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Background: Nursing students are given opportunities to develop critical thinking disposition, caring behaviors, and professional commitment through clinical training. Therefore, nurse educators should move away from traditional methods toward new ones, such as internship programs in clinical training. This study assessed the effect of nursing internship programs on senior undergraduate nursing students' critical thinking disposition, caring behaviors, and professional commitment. Methods: This quasi-experimental study was conducted using a pretest-posttest design but with no control group. The study sample included 46 senior students enrolled in nursing internship programs. A demographic questionnaire, the Critical Thinking Disposition Inventory (CTDI), the Caring Assessment Report Evaluation (Care-Q), and the Nursing Professional Commitment Scale (NPCS) were used to collect data before and five months after the nursing internship programs were implemented. Results: The study findings revealed that the senior nursing students' caring behaviors improved, but the total scores of critical thinking disposition and professional commitment did not change significantly after the nursing internship programs (p > 0.05). Conclusion: According to the results, nurse educators are recommended to adopt strategies to improve the effectiveness of internship programs on critical thinking disposition and professional commitment among senior undergraduate nursing students. [ABSTRACT FROM AUTHOR]

Introduction: Clinical education is a fundamental part of nursing professional education. One method of education is the implementation of the preceptorship program, in which clinical nurses are responsible for educating nursing students. The present study aimed to determine the effectiveness of the preceptorship training program for the participation of clinical nurses in the education of nursing students. Methods: This quasi-experimental study was conducted in 2023 at the teaching hospital in Tehran, Iran. The sample consisted of 66 nurses from a teaching hospital selected using the accessible method and randomly were put into two groups. The workshop addressed the educational needs of preceptors and students, their readiness for their role, and strategies to effectively support students. Prior to the study, the nurses' level of participation was assessed utilizing a valid IMSOC questionnaire that gauged their involvement in guiding nursing students. The participation rate was reassessed after one month using the same questionnaire. The data were analyzed using SPSS version 19. Findings: The two groups were homogeneous in terms of demographic characteristics. The average score for nurses' participation in the education of students before the intervention was 101.84 ± 15.42 in the test group and 107.24 ± 10.53 in the control group; these two groups were not significantly different (P = 0.10). After the intervention, the scores reached 118.90 ± 15.11 in the test group and 106.21 ± 11.96 in the control group, indicating a significant difference (P < 0.001). A comparison of the nurses' participation scores in the test group indicated a significant difference from the pretest to the posttest, with the improvement in all nurses's participation scores (P < 0.001). However, in the control group, this difference was not significant (P = 0.41). Conclusion: The preceptorship training program is effective in light of increasing the participation of clinical nurses in the education of nursing students. This program can improve various aspects, such as motivation, satisfaction, commitment, implementation, and obstacle removal. Considering the importance of clinical training for nursing students and the essential role of preceptors, it is recommended that managers and health trustees in all university hospitals implement a preceptorship training program to increase the participation of clinical nurses in the education of nursing students. [ABSTRACT FROM AUTHOR]

Introduction: The emergence of Covid-19 has many psychological effects on teenagers, one of which is depression, anxiety and stress, and it has brought physical and psychological effects. Aim: The purpose of this study is to investigate the prevalence of anxiety and depression in students of Sanandaj city during the epidemic of the Covid-19 virus in 1401. Method: This study was conducted in a cross-sectional descriptive analytical way. The studied population included all middle school students of Sanandaj city in 1401 with a sample size of 270 people and an age range of 13-15 years. DASS-21 questionnaire was used to collect data. The data was analyzed using SPSS-24 software. Results: The results of the study showed that the average scores of depression, anxiety and stress were 14.68 ± 3.39, 14.56 ± 2.99 and 14.74 ± 2.989, respectively. There is a significant relationship between the mean score of depression, anxiety and stress with sleep time, duration of daily activity and body mass index (P<0.05). Also, there is a statistically significant relationship between gender, history of covid-19 in the student and their family, having daily activities and economic status with the average score of depression, anxiety, stress (P>0.05). Conclusion: The outbreak of the Covid-19 pandemic causes anxiety, depression and stress in students. This phenomenon is intensified when children are confined at home and do not have outdoor activities. As the spread of covid-19 increases, the level of anxiety, stress and depression also increases. Therefore, increasing public awareness of this disease and providing positive psychological programs can reduce anxiety in society. [ABSTRACT FROM AUTHOR]

Objective: We aimed to evaluate depression, anxiety and stress in university students of a large university in Tehran. Iranians witnessed an extraordinary combination of natural and man-made disasters last year; the last of which was the outbreak of COVID-19. Participants: 234 students from Iran University of Medical Sciences. Methods: We designed an online survey to gather data related to General Health Questionnaire (GHQ)-28, Depression, Anxiety, and Stress Scale (DASS)-21, and demographic data. Results: The mean score of GHQ-28 was 34.4 (SD = 15.5, n=195), and 73.8% (n=144) of the sample had a score of higher than cut-point (23). According to DASS-21, varying degrees of depression, anxiety, and stress existed in 51%, 32%, and 56% of the students. Conclusions: Negative effects of stressful life events on mental health seems to be additive. More often than not, students need some kind of mental health care at the time of COVID-19 outbreak. [ABSTRACT FROM AUTHOR]

Background and Aims: Knowing study and learning strategies is a basic step for educational interventions, especially in the field of medical sciences. This study was conducted with the aim of determining the study and learning strategies in the dental clinical course students of Islamic Azad University of Tehran in the academic year of 2021-2022. Material and Methods: This cross-sectional descriptive study was conducted on all students from the 5th to 12th semesters of the faculty of dentistry of the Islamic Azad University of Tehran (n=141). The Third English edition of the study and learning strategies Instruments(LASSI) questionnier was completed by the students after cross- culture adaptation and confirming its face validity, quantitative content validity and construct validity and reliability was observed by test – retest. Data analysis was done using SPSS software and descriptive statistics, regression and Pearson correlation coefficient. Result: The average score of study and learning strategies in dental students was 123.05±9.00 out of 240 scores with a minimum of 104 and a maximum of 148. The highest average score of study and learning strategies was related to the areas of concentration, selection of the main idea, and processing, respectively. The lowest average score of study and learning strategies was related to the fields of attitude, motivation and anxiety, respectively. The average score of study and learning strategies in dental students had no significant relationship with gender and marriage of students (p<0.05). But there was a direct and significant relationship between the average score of study and learning strategies with age (p<0.05). Also, there was a direct and significant relationship between the average score of study and learning strategies and academic performance (p=0.048, r=0.350). Conclusion: The average score of study and learning strategies in dental students indicated moderate scores revision. It seems that dental students need counseling and guidance in some areas of study and learning strategies, especially in the areas of anxiety, attitude and motivation. [ABSTRACT FROM AUTHOR]

Aim: Healthcare workers (HCWs) are always at risk of experiencing occupational needle stick injuries (NSIs). The primary aim of this study was to assess the prevalence of NSIs among Iranian HCWs in military hospitals in Tehran. Design: This cross‐sectional study was conducted in four military hospitals in the summer of 2019 in Tehran. Method: By Census, 802 HCWs were included. Data were collected through a questionnaire consisting of vaccination history, safety equipment, use of safety box, history of NSIs and demographic variables. The logistics regression was used to estimate the odds ratios (OR) and 95% confidence interval (CI). The statistical significance level was set at 5%. The data were analysed using the SPSS software version 23. Results: A total of 203 (25.3%, CI: 22.3–28.4) of the participants reported a history of NSIs at least once during the past year. Single HCWs had a higher risk of NSIs compared to married HCWs (OR: 1.59, 95% CI (1.09, 2.30)). Also, the night shift working (OR: 1.91, 95% CI (1.18, 3.12)), higher educational degree (OR: 2.25, 95% CI (1.21, 4.20)), working overtime (OR: 1.50, 95% CI: (1.07, 2.12)), older age (OR: 1.02, 95% CI (1.01, 1.04)) and needle recapping (OR: 2.90, 95% CI: (1.98, 4.22)) were identified as significant associated factors. The study draws attention to a relatively high prevalence of NSIs as well as high‐risk activities among military HCWs. The primary source of NSIs is needle recapping. Measures such as setting up training courses for the military HCWs are needed to be planned. [ABSTRACT FROM AUTHOR]

Background & Aims: Among psychological issues, anxiety is a "futuristic state of mind" in which a person is ready or preparing for the negative events of the future, indicating that there is a distinction between present and future dangers that alienate fear. Separates from anxiety (2). In fact, normal reaction anxiety is considered to be stress that may help a person cope with difficult situations. When anxiety is excessive, it may be so great that it is placed in the categories associated with anxiety disorders (2). Another variable that can be different in different situations between individuals and students is the individual self-efficacy of students. Self-efficacy refers to a person's personality strength in dealing with problems in achieving his goals and success, and more than it is influenced by the student's intelligence and learning ability, it is influenced by personality traits such as self-confidence, diligence and submission, self-esteem, Is self-regulation and self-direction. In the age of information explosion, cultivating selfsufficient people, people who can overcome their own anxiety and learn and solve problems independently is much more important than transferring a huge amount of information (3). Humans, on the other hand, are constantly solving problems throughout their lives. Problem solving helps people deal effectively with life's problems and challenges. When an issue is not clearly defined, ambiguity tolerance is used to construct and reconstruct solutions and interpretations. When an issue is not clearly defined, ambiguity tolerance is used to construct and reconstruct solutions and interpretations (4). Due to the above and the impact of anxiety on students' lives on the one hand, the identification of important factors and factors related to anxiety on the other hand and considering that research in the field and research was not found in the field The researcher seeks to answer the questions of whether there is a relationship between students' tolerance of ambiguity, anxiety and self-efficacy? Can tolerance of ambiguity and anxiety be able to predict anxiety in students? Methods: To conduct the present descriptive research, which is a type of basic and applied research, among male and female students of Farhangian University (former teacher training), Tehran in the academic year 1394-2014, based on multi-stage sampling of 150 people with a minimum of Undergraduate education was selected as a sample and then the questionnaires of McDonald (1970), Beck Anxiety (1998) and the self-efficacy of Scherer et al. (1982) were distributed and collected among the sample. After removing incomplete and invalid questionnaires, a total of 142 questionnaires were collected. Finally, descriptive statistics and Pearson correlation and linear regression tests were used simultaneously with the help of SPSS software for statistical analysis of data. Results: The results showed that the sum of the variables used (self-efficacy and ambiguity tolerance) predicted 18% of the variance of students' anxiety. Given that F calculated at the level less than 0.01 is significant, so the linear regression model is significant. The results of regression analysis show that self-efficacy at the level (= = 0.01) is able to significantly predict students' anxiety and t-test is significant for the significance of regression coefficients at the level less than 0.01. In other words, with increasing self-efficacy score, students' anxiety score decreases and vice versa. Given that β is the standardized coefficient of regression, it is clear that self-efficacy with an coefficient of explanation (0.393) is more effective in predicting student anxiety. Conclusion: The results showed that the variables of self-efficacy and ambiguity tolerance predict 18% of the variance of anxiety in students. Also, the results of regression analysis showed that self-efficacy is able to significantly predict students 'anxiety. In other words, with increasing self-efficacy score, students' anxiety score decreases and vice versa. It was also found that self-efficacy was more effective in predicting student anxiety. Explaining this finding, it can be said that tolerating the ambiguity of a personality variable is perceptual-emotional. In the clinical literature, ambiguity tolerance is a cognitive characteristic that can predict the risk of anxiety disorder. Tolerance of ambiguity is associated with negative anxiety and expectation about the future and is therefore always considered in research on anxiety disorders (11).Self-efficacy also refers to a person's perceived ability to perform a desired action. This means that evaluating one's abilities in a situation influences one's decision to act or avoid that situation, and because fear of judgment and negative evaluation prevents anxious people from displaying their abilities, The person is drawn to avoidance, passivity, and ultimately the inability to perform functional activities. Therefore, it is likely that a common factor in the structure of anxiety and low self-efficacy is the inability to understand individual competencies and adequacy and the misconception about the failure of activities (13). Beliefs about strong self-efficacy have been suggested as a powerful personal resource in dealing with stressful situations. Much evidence has been reported on the effect of selfefficacy beliefs on blood pressure with heart rate in heart patients. According to Bandura, self-efficacy related to one's judgments can affect one's actions in future situations. When a person is examining behavior or performing a task, he or she also makes judgments about his or her ability to perform the task and its circumstances. These judgments about self-efficacy affect a person's thinking about the ability or inability to do work and the individual's excitement and performance (14). The main focus of social cognitive theory is that self-efficacy beliefs strongly influence human performance. According to Graham and Wiener, self-efficacy is the most consistent predictor of behavioral outcomes relative to any other motivational structure (15). In predicting student anxiety. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the prevalence rate and determinants of SU in adolescents based on the social development model (SDM). In 2018, applying a cross-sectional design, cluster multistage random sampling was employed to recruit 600 adolescents in Bam County, Iran, to participate in the study. A valid and reliable SDM-based instrument was used to collect data. The prevalence rate of using at least one substance was 42% (in girls 33.6% and in boys 50.3%). Adjusted for covariates, having close friends with SU was found as the factor with the highest risk. Higher scores in involvement in prosocial activities and interactions (OR: 0.47; 95% Confidence interval (CI): 0.33–0.66, p < 0.001), attachment and commitment to prosocial others (family and school) (OR: 0.73; 95% CI: 0.58–0.93, p < 0.05), and skills for interaction/involvement (OR: 0.51; 95%CI: 0.39–0.67, p < 0.001) reduced the odds of ever use of SU among adolescents. Also, higher levels of perceived rewards for antisocial interaction/involvement (OR: 2.22; 95% Confidence interval (CI): 1.53–3.22, p < 0.001) and belief in antisocial values (OR: 2.24; 95% CI: 1.67–2.94, p < 0.001) increased the odds of ever use SU among the respondents. In community-based interventions to prevent SU among adolescents, a great focus should be firstly on identifying the probability of SU in close friends. Moreover, the involvement of adolescents in prosocial activities and interactions, attachment and commitment to prosocial others (family and school), and skills for interaction/involvement should be core categories while designing community-based interventional studies. [ABSTRACT FROM AUTHOR]

Background: Nursing students experience ethical conflicts and challenges during their clinical education. These may lead to moral distress and disturb the learning process. Objectives: This study aimed to explore and to evaluate the nursing students' ethical challenges in the clinical settings in Iran. Research design: This was a mixed-methods study with an exploratory sequential design. Participants and research context: A total of 37 and 120 Iranian nursing students participated in the qualitative and quantitative phases, respectively. Ethical considerations: The ethical committee of Kerman University of Medical Sciences, Iran, approved the protocol of the study. Findings: Three main categories were extracted from qualitative data including Low attention of nurses to the patients' preferences; Lack of authority; and Inadequate support. A total of 97% of the students had more than one ethical challenge in clinical settings and 48% of them stated that their challenges did not resolve. The total score of perceived ethical challenges was 62.03 ± 9.17, which was moderate. The highest mean score related to the "Low attention of nurses to the patients' preferences" subscale. Discussion: The finding confirmed most of the existing results of other international researches about the frequency and kinds of baccalaureate nursing students' ethical challenges. Conclusion: Identifying student ethical challenges helps teachers to manage their clinical learning process better. This study may provide a view for the nurses, clinical educators, and managers toward nursing students' ethical challenges and their impact on nursing students' clinical experiences. [ABSTRACT FROM AUTHOR]

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Background: Clinical teaching is at the core of the nursing profession. However, clinical teaching may not empower students to gain clinical competency and skills. In this context, the performance of instructors is one of the main determinants of effective clinical teaching. Therefore, the present study aimed to determine the relationship between nursing instructors' clinical teaching behaviors and students' learning. Methods: This descriptive, correlational study was conducted with 267 nursing students selected through convenience sampling. The data were collected using the Nursing Clinical Teacher Effectiveness Inventory, developed by Knox and Morgan. The questionnaire included two parts: the extent to which nursing instructors used teaching behaviors and the effectiveness of these behaviors on students' learning. The data were entered into the SPSS statistical software, version 19, and were analyzed using descriptive and inferential statistics and the Pearson's correlation coefficient. Results: The results showed a significant positive relationship between the extent to which nursing instructors used teaching behaviors and the effectiveness of these behaviors on students' learning (P = 0.001). In terms of the utilization of teaching behaviors, the highest average rates were related to the dimensions of interpersonal relations and teaching abilities, while the lowest average rates were found for the evaluation dimension. With regard to the effectiveness of these teaching behaviors on learning, the dimensions of teaching ability and evaluation gained the highest and lowest average rates, respectively. Discussion: Instructors' capabilities have to be improved regarding the effective utilization of some behaviors related to evaluation, personal characteristics, and nursing competency. In this respect, the use of comprehensive teaching programs can be quite beneficial. [ABSTRACT FROM AUTHOR]