Mehdi Mahmoudzadeh

Clinical nurses play a central role in healthcare delivery, yet the psychological demands of clinical settings may threaten their professional identity and adaptability. Organizational dehumanization can diminish nurses' sense of value and motivation, while career adaptability enables them to manage occupational challenges effectively. In this context, self-compassion may serve as a protective psychological resource, and psychological safety may protect nurses' self-compassion in the face of dehumanizing organizational experiences. This study aimed to investigate the association between organizational dehumanization and career adaptability among clinical nurses and to examine whether self-compassion mediates this association and psychological safety moderates the association between organizational dehumanization and self-compassion. This cross‑sectional study was conducted from June 2025 to March 2026. A total of 330 clinical nurses were recruited from five teaching hospitals in Ardabil, Iran, using stratified random sampling. Data were collected through standardized self‑report questionnaires, including the Organizational Dehumanization Scale, the Career Adapt‑Abilities Questionnaire, the Psychological Safety Scale, and the Self‑Compassion Scale. Data were analyzed using SPSS version. 26.0 and Hayes' PROCESS v4.2, applying moderated mediation analysis with 5,000 bias‑corrected bootstrap resamples to examine direct and indirect effects. Organizational dehumanization was negatively associated with self-compassion (β = -0.248, p < .001) and career adaptability (total effect = -0.357, p < .001). Self-compassion partially mediated this relationship (indirect effect = -0.114, 95% CI [-0.167, -0.069]). Psychological safety moderated the indirect effect: the conditional indirect effect was significant at low (effect = -0.148, 95% CI [-0.214, -0.089]) and moderate levels of psychological safety, but was not significant at high levels, suggesting that psychological safety may buffer the negative influence of organizational dehumanization on career adaptability through self-compassion. Organizational dehumanization was negatively associated with nurses' self-compassion and career adaptability. Self-compassion partially mediated this relationship, while psychological safety buffered the negative association between organizational dehumanization and self-compassion, thereby weakening the indirect pathway to career adaptability. These findings highlight the importance of fostering supportive work environments and psychological resources among nurses.

Background: Growing demands on healthcare systems necessitate streamlined nursing practices. Two interrelated competencies, time management and professional self-efficacy, play a decisive role in determining nursing performance and patient care outcomes. This study investigated the impact of these abilities on nursing care quality, providing evidence-based recommendations for professional development. Methods: A descriptive–correlational survey was conducted in 2024 at teaching and healthcare facilities affiliated with Ardabil University of Medical Sciences, Iran. Using stratified random sampling, 350 nurses were selected. Data were gathered through validated instruments: the Time Management Questionnaire, the Professional Self-Efficacy Scale, and the Quality of Nursing Care Inventory. Analyses were performed using SPSS version 24, applying t-tests, one-way ANOVA, Pearson’s correlation, and multiple linear regression. Results: Most respondents reported moderate levels of time management (80.3%), self-efficacy (61.7%), and nursing care quality (57.1%). Notable associations emerged between these competencies and demographic characteristics, including age, gender, work tenure, and prior training in time management. Regression analysis identified age, work experience, self-efficacy, coordination, and organizational ability as significant predictors, jointly accounting for 30% of the variance in care quality. Conclusion: The findings reveal scope for improvement in nurses’ time use and self-efficacy. Structured educational initiatives targeting these skills could substantially enhance the quality of inpatient care.

Introduction: All nursing care must be performed without harming the patient. Medication errors pose a significant threat to patient safety. This study aimed to determine the relationship between medication safety competence (MSC) and clinical nurses’ perceptions of medication administration errors (MAEs). Methods: This descriptive-correlational study was conducted among 300 clinical nurses. Participants were selected using stratified random sampling in 2024. Data were collected using a demographic characteristics form, the Medication Safety Competence Scale (MSCS), and the Medication Administration Error Reporting Survey. Data were analyzed using SPSS version 13, employing descriptive and inferential statistics. Results: The results indicated that the mean (SD) scores for MSC and MAEs were 294.22 (26.61) and 135.48 (15.14), respectively. Scores ranged from 36 to 185 for MSC and 65 to 425 for MAEs. Statistical analysis revealed significant correlations between MAEs and gender, marital status, Work experience, and participation in the MSC workshop. Simple linear regression analysis showed that the "Underreporting of MAEs" domain was the strongest predictor of MSC among the variables examined. Conclusion: The nurses who participated in this study reported moderate levels of MSC and perceived a moderate frequency of MAEs. Healthcare policymakers and decision-makers should implement strategies such as conducting ideation sessions and practical workshops to reduce medication errors and enhance nurses’ MSC.

Introduction: Mindfulness-based interventions are considered to be one of the cognitive-behavioral treatments, the inclusion of which in diseases such as breast cancer can probably lead to a reduction in pain intensity and an increase in the quality of life in sufferers. Consequently, this research focuses on evaluating the influence of online ...

Background and Objective: Caring is a moral virtue that lies at the core of nursing care and is a key element in this practice. On the other hand, parental satisfaction is one of the most important factors influencing the care of hospitalized children. Therefore, the present study was conducted to determine the relationship between the ethical care of nurses and the satisfaction of parents of children hospitalized in Ardabil Children's Hospital in 2024. Materials and Methods: In this descriptive-correlational study conducted in 2024 at BouAli Medical Education Center in Ardabil, Iran, 200 clinical nurses and 160 parents of hospitalized children were selected using a census and stratified random sampling method. The data collection tool included a Questionnaire on the Personal-Social Characteristics of Nurses and Parents, Pediatric Ethical Care (2023), and Parental Satisfaction and its Associated Factors (2022). Data were analyzed in SPSS software (version 26) using descriptive (absolute and relative frequency, Mean and SD) and analytical (t-test, analysis of variance, and Pearson Correlation Coefficient) statistics. The Normality of the data was checked using the Kolmogorov-Smirnov test. Results: The findings showed that 95% of clinical nurses were female and 43% were formal employment status. Additionally, 54.4% of the hospitalized children were boys, and 34.4% were hospitalized with respiratory diseases. The average score of ethical care and parental satisfaction were measured at 152.77 ± 4.25 and 300.81 ± 11.94, respectively. The highest score in ethical care for children was found in the domain of "emotional needs (47.63 ± 2.21) , while the highest score in parental satisfaction was attributed to "care and treatment Subcomponent with ( 131 ± 5.05). The results showed a direct and significant relationship between ethical care of children and parental satisfaction (r=0.47, P<0.001). The Stepwise regression test showed that among children's ethical care subcomponents, the "Emotional Needs Factor" was the strongest predictor of parental satisfaction. Conclusion: Implementing nursing care based on ethics is one of the most important factors in the satisfaction of parents of hospitalized children and the quality of child care. Providing nursing care by nurses who adhere to the principles of nursing care can improve the quality of nursing care. In addition, it is vital to involve hospital managers and officials for a better implementation of this process.