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Introduction: This study was conducted to investigate the effect of patient education and telephone follow up by the nurse on the level of hope in patients suffering from heart failure. Methods: In this study, 189 patients suffering from heart failure were chosen using the convenient sampling method and randomly were assigned into two experiment and one control groups. The control group received only usual care. The first intervention group received one hour education and also one educational booklet at the time of discharge. The second intervention group received telephone followed up by the nurse three months after discharge and also one hour education and educational booklet at the time of discharge. Data was collected using miller hope and demographic data questionnaires. Data was analyzed using descriptive and inferential statistics. Results: There was no significant difference between the mean of hope in the groups (P=0.354). After the intervention, a significant difference was reported between the mean of hope in the groups (P=0.004). Conclusion: Patient educations at discharge and telephone follow up after discharge as a cost-effective method by the nurse significantly increase hope in patients suffering from heart failure.

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Introduction: Clinical education is the most important part of nursing education and is expected to provide the students with necessary clinical skills. Nursing students face with many clinical education problems in pediatric ward. This study aimed to investigate the clinical education problems in pediatric ward. Method: This cross-sectional study was performed on forth year students and graduate nurses affiliated to Bushehr University of medical sciences. Methods of sampling were census. Data gathering tool was a questionnaire consist of two parts: 1 - Demographic characteristics 2 - Inventory problems of clinical education in pediatric ward. Reliability and validity of the questionnaire were measured. Data analyzed using SPSS version 18. Results: The most important difficulties in clinical education from the students’ viewpoint were deficiency of facilities, lack of access to the Internet, lack of pediatric scientific journals in the hospital library, unsuitable hospital library location, and lack of students' evaluation based on training objectives by clinical educators, unclear curriculum and training objectives by clinical educators. Conclusion: It is recommended that nursing education administrators and planners improve students' learning and motivation by application of the results of this research.

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Introduction: Currently, medical advances ensure life-expectancy of chronic patients such as thalassemia. Improvement in the quality of life of these patients requires that medical treatment be combined with psychosocial support. The present study aimed at investigating the effect of self-management empowerment model on the quality of life in adolescents and youth with major thalassemia. Method: This was randomized clinical trial in two groups. 70 Eligible adolescents and youths with major thalassemia were selected through census in Bushehr and Borazjan thalassemia center. Samples were allocated to case and control groups. Data collection tool was quality of life questionnaire (SF-36). Intervention was performed in three stages. post-test was performed 1.5 months after pre-test in control group and 1.5 months after intervention in case group. Data were analyzed using SPSS version 18 and chi-square, independent t-test, and mann-witney (P<0.05). Results: There was no statistically significant difference in terms of demographic data between the two groups (P>0.05). As a result, mean difference of eight dimensions of SF-36 quality of life were statistically significant between case and control groups before and after the intervention (P<0.0001). Conclusion: Education based on self-management empowerment model has a great impact on the quality of life in adolescents and youth with major thalassemia.

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Introduction: Attention deficit hyperactivity disorder is one of the most common psychiatric disorders in children. The present study aimed to evaluate the effectiveness of stress management program using cognitive behavior approach on mental health of mothers of children with attention deficit hyperactivity disorder. Method: In this interventional study, 52 mothers of the children with attention deficit hyperactivity disorder were randomly allocated into two intervention and control groups. The general health questionnaire was used to measure mental health. In addition, depression - anxiety - stress scale (DASS-21) was used to measure stress. The two instruments were completed by mothers at baseline and immediately one month after the intervention. Cognitive-behavioral stress management program was consisted of eight sessions, each held for 90-minute for 8 weeks. This study was conducted in specialty and subspecialty clinic of Imam Reza and Hafez Hospital in Shiraz in 2012. Results: Data were analyzed with SPSS version 16, repeated measures one-way ANOVA., and independent- samples t-test. At the baseline, no significant difference was found among the three groups regarding the means of stress, anxiety, depression, and mental health. However, there was a significant difference immediately after the intervention. In the intervention group, mean score of stress was significantly lower (12.29±4.32) than the control group (14.77±3.69) (P=0.001). Also, mean score of mental health in the intervention group (20.50±10.56) was significantly lower than the control group (33.70±12.60) (P=0.009). One month after the intervention, mean difference of stress and mental health scores was still significant in the intervention group (P=0.001 and P=0.004). Moreover, mean difference of anxiety and depression for intervention group was significant (P=0.005 and P=0.008). Conclusion: Stress management program had a statistically significant influence on the mental health of mothers of the children with attention deficit hyperactivity disorder.

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Introduction: In recent years, fatigue in the nursing population has been an interesting topic and has been a public complaint among them. Therefore, due to the problems and costs incurred in Efficiency and job performance of nurses, it is essential to use an effective and successful treatment to reduce fatigue. The purpose of this study was to investigate the effectiveness of cognitive behavioral Education based on fatigue on dimensions of fatigue among nurses of Intensive care units.
Methods: The design of this research was a semi-experimental and pre-test, post test with control group. The statistical population of this study consisted of all women nurses of Intensive care units in 1396. In this research, the sampling was done by convenience sampling method, and then, based on the student list, 40 nurses were selected among the nurses who were willing to participate in the research, and finally, they were randomly assigned into two control and experimental groups. The intervention group received 8 sessions of 90 minutes cognitive - behavioral education based on fatigue and the control group did not receive any intervention. To collect the research data, questionnaires of fatigue impact scale of Fisk was used. The collected data were analyzed by using covariance analysis in SPSS21 software
Results: The results of covariance analysis showed that cognitive behavioral education based on fatigue decreased fatigue (physical, cognitive and social) of nurses in experimental group compared to control group (p<0.001).
Conclusions: Based on the results of this study, cognitive-behavioral education based on fatigue can be used to reduce the symptoms of fatigue (physical, cognitive and social) of nurses.

 

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Introduction: Research has found that perceived stress is associated with Problematic mobile use. However, the mechanisms underlying that relationship need further investigation. So, the current study aimed to investigate the mediating role of depression and anxiety symptoms in the relationship between perceived stress and problematic mobile phone use.
Methods: The research was descriptive – correlational. From the nursing students’ population of Islamic Azad University of Medical Sciences in academic year of 2019-2020, a total of 243 students were selected via convenience sampling method and were tested by Perceived Stress Scale (PSS), Beck Anxiety Inventory (BAI), Cell-phone Over Use Scale (COUS), and Beck Depression Inventory-II (BDI-II); and was analyzed using the pearson correlation and path analysis.
Results: The results showed that direct significantly positive effects of perceived stress (β = 0.11, P<0.01), depression symptoms (β = 0.23, P<0.01), and anxiety symptoms (β = 0.17, P<0.01) on problematic mobile phone use. The results also showed a significant role of depression symptoms (β = 0.10, P<0.01) and anxiety symptoms (β = 0.06, P<0.05) in the relationship between perceived stress and problematic mobile phone use.
Conclusion: Based on the findings, it can be concluded that perceived stress through depression and anxiety symptoms has a negative effect on problematic mobile phone use. Therefore, paying attention to interventions and training to manage negative emotions can be a good way to prevent and reduce the Problematic use of mobile phone.
 

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Introduction: Educating nurses and nursing students about spiritual principles and values ​​helps them to have a deep understanding of moral problems and ideas. However, the issue of spirituality is not included in the moral education content. The purpose of this study was to investigate the effect of spiritual care training on moral sensitivity in nursing students.
Methods: The present study was a randomized controlled intervention study. A total of 58 7th semester nursing students of Tabas Nursing School and Ferdows Paramedical School affiliated to Birjand University of Medical Sciences were enrolled in the study by complete enumeration method in 2020. The two schools were divided into two groups of intervention (29 people) and control (29 people) based on coin toss. The spiritual care training program in the intervention group was conducted as a 5-session workshop (4 sessions of 90 minutes and one session of 120 minutes) and then a two-month follow-up period. The instruments used included a standard moral sensitivity questionnaire and a demographic information form. Data were analyzed using SPSS software version 16 using descriptive statistics like mean and standard deviation and inferential statistics like Friedman and Mann-Whitney U at the significant level of P <0.05.
Results: The mean score of moral sensitivity before the intervention was not statistically different between the intervention (72.62± 13.37) and control (75.10± 9.72) groups (p = 0.42). The mean score of moral sensitivity immediately after the intervention in the intervention group (87.03±13.14) was significantly higher than the control group (76.38±7.83) (p <0.001). Also, the mean score of moral sensitivity two months after the intervention in the intervention group (85.31 ± 9.43) was significantly higher than the control group (77.86±8.64) (p = 0.003). The results also showed that the mean score of the components of moral sensitivity including respect for the client's independence, knowledge of how to communicate with the patient, experience of moral problems and conflicts and application of moral concepts, immediately after the intervention and components of respect for the client's independence, experience of experience of moral problems and conflicts and application of moral concepts were significantly higher in the experimental group than in the control group two months after the intervention (p <0.05).
Conclusion: According to the results of this study, it is suggested that the spiritual care training program of nursing students to be included in educational programs while studying or their curriculum in order to develop the moral sensitivity.

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Introduction: Patients' adherence to treatment is one of the behaviors that can reduce the negative effects and severity of coronary artery disease.This study aimed todetermine the effect of educational program based on information, motivation, and behavioral skills model on adherence to treatment of patients after coronary angioplasty.
Methods: This experimental study was performed on 80 patients who underwent angioplasty at least 9 months ago. Participants were selected by convenience sampling method from among the eligible patients referred to the specialized heart clinic of Razi Hospital in Birjand in 2020. The patients were randomly divided into two groups of 40, experimental and control using a table of random numbers. The experimental group was trained in 6 sessions of 60-90 minutes based on information, motivation, and behavioral skills model. The control group received routine care. Then, the study instrument was completed for all participants immediately and one month after the intervention. Data were analyzed in SPSS software version 16 using descriptive and inferential statistical methods.
Results: There was a significant difference between the mean score of adherence to treatment at the time immediately (4.01±0.22) and one month after the intervention (3.93±0.25) compared to the time before the intervention (3.66±0.39) in the experimental group (p <0.001). The mean score of components of trust in treatment, adaptability, integration of treatment with life, and commitment to treatment significantly increased in the experimental group immediately and one month after intervention (p < 0.05). Also, the components of willingness to participate in treatment and stick to the treatment showed a significant increase in the experimental group after the intervention (p < 0.05).
Conclusions: An educational program based on information, motivation, and behavioral skills model can be considered by nurses, physicians, and relevant managers to promote the concept of adherence to treatment in patients after angioplasty.

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Introduction: Lumbar disc herniation surgery is one of the most common spinal surgeries and postoperative care behaviors play an important role in the healing process. This study aimed to design and psychometric a questionnaire to assess patients' postoperative care of lumbar disc or discectomy.
Methods: This is a psychometric study and was conducted in two parts of questionnaire design and its validity and reliability in 2021 in Tehran province. In this study, the tool used was a questionnaire to assess knowledge, attitude and behavior, which was designed using scientific sources, studies and expert opinions. To evaluate the content validity, the content validity ratio and the content validity index were used using the opinions of 10 experts. Test-retest methods were used to evaluate the internal reliability and Cronbach's alpha was used to evaluate the external reliability. 
Results: The designed questionnaire contains 38 items that measure 14 items of knowledge, 13 items of attitude and 11 items of practice about patients' caring behaviors after lumbar disc herniation surgery. The content range and content validity index were determined (0.49-1.00) and (0.8-1.00), respectively, and for their impact scores (<1.5), the intra-class correlation range and Alpha Cronbach and Richardson's Kuder coefficient were calculated for the reliability of the three-scale items (0.767-0.977) and (0.75-0.86), respectively. The researcher-made questionnaire was finalized with 38 items and approved.
Conclusions: The present study showed that the designed questionnaire has good validity and reliability and can be used to assess the knowledge, attitude and behavior of assessing patients' postoperative care of lumbar disc or discectomy
 

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Introduction: Teamwork is crucial in the operating room to ensure quality patient care and good outcomes. However, various factors affect the effectiveness of teamwork in the operating room. Therefore, the purpose of our study was to investigate the attitude and perception of operating room staff toward teamwork and associated factors.
Methods: In this cross-sectional study 267 people were recruited by convenience sampling technique from 5 teaching hospitals in Ahvaz, Iran in 2023. The "T-TPQ and T-TAQ" were used to evaluate teamwork in the operating room. Data were analyzed by SPSS v26 using descriptive and analytical tests.
Results: The mean scores of perceptions and attitude towards teamwork were reported as 3.86 ± 0.4 and 3.78 ± 0.5, respectively. Also, there was no significant relationship between the variables of age, sex, education level, and type of operating room, dominant shift, role, work experience and the amount of monthly activity hours to perception teamwork. But the attitude towards teamwork was a predictor variable for the perception of teamwork in operating room.
Conclusion: The present study showed a positive attitude towards teamwork among operating room personnel, but none of the demographic variables had any effect on the nurses' perception and attitude towards teamwork. In addition, the findings showed that the attitude towards teamwork is effective on the perception of the teamwork of the personnel. Therefore, it is suggested to increase the staff's perception of teamwork in the operating room by providing the necessary training and improving the attitude towards teamwork.