.29 and the total mean score of nurses to 23.12, and a significant difference between the scores of the nurses in the sample and in both males and females in the drug calculation test before and after the course was observed (P<0.05).Conclusion: The results of this study indicate an increase in drug calculation abilities of nurses based on their score improvement in drug calculation in written test which was performed before and after intervention. According to the findings, the need for nurses in drug calculations was clear and by planned and ongoing training, these skills that are sensitive in preventing medication errors can be increased. Considering the importance of the issue and the reduced mastery of drug calculations that has been observed, it is suggested that these programs continue in different working periods of nurses so that they would be effective.