2024 Impact Factor: 1
2024 CiteScore: 1.9
pISSN: 2383-1154
eISSN: 2383-1162
Editor-in-Chief:
Reza Negarandeh
This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE).
Articles in Press
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. -
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 in 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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Background & Aim: Bullying is a significant issue affecting adolescents' mental well-being, with emotional regulation playing a key role in preventing such behavior. In Bandung, high rates of bullying among high school students indicate the need for effective prevention strategies. Nurse-led interventions, combined with soft skills training, offer a promising approach to improving emotional regulation and reducing bullying. This study examined the effect of the Nurse-Led ROOTS Program integrated with Soft Skills Training on emotion regulation among high school students in Bandung City.
Materials & Methods: A class-cluster randomized pretest–posttest control-group study was conducted in July 2025 in two high schools in Bandung, Indonesia. A total of 100 students aged 13-18 years were randomly assigned at the class level to an intervention group (n= 50) or a control group (n= 50). The intervention was delivered over 8 weeks through nurse-led face-to-face sessions. Emotion regulation was measured using the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) at baseline and post-intervention. Statistical analyses included descriptive statistics, Mann–Whitney U tests, Wilcoxon signed-rank tests, and mixed-effects ANCOVA.
Results: Baseline ERQ-CA scores did not differ significantly between groups (p> 0.05). The intervention group showed a significant improvement in total ERQ-CA scores (28.9±4.7 to 36.2±4.3; p< 0.001; r= 0.72), with the largest gains observed in the cognitive reappraisal dimension, whereas the control group showed no significant change (p= 0.218). At posttest, the intervention group had significantly higher ERQ-CA scores than the control group (p< 0.001; r=0.69).
Conclusion: The Nurse-Led ROOTS Program integrated with Soft Skills Training significantly improved emotion regulation among high school students in Bandung. This nurse-facilitated, peer-leadership approach may represent a scalable strategy to strengthen adolescent mental health and support violence prevention in school settings.Trial registration: ClinicalTrials.gov Identifier: NCT07261397.
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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 in compassion fatigue. This study aimed to identify the factors influencing nurses' spiritual orientation and compassion fatigue, and to examine the relationship between these two variables.
Materials & Methods: This cross-sectional and correlational study was conducted with 346 nurses between July 2023 and October 2023. The data were collected through a web-based questionnaire created on Google Forms. The "Introductory Information Form", "Compassion Fatigue Scale", and "Spiritual Orientation Scale" were used to collect the data. Data were analyzed using SPSS 22.0 statistical software.
Results: It was determined that the spiritual orientation scores of the nurses were high(93.180±20.51) and their compassion fatigue levels were moderate(66.110±22.04). Nurses’ spiritual orientation was affected by sex, educational status, working unit, attitude towards profession, and doing the profession with love. Compassion fatigue scores were affected by having children, working unit, working time in the unit, attitude towards profession, and doing the profession with love(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' occupational burnout and spiritual orientation levels.
Conclusion: These results suggest that factors influencing compassion fatigue are not limited to spiritual orientation alone, but may include other factors besides it. In this context, it would be important to conduct more comprehensive follow-up studies to examine the relationship between the two concepts and to address the factors that may influence it.
