The Effectiveness of Doctoral Program in Nursing in Iran Based on the Patrick Model

Background: Doctoral program in nursing aims to train nursing professionals and managers to improve the quality of care and ultimately to promote public health. Some critics believe that in Iran this program mostly focuses on training instructors and researchers and neither improves the function and position of nursing discipline nor meets the needs of the community. Objectives: The present study aimed to determine the effectiveness of nursing doctoral program based on the Patrick model from the perspective of nursing doctoral students. Materials and Methods: This cross-sectional study was conducted on 90 nursing students who were conveniently selected from seven nursing schools. A questionnaire designed based on the Patrick model was used. Descriptive statistics, simple and multiple regression analysis were used to analyze the data. Percentage of the effectiveness scores was reported. Results: The mean score of effectiveness of the nursing doctoral program was 84.76 ± 2.73, which assumed a good level. Multiple regression analysis showed that job status and being native in the field of education explains 11% of the variance in the effectiveness score. Conclusions: Although the efficacy of nursing doctoral program is good, however, it needs revision to enhance the outcomes of the program in order to meet public needs and to increase learners’ satisfaction

Impediments to the formation of intensive care nurses� professional identify

Background: Nurses face challenges regarding professional identify. Being unaware of these challenges and not owning positive professional identify leads to a lack of self-confidence. Thus, nurses face problems in interpersonal communication and lose their attachment to their profession. Few studies have engaged with impediments to forming positive professional identity in relation to intensive care nurses. Objective: The purpose of this study is to investigate the impediments to forming positive professional identity in nurses working in intensive care unit. Research design: In this study, the conventional content analysis method was used in order to obtain the impediments to forming positive professional identities in nurses. Data were collected through 15 semi-structured interviews and 2 focus group interviews from March 2015 to June 2016. Purposive sampling was used and participants were recruited until data saturation was reached; they were then analyzed using the conventional content analysis method. Participants and research context: In total, 24 intensive care unit nurses from one hospital in Northern Iran were selected through purposive sampling. Ethical consideration: This study was approved by the Ethics Committee of Shiraz University of Medical Sciences. Findings: Four main themes of professional identity challenges were extracted from the analysis of the data: neglect of professional status of nursing; distrust of nursing knowledge; unprofessional performance; and low professional attraction. Discussion and conclusion: Nurses stated that the neglect of the professional status of nursing and distrust of nursing knowledge have always been a hindrance in forming a positive professional identity. They also mentioned that unprofessional performance and low professional attraction are the other influencing factors in this regard. Thus, detecting these factors can guide nurses and their managers towards creating positive professional identity, and as a result, will improve their job satisfaction, professional advancement, and durability. © The Author(s) 2018