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Original Article(s)

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    Background & Aim: Nurse-physician collaboration is a fundamental component of interprofessional healthcare, where nurses and physicians share responsibilities and work-related goals to improve patient outcomes. This study aims to assess nurses' perceptions of nurse-physician collaboration in the emergency departments in Gaza Governorate, Palestine.
    Methods & Materials: A cross-sectional study was conducted between January and April 2023, involving a census sample of 205 emergency department nurses working in Ministry of Health hospitals. Data were collected using the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration, a 15-item questionnaire that quantifies these attitudes in a meaningful way. Higher scores indicate a more positive attitude toward interprofessional collaboration. Four domains (shared education and collaboration, responsibility and role expectations, nurses’ autonomy, and physicians’ authority) represent the intricate factors that influence IPC in Ministry of Health hospitals. A validated self-administered questionnaire was employed.
    Results: The findings revealed a high level of nurse-physician collaboration in governmental hospital emergency departments in Gaza, with an overall weighted mean of 78.4%, indicating a positive perception among nurses. Among the four dimensions of nurse-physician collaboration, nurse autonomy ranked highest (88.2%), followed by responsibility and role at 87.9%, and shared education & collaboration at 87.3%. However, physician authority ranked lowest, with a relative weight of 50.0%, suggesting a perceived imbalance in decision-making authority within emergency departments.
    Conclusion: The study highlights a strong positive attitude toward nurse-physician collaboration among nurses in Gaza’s governmental hospital emergency departments. However, the low perception of physician authority suggests the need for further investigation into interprofessional dynamics.

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    Background & Aim: Systemic Lupus Erythematosus has physiological, cognitive, and mental effects on sexual satisfaction in afflicted women. This study aimed to investigate the effect of sexual counseling based on the EX-PLISSIT model on sexual satisfaction in this group of patients.
    Materials & Methods: A randomized controlled trial was conducted on 120 married women with SLE in Ahvaz, Iran. Eligible women were randomly assigned to the intervention group (four weeks of psychosexual counseling sessions based on EX-PLISSIT) and the control group, using block randomization with a 1:1 allocation ratio. Before the intervention and eight and twelve weeks after the completion of counseling sessions, the Larson Sexual Satisfaction Questionnaire was administered. Data was analyzed using independent t-tests, paired t-tests, Chi-square test, and repeated measures ANOVA.
    Results: There was no significant difference in sexual satisfaction scores between the two groups before the intervention (p₌0.718). Following the intervention, the mean sexual satisfaction score in the intervention group significantly increased (from 93.8±15.59 to 104.5±13.32 after 12 weeks), while a significant decrease was observed in the control group. At the 12-week follow-up, the mean satisfaction in the intervention group was significantly higher than the control group (p<0.0001). Repeated Measures ANOVA confirmed a significant difference in the trend of changes between the two groups over time (p<0.0001).
    Conclusion: The results demonstrated that sexual counseling based on the EX-PLISSIT model significantly enhanced sexual satisfaction in married women with SLE compared to the control group. Therefore, this type of counseling is recommended as an effective and simple adjunctive therapeutic service for enhancing sexual satisfaction in women with SLE.

    Trial registration: This study has been registered with the Iranian Registry for Clinical Trials (IRCT20230626058592N2).

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    Objective: This study aims to determine the effect of the Nurse-Led ROOTS Program combined with Soft Skills Training on improving emotional regulation of high school students in Bandung City.

    Method: The study used a quasi-experimental design with a pretest–posttest control group design. A total of 100 students aged 13–18 years participated (intervention group n=50; control group n=50) from High Schools Students in Bandung, selected by purposive sampling. The intervention was implemented for 8 weeks with 60–90-minute face-to-face sessions facilitated by the school nurse and a teacher. Emotion regulation was measured using the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA). Because the data were not normally distributed, analyses were conducted using the Wilcoxon Signed Rank Test for changes within groups and the Mann–Whitney U Test for comparisons between groups. Effect sizes were calculated using the r value of the effect size.

    Results: The intervention group showed a significant increase in total emotion regulation scores (ERQ-CA: 28.9 ± 4.7 to 36.2 ± 4.3; p < 0.001; r = 0.72), particularly in the cognitive reappraisal dimension. The control group showed no significant change (p = 0.218). Intergroup analysis revealed a significant difference in posttest scores (p < 0.001; r = 0.69).

    Conclusion: The Nurse-Led ROOTS program, integrated with Soft Skills Training, is effective in improving high school students' emotional regulation skills. This peer-led leadership approach, facilitated by school nurses, can serve as a sustainable model for promoting adolescent mental health and preventing aggressive behavior in educational settings.

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    Background&Aim: In the nursing profession, which is in intense emotional interaction with people, spiritual orientation is thought to be an effective factor on compassion fatigue. This study aims to examine the relationship between nurses' spiritual orientation and compassion fatigue.

    Methods&Materials: The data of the study, which was designed as a cross-sectional study, were collected between July,2023-October,2023. The "Introductory Information Form", "Compassion Fatigue Scale" and "Spiritual Orientation Scale" were used to collect the data. The data were collected through a web-based questionnaire created on Google Forms.

    Results: The average age of the nurses is 31.30±6.54. It was determined that the spiritual orientation scores of the nurses were high and their compassion fatigue levels were moderate. The compassion fatigue scores of the nurses differ according to the unit they work in, the length of time they work in the unit, their attitude towards the profession, and their love for the profession(p<0.05). No statistically significant relationship was found between nurses' spiritual orientation and compassion fatigue(p>0.05). A weak negative relationship (r=-0.142; p=0.008) was found between nurses' professional burnout and spiritual orientation levels.

    Conclusion: Nurses' compassion fatigue and spiritual orientation are affected by various factors. Our results showed that there is no relationship between compassion fatigue and spiritual orientations. In this context, conducting more comprehensive and follow-up studies will be important in examining the relationship between the two concepts.