Being torn by inevitable moral dilemma: experiences of ICU nurses

Background: Ethical decision-making of nurses could affect patients� recovery and also decrease medical costs. To make ethical decisions, ICU nurses experience complicated ethical conflicts. Considering the multi-dimensional process of ethical decision-making, the present study was conducted to describe the experiences of ICU nurses regarding ethical decision making. Method: The present research is a qualitative study with conventional content analysis approach that was done in 2020. Fourteen ICU nurses were interviewed using a semi-structured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using Granheim and Landman approach. Results: Being torn by inevitable moral dilemma was defined as the main category which contained the categories of conflict with professional self, feeling squeezed between self-authority and demands of others, and Surrounded by organizational limitations. Conclusions: Results of the present study showed that moral dilemma is a situation in which the nurses are forced to choose between two options based on their equipment and facilities. In these situations, the nurses would hesitate between their internal conflicts and confusion between choosing their own benefits and patients� benefits. To prevent ethical challenges in decision making, it is necessary to educate healthcare team about ethical dilemmas and empower the personnel for encountering ethical challenges. © 2021, The Author(s)

�Iranian perioperative Nurses� Perception of Moral Courage and Its Relationship with the Professional Values

Introduction: Nowadays, the concept of moral courage in nurses has gained a lot of attention due to the interest in moral virtues. In addition, the main part of the professional performance in nursing consists of professional values. The present study aims to evaluate the perception of perioperative nurses of moral courage and the relationship with professional values among perioperative Nurses� of the university hospitals. Design: In this cross-sectional study, the data were collected by moral courage questionnaire of Sekerka, and the of Shank and Wies� nursing professional values. 110 perioperative nurses from seven university hospitals were selected. The data were analyzed (SPSS ver=16). Findings: The mean score, 87.96±13.06, represented in perioperative nurses. In addition, the mean score of professional values was 103.05±14.61, which displayed a positive attitude of perioperative nurses toward the professional values. Moral courage demonstrated a strong statistical relationship with professional values (r=0.67, P<0.0001) Conclusion: Based on the results, a high relationship was observed between moral courage and professional values. Therefore, supporting the moral capacities of nurses can result in providing value-based care in an organization. © 2020, Advanced Scientific Research. All rights reserved

Investigating the relationship between corona anxiety and nursing care behaviors working in corona's referral hospitals

Objectives The prevalence of Coronavirus and its health-related psychosocial consequences is one of the most important human social events of the 21st century. Nurses, due to close contact with patients, are vulnerable to be infected with Covid-19. Therefore, they face severe psychological consequences. This study aimed to determine the relationship between Corona�s anxiety and nursing care behaviors in working in Corona referral hospitals in Kerman in 2020. Methods The present study is cross-sectional descriptive-correlational research. Sampling was per-formed by the census method. A total of 166 nurses entered the study. In the present study, three demographic questionnaires, the Corona Disease Anxiety Scale (CDAS) and Caring Behaviors Inventory (CBI) were used. The analysis was done using Descriptive and Inferential statistics SPSS V. 18 software Results The overall score of Corona anxiety among the nurses was 21.39±9.8, and the overall score of the nursing behavior of the studied nurses was 109.7±4.2 with a range of 94 to 118. Spearman�s correlation coefficient showed that there was no significant relationship between corona anxiety and caring behaviors. Conclusion The present study showed that nurses working in corona wards suffer from moderate anxiety, and the level of caring behaviors provided by nurses was optimal. According to the current study findings, it is suggested that during the outbreak of emerging and epidemic diseases, to reduce nursing staff�s anxiety, coping strategies and resilience skills, and problem-solving, managers should pay more attention. © 2020, Iran University of Medical Sciences. All rights reserved

Fructosamine and glycated hemoglobin level in pregnant women with abnormal glucose challenge test

Background and Objective: Gestational diabetes is affected 3-12% of women and occurs at the final stage of second trimester. This study was done to determine the fructosamine and glycated hemoglobin level in pregnant women with abnormal glucose challenge test. Methods: This case – control study was carried out on 96 pregnant women with glucose challenge test (GCT)>140 mg/dl as cases and 96 pregnant women with GCT<140 mg/dl as controls. The serum fructosamine and glycated hemoglobin determined using ELISA and chemical methods, respectively. Results: In pregnant woman with abnormal GCT, there was a significant correlation with glycated hemoglobin and fructosamine. The glycated hemoglobin correlation was more significant compared to fructosamine (0.63 to 0.24). There was not significant correlation between GCT with fructosamine and glycated hemoglobin in individuals with normal GCT. Conclusion: The measurement of glycated hemoglobin is more accurate than fructosamine in pregnant women with abnormal glucose challenge test

Resilience as the predictor of quality of life in the infertile couples as the most neglected and silent minorities

Background: It has been demonstrated that infertility can affect quality of life (QoL) in infertile couples. Resilience is considered a protective factor against the distress caused by infertility and the quality of life status. There is a new definition for Fertility Quality of Life that evaluates particularly the impact of infertility on various aspects of life. Material and methods: In this couple-based study, the main objective was investigating the quality of life based on the gender and resilience of infertile couples. Measurement tools were three questionnaires including a demographic one, a quality of life of infertile couples questionnaire and the Connor�Davidson Resilience Scale. Data analysis was done through paired t-test and linear multiple regressions test. Results: Overall the difference of mean score for QoL is statistically significant (P > 0.001) between men and women (69.48 vs 58.87), which means that QoL status was positive in men and neutral in women. In addition, the mean score of male resilience was more than female resilience (P = 0.009). The results showed there was a significant and positive correlation between the QoL status and resilience score (P = 0.008, r = 0.13) (P < 0.1), and resilience (β = 0.04 and P = 0.04) had a significant protective effect on the quality of life. Conclusion: Low resilience status in infertile couples is better to be considered as a risk factor compromising the quality of life and infertility consolers should keep in mind this issue and provide a comprehensive and holistic approach for a better outcome of infertility treatment. Abbreviations: QoLICQ: Quality of Life in Infertile Couple Questionnaire; CD-RISC: Connor�Davidson Resilience Scale; IVF: in vitro fertilisation; ART: assisted reproductive technique; PTSD: posttraumatic stress disorder; IUI: intrauterine insemination; ICSI: intracytoplasmic sperm injection. ©, Society for Reproductive and Infant Psychology

Predictors of Quality of Life in Infertile Couples

Objectives: This study was conducted with the aim of examines the quality of life of infertile couples and their relationship with the practical resilience of infertile couples referring to Yazd's centers of infertility. Methods: This research is a descriptive-correlational study. The research population consisted of all infertile couples who referred to Infertility Centers in Yazd, Iran in the winter of 2016. Sampling was conducted in a non-random and accessible manner. The instrument used in the research included a) demographic information questionnaire, b) Conner and Davidson's Resilience Scale, and c) quality of life infertile couples questionnaire. Data were analyzed by SPSS software version 17 at a significant level of P < 0.05. To describe the data, descriptive statistics methods were used and the inferential statistics (Pearson correlation coefficient, regression, independent t test, and variance analysis) were used to test the research hypotheses. Results: People (202 couples) participated in this research. Three variables of resilience (β = 0.04, P = 0.04), gender (β = -0.22, P < 0.001), and education level (β = 0.21, P < 0.001) had a prediction coefficient and there was a significant relationship with quality of life. Conclusions: This study showed that resilience, gender, and education predict the quality of life of infertile couples. In the infertile couples counseling program, resilience should be considered as a coping facto