Introduction: Considering the increase in human life and increased disorders such as depression and loneliness, especially in the elderly, many studies have been conducted on the emergence of new and affordable technology for the treatment of mental disorders. Among the innovative technologies, in recent decades, we have seen an increase in the use of digital interventions with the nature of the game in the treatment of mental disorders. Purpose: To review existing studies that examines the impact of video games on depression and loneliness in the elderly. Methodology: This review study was conducted using the search engines on the google scholar, science direct, Scopus, Pubmed, Magiran, SID and Proquest databases from 2007 to January 2019. Articles that had inclusion criteria were reviewed. Findings: Out of articles related to the subject, nine articles came up with a final review, of which three evaluated the impact of Nintendo wii's games, 5 studies on the effects of exer game and a study of the effect of virtual reality games. Five studies examined the impact of video games on depression and four studies investigated their effect on loneliness. Most of these articles have a positive effect on depression and loneliness in the elderly. Conclusion: According to the results, video games improve depression and loneliness in the elderly. Most articles support the positive impact of these games on depression and loneliness in the elderly. Recommendation: Considering the positive impact of video games and the increased interest of the elderly in these games, it is recommended that video games be included in the daily agenda of the elderly, and given the greater impact of it in groups, the conditions for performing these games in groups should be provided.
Research question/aim/objectives Providing care for hospitalized children causes moral distress to nurses. Employee participation in discovering and solving the everyday problems of the workplace is one of the ways to hear the voices of nurses. This study aimed to evaluate the effect of participatory management programs on perceived organizational support and moral distress in pediatric nurses. Research design A quasi-experimental study. Participants and research context The present study was conducted on 114 pediatric nurses in Iran. Data were collected using the Perceived Organizational Support Scale and the Moral Distress Scale of nurses. The intervention included implementing a participatory management program in three treatment departments that were randomly selected and it lasted 4 months. Participatory management was at the level of problem-solving with a focus on investigating, solving, and correcting issues and problems of work shifts and departments concerning the physical environment, equipment of the department, improvement of work processes, and team cooperation. In the control group, ordinary organizational approaches to problem-solving were used. Ethical considerations This study was approved by the Ethics Committee of Mashhad School of Nursing and Midwifery. Informed consent was obtained from the study participants. Findings/results Based on the results, both groups were homogenous before the intervention in terms of moral distress and perceived organizational support. The results showed that the moral distress mean scores in the intervention group decreased from 1.45 (0.52) to 1.03 (0.37) after the intervention. Also, the score of the perceived organizational support was 2.12 (1.2) increased after the intervention to 2.68 (1.10) in the intervention group. Conclusions It was found that the participation of nurses in the problem-solving process to solve daily workplace issues can be effective in increasing their perceived organizational support and reducing their moral distress.
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