IntroductionNursing care encompasses physical, emotional, mental and social needs, in order to improve a patient’s health and wellbeing. Caring is the central core and the essence of nursing. The important issue of care is access to proper care and increasing patients’ satisfaction. Job performance of nurses is affected by many factors including organizational commitment. This study aimed to determine the relationship between organizational commitment and nurses caring behavior.MethodsIn this cross-sectional study, 322 nurses from selected Hospitals of Shahid Beheshti University of Medical Sciences in Tehran were randomly selected and enrolled in the study in 2015. The self-reported data by nurses were collected through demographic characteristics questionnaire, Meyer & Allen organizational commitment model and Caring Behavior Inventory (CBI). Data were analyzed with SPSS statistical software version 20, using t-test and ANOVA.FindingsThe majority of nurses (63%) were female. The mean score and standard deviation of organizational commitment and caring behavior of nurses were 74.12±9.61 and 203.1±22.46, respectively. The results showed a significantly positive correlation between organizational commitment and caring behavior (p=0.001).ConclusionIn this study the caring behavior of nurses with higher organizational commitment were significantly better than the others. Managers and nurse leaders should pay more attention to improve organizational commitment of nurses, in order to improve nurses’ performance.

Background and aim Ethical sensitivity of nurses often plays an important role in their occupational commitment and moral decision-making. In some working conditions, nurses are affected by ethical distress and fail to pursue correct ethical actions despite having knowledge and a tendency for moral practice. Therefore, the present study aimed to investigate the correlation between sensitivity and ethical distress in the nurses of patients with spinal cord injuries. Materials and methods This descriptive-analytical study was performed on 160 of the nurses of patients with spinal cord injuries. The participants were selected through the purposive sampling method out of the nurses in Khatamolanbia and Sasan hospitals, Tehran, Iran. Data collection tools included the Moral Sensitivity Questionnaire by Han and Corley’s Moral Distress Scale. Data were analyzed by the independent t-test and Pearson correlation coefficient using the SPSS software version 19. Results The mean values of ethical sensitivity was 80.48 ± 14.45 and ethical distress among the subjects was 62.39 ± 3.54. Moreover, a significant negative correlation was observed between moral sensitivityand moral distress (P<0.05, r = −0.37). Conclusion According to the results of this study, increased ethical sensitivity is associated with diminished moral distress among the nurses of patients with spinal cord injuries. On the other hand, moral sensitivity is of considerable importance in nurses, especially in taking care of patients with special conditions. Consequently, it is recommended to provide some conditions for maintaining and enhancing ethical sensitivity in nurses taking care of patients with spinal cord injuries.

Background: Advances in surgical and medical management have significantly reduced the length of time that patients with spinal cord injury have to stay in hospital; however, less attention has been paid to their psychological issues. Objectives:This study aimed to determine the effect of self-care program training on self-efficacy in veteran with spinal cord injury. Methods: This study is a randomized control trial study that in that pre-test/post-test plan with the control group was used. All of the veterans with paraplegia spinal cord injury, who referred to a private hospital in 2017 -2018, were our statistical study population. Sixty veterans were selected based on the inclusion criteria and purposive sampling method and randomly divided into two groups of experimental and control by using a table of random numbers. For the intervention group, six sessions of a 60 -45-minute selfcare education were performed. Patients filled Moorong self-efficacy scale before, one week and one month after the intervention. SPSS statistical software version 19 was used to analyze the data using chi-square, Fisher's exact test, independent t-test, and repeated measures. Results:The results showed that no significant difference was between the two groups of the intervention and control in terms of demographic characteristics. The mean self-efficacy score was 39.26 ± 4.03 in the intervention group, and 38.56 ± 3.99 in the control group before the intervention, which reached to 43.86 ± 5.15 and 38.36 ± 3.89 one week and 51.16 ± 5.36 and 39.26 ± 4.16 one month after the implementation of the intervention, respectively and this difference was significant in the intervention group (P ≤ 0.001).Conclusions: According to the results, self-care program training is effective in self-efficacy of veterans with spinal cord injury. Therefore, this method is simple, non-invasive, low-cost, and effective in increasing self-efficacy and the treatment of these veterans, which may be applied to nurses.

Background: Pain management after sheath removal is one of the most significant points in patient care. The use of a simple, practical, and combined method in this field is essential. The purpose of this study was to evaluate the efficacy of an intervention program for pain intensity reduction in patients undergoing arterial sheath removal after coronary artery angioplasty. Methods: This semi-experimental study was conducted in 2020 on 90 eligible patients selected via the purpose-based method and randomly assigned to experimental and control groups. The intervention program for the experimental group included training to relax the abdominal muscles, deep and slow breathing, and precise pressure on the femoral pulse. Pain intensity was measured before, during, and several times after arterial sheath removal. The independent t, Fisher exact, and χ2 tests were used to analyze the data. Results: Women comprised 66.6% of the study participants, who had a mean age of 58.20±8.70 years. No significant differences were observed concerning pain intensity, bleeding, pseudoaneurysm formation, and hematoma between the 2 groups before the intervention (P=0.531). However, during the intervention and in the fifth and tenth minutes after the intervention, pain intensity was lower in the experimental group (P<0.050), whereas no such differences were observed regarding bleeding, pseudoaneurysm formation, and hematoma. Conclusions: Given the effectiveness of our intervention program in ameliorating pain intensity and vasovagal response after arterial sheath removal, we suggest that this program, along with prescription drugs, be used for the management of patients’ pain.