Background: The health system reform plan (HSRP) is one of the recent reforms adopted in the health system of Iran. Objectives: This study aimed to investigate the effect of implementing of the HSRP on the performance indicators of teaching hospitals in Iran.

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Background and Purpose: Currently, the high prevalence of COVID-19 and increased workload in hospitals has posed a threat to the physical, mental, and emotional health of nurses. The present study was an attempt to investigate the workload and its relationship with job stress of nurses in COVID-19 reference hospitals in southern Iran. Materials and Methods: This descriptive-analytical and cross-sectional study was conducted in 2021 on 431 nurses from COVID-19 reference hospitals in southern Iran. Data collection tools included the NASA workload and OSIPOW job stress standard questionnaires. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient in SPSS23 Software and at a significance level of 0.05 Results: The mean age and work experience of the nurses participating in the study were 31.03±5.23 and 6.42±4.61, respectively. The mean scores of the workload and job stresses were 83.64 ± 17.24 (of 100) and 236.68 ± 16.54 (of 300), respectively. Mental load dimension (85.81 ±19.31, of 100) among workload dimensions and role workload dimension (43.62 ± 19.14, of 50) among job stress dimensions had the highest mean score. Thus, there was found a statistically significant relationship between workload and job stress of nurses (P= 0.04, r= 0.19). Conclusion: Workload and job stress of the studied nurses were estimated at a high level. There was a significant positive correlation between these two variables, and increasing workload resulted in an increase in job stress.

Background and Purpose: COVID-19 could be a threat to healthcare workers' mental health. This study was conducted to investigate job burnout and its relationship with the resilience level of the personnel in the COVID-19 treatment hospital in southern Iran. Methods: This descriptive-analytical cross-sectional study was conducted in 2021 on 496 personnel of Hazrat Ali Asghar (AS) Hospital selected as the center of COVID-19 in southern Iran. The participants of the study were selected using the census. Data collection tools were the standard Maslach Burnout Inventory (MBI) and Connor-Davidson Resilience Scale (CD-RISC). Data analysis was performed using t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression in SPSS23 at a significance level of 0.05. Results: The mean scores of job burnout and resilience were 76.95 ± 14.36 (of 132) and 71.21 ± 8.24 (of 125), respectively which indicated the moderate level of these two variables. There was a significant inverse correlation between job burnout and resilience (P<0.001, r= - 0.514). Spiritual influences (P<0.001), perception of competence (P=0.001), positive acceptance of change and secure relationships (P= 0.001), trust in individual instincts (P= 0.02), and control (P= 0.03) of resilience aspects were identified as predictors of job burnout. Additionally, there was a statistically significant relationship between job burnout and gender (P=0.001) and occupational group (P= 0.04); and between resilience and gender (P= 0.02) and with marital status (P= 0.03). Conclusion: Job burnout status and personnel resilience were at a moderate level. It was recommended to train employees with resilience-enhancing skills employees according to each of their dimensions.

Introduction Communication skills and acceptable levels of spiritual intelligence (SI) are the prerequisites of the nursing profession, which can significantly impact the individual and organizational performance of nurses. This study aimed to investigate the competency and self-efficacy of communication and its relationship with the SI of nurses. Methods This cross-sectional study was conducted in 2021 and included 312 nurses working in a COVID-19 hospital in the south of Iran. The data collection instruments were the Standard Communication Competence Scale, Communication Self-Efficacy, and SI Questionnaires. Data were analyzed with SPSS software version 23 using descriptive and inferential statistics, and t-test, ANOVA, Pearson’s correlation coefficient, and multiple linear regression were performed at 5% significance level. Results The mean scores of nurses’ communication competence, communication self-efficacy, and SI were 89.11 ± 7.32 out of 180, 64.45 ± 5.61 out of 120, and 147.13 ± 11.26 out of 210, respectively. A direct and significant correlation was observed between competence (r = 0.527, p<0.001) and communication self-efficacy (r = 0.556, p<0.001) with spiritual intelligence. The dimensions of spiritual intelligence, including the ability to deal with and interact with problems, self-awareness, love and affection, general thinking and doctrinal dimension, and dealing with moral issues, were identified as predictors of nurses’ communicative competence and self-efficacy (p<0.05). There was a positive and significant correlation between nurses’ competence and self-efficacy with their age (p<0.05). The nurses’ mean communication competence and self-efficacy score were different regarding their level of education and the number of shifts (p<0.05). The mean scores of self-efficacy revealed a statistically significant difference between the participants’ gender and the number of patients under observation (p<0.05). Moreover, the nurses’ SI significantly correlated with age, and the mean scores of this intelligence had statistically significant differences regarding gender (p<0.05). Conclusion The nurses’ communication competence and self-efficacy were at a moderate level. Considering the correlation and predictive role of SI and its dimensions, it is recommended to promote problem-solving skills, improve self-awareness, and pay attention to moral standards to nurture communication competence and self-efficacy among nurses.