Hospital Practices and Research

Abstract Background: Spiritual health literacy, as a multidimensional concept, encompasses the knowledge, awareness, and abilities necessary to understand spirituality, spiritual values, and spiritual connections in students' lives.
Objectives: This research was conducted with the aim of qualitatively analyzing the factors affecting spiritual health literacy in students.
Methods: The design of this qualitative research was based on the framework of thematic analysis. The statistical population included all specialists and experts in the field of health literacy and spiritual health at Gonabad University of Medical Sciences in 2024. By using a purposeful sampling and achieving data saturation, a semi-structured interview was conducted after explaining the purpose of the research. The interview guide was prepared with a combination of open-ended, probing, and supplemental questions regarding spiritual health literacy. With the consent of the participants, all interviews were digitally recorded and transcribed. Saturation was attained after interviewing 13 individuals. Interview data were analyzed using thematic analysis method.
Results: According to the findings of the present study, nine main themes emerged: culture, family factors, education, justice, characteristics of society, modeling, socio-economic conditions, belief in spirituality, and laws. These themes are based on 35 sub-themes, including existing values, Iranian culture, Islamic culture, cultural norms, ethnic structure, familial beliefs, types of relationships, quality of relationships, emphasized values, educational styles, formal education, informal education, methods of advertising, educational perspectives, social equality, individual equality, gender equality, equal conditions, types of democracy, types of policies, types of relationships, emphasized patterns, national heroes, historical heroes, etc., serving as precursors to the concept of spiritual health literacy.
Conclusion: The findings highlight that spiritual health literacy is a multifaceted concept influenced by cultural, familial, educational, and socio-economic factors, and can be cultivated through intentional practices and alignment with cultural values.

Abstract Background: Students who have lost a parent often experience low levels of self-efficacy and quality of academic life due to the psychological distress caused by this loss.
Objectives: The study aimed to determine if positive psychology training could improve the self-efficacy and academic performance of students who had lost a parent.
Methods: This quasi-experimental research adopted a pretest-posttest design with a two-month follow-up. The study focused on female senior high school students in Ahvaz, Iran, who had lost a parent in 2022. Forty eligible students were selected through purposive sampling and then randomly assigned to either an experimental group or a control group. The participants in the experimental group received a ten-week positive psychology training intervention, consisting of weekly 90-minute sessions. The control group served as a no-intervention comparison group. The research data, collected using questionnaires on self-efficacy and quality of academic life, were analyzed using a repeated measures ANOVA in SPSS-23.
Results: The results showed that positive psychology training significantly affected the self-efficacy and quality of academic life in participants (P<0.001). The positive psychology group exhibited significantly higher mean post-test scores on both self-efficacy (83.90 ± 7.56) and quality of academic life (146.40 ± 10.64) compared to the control group (45.20 ± 5.35 and 101.05 ± 6.88, respectively).
Conclusion: The study found that positive psychology training can significantly improve the self-efficacy and quality of academic life of students who have experienced the loss of a parent. This suggests that such interventions could be beneficial for supporting the overall well-being and academic success of these students.

Abstract Background: Nurses play a vital role in healthcare, and their well-being directly impacts the quality of patient care they provide. However, the demanding nature of nursing work, characterized by long hours, shift work, and emotional strain, can affect their personal lives, including marital quality.
Objectives: This study aimed to investigate the relationship between emotional empathy, alexithymia, and marital quality in nursing students in Ahvaz City and to predict marital quality based on emotional empathy and alexithymia.
Methods: This study employed a cross-sectional, descriptive-correlational design. The statistical population included all married nursing students at Ahvaz University of Medical Sciences in 2023. A sample of 204 married students was selected using the convenience sampling method. Data were collected using the Revised Dyadic Adjustment Scale (RDAS), Interpersonal Reactivity Index (IRI), and Toronto Alexithymia Scale (TAS). Data were analyzed using the Pearson correlation coefficient and simultaneous regression analysis. SPSS software v27 was used for data analysis.
Results: The results showed that emotional empathy had a positive and significant correlation with marital quality (p <0.001), and alexithymia had a negative and significant correlation with marital quality (p <0.001) in nursing students. The results of the simultaneous regression analysis showed that emotional empathy and alexithymia predicted 49% of the variance in marital quality.
Conclusion: This study identifies emotional empathy and alexithymia as important factors in marital quality for nursing students. However, recognizing the complexity of marital satisfaction, the authors advocate for interventions that address these factors alongside other relevant contributors.