ObjectiveDepression is a major risk factor for suicide and more than 90% of people who attempt suicide suffer from depression. The present study aimed to investigate the effect of eye movement desensitization and reprocessing (EMDR) therapy on the severity of suicidal thoughts in patients with major depressive disorder.Study designRandomized Clinical Trial.MethodsThis clinical trial was performed on 70 people with major depressive disorder who exhibited suicidal thoughts. The patients were selected via convenience sampling and were randomly divided into control (n=35) and experimental (n=35) groups. EMDR was performed individually in the experimental group for 45–90 min, 3 days per week, on alternate days, for 3 weeks (9 sessions in total), whereas the controls group received routine treatment without intervention. Both groups completed the Beck Scale for Suicide Ideation (BSSI) at pre- and post-test. The obtained data were analyzed with descriptive and inferential statistics using SPSS 22 (α=0.05).ResultsMean BSSI score for the experimental group was reduced significantly at post-test (11.11±4.15) compared to pre-test (26.48±5.74) (p<0.001). Although the control group’s mean BSSI score was also reduced at post-test (24.93±4.42) compared to pre-test (26.68±5.05), this difference was not statistically significant (p>0.05).ConclusionEMDR therapy has been shown in this study to reduce the severity of suicidal feelings. Therefore, it can be recommended as an alternative treatment method for reducing the severity of suicidal thoughts in patients with major depressive disorder.

Objective: Attitudes toward medical device-related pressure ulcers can affect the performance of nursing students in this regard. To date, no studies have examined nursing students' attitudes toward medical device-related pressure ulcers. Therefore, this study aimed to examine nursing students' attitudes toward medical device-related pressure ulcers. Methods: The present study was conducted in 2020 in Iran. The sample size was 187 nursing students who were in one of 5, 6, 7, or 8 semesters. To examine the nursing students' attitudes, a specific questionnaire was used. The questionnaire consists of 11 questions that assess the attitudes of nursing students toward medical device-related pressure in two dimensions of "prevention" and "care". The final score of this questionnaire ranged from 11 to 55. A higher score indicates a more positive attitude toward medical device-related pressure. Results: A total of 187 nursing students participated in the study. Eighty-eight participants (41.7%) reported that they received training on medical device-related pressure ulcers. A total of 163 participants (88%) reported that their training was not sufficient for medical device-related pressure ulcers. Out of the total, 155 students stated that they need to hold a training workshop on medical device-related pressure ulcers. The mean overall score of nursing students' attitudes toward medical device-related pressure ulcers was 42.1±5.2. The mean scores of prevention and care dimensions were 21.8 and 20.2, respectively. No significant relationship was found between the mean score of the overall attitude and the student's demographic variables (p<0.05). Conclusion: The results of the present study showed that nursing students, despite insufficient education, exhibited a positive attitude toward the prevention and care of medical device-related pressure ulcers. However, further studies are needed in this regard with different settings.

Introduction: The present study was conducted with the aim of investigating the efficacy of eye movement desensitization and reprocessing (EMDR) on the quality of life (QOL) in patients with major depressive disorder (MDD). Methods: This is a randomized clinical trial study that investigated the efficacy of EMDR on the QOL in patients with MDD. In this study, all patients suffered from psychological trauma were currently in a major depressive episode and had a history of depression. 70 patients with MDD were selected through convenience sampling. Patients were then assigned to two groups of intervention and control (35 patients in each group). The assignment was performed randomly. For the intervention group, EMDR were performed in eight 90 mins sessions over 3 weeks. For the control group, no intervention was considered. Data on the QOL were collected using the WHO Quality of Life-BREF instrument before and after the treatment, and analysed using descriptive tests, paired t-test, independent t-test, and chi-square with SPSS v19. Results: This study showed that the QOL in all its domains (physical health, psychological health, social relationships and environments) was significantly improved in patients with MDD in the intervention group after 8 sessions of EMDR. The post-treatment effect for the EMDR condition was 2.11, with a confidence interval of 1.3 to 2.7. Another finding of this study was that there was a statistically significant difference in the QOL scores in patients in the control group before and after the treatment; however, the mean difference in the intervention group was more than the control. Conclusion: The results of this study showed that EMDR were effective on the QOL in patients with major depressive disorder, and improved individuals' QOL and all its domains. Treatment team members may use this technique as an effective and supportive one to improve the QOL in patients.

The present study intended to determine the relationship of occupational adjustment with psychological empowerment and job burnout of nurses. This descriptive correlational study was conducted on 209 nurses working in educational hospitals. The eligible nurses were enrolled in the study through simple random sampling and filled out the demographic questionnaire, the Dawis and Lofquist Occupational Adjustment questionnaire, the Spreitzer Psychological Empowerment Instrument, and the Maslach Burnout Inventory. There was a significant positive relationship between occupational adjustment and psychological empowerment (P<0.001) and a significant negative relationship between occupational adjustment and job burnout of nurses (P<0.001). Regression analysis showed that occupational adjustment explained 46% of the psychological empowerment variance and 52% of the job burnout variance. The occupational adjustment has a significant positive relationship with psychological empowerment and a significant negative relationship with job burnout among nurses. Considering that nurses experience severe burnout in their work environment, programs should be developed to improve the psychological empowerment of nursing care.

Objective Given the importance of having knowledge on the hemovigilance process in nursing care, the present study was conducted to investigate the effect of the hemovigilance education on nursing students’ knowledge using a conceptual map. The current research was a semi-experimental study. Methods The samples consisted of 60 nursing students who were selected based on the inclusion criteria using the census sampling method. Thereafter, these participants were randomly assigned into the two groups: experimental and control groups. The required data were collected before, immediately after, and 1 month after the education using the hemovigilance knowledge questionnaire. Accordingly, the validity of this questionnaire was confirmed, and its reliability using the Cronbach's alpha coefficient was reported as 0.83. The education process was conducted during a 4-week period. Thereafter, the collected data were analyzed using descriptive and inferential statistics by SPSS v25. Results The results reveal that a significant difference existed between the knowledge scores of students in the experimental group compared with that of the control group during different times (including before, immediately after, and 1 month after the education) (P < 0.0001). Of note, hemovigilance education had a significant effect on the students’ knowledge (P < 0.0001). Conclusions Due to the effect of the hemovigilance education on the students’ knowledge and by applying the conceptual map in the easy transfer of the educational concepts, it is recommended that the results of the present study be used to strengthen the theoretical and clinical education of nursing students.