Background Moral distress is a major issue in intensive care units that requires immediate attention since it can cause nurses to burnout. Given the special conditions of patients in intensive care units and the importance of the mental health of nurses, the present study was designed to systematically review the factors affecting moral distress in nurses working in intensive care units. Methods PubMed, EMBASE, Web of Science, Scopus, and Science Direct were systematically searched for papers published between 2009 and 2019. (...) Original articles from quantitative and qualitative studies were reviewed. The CONSORT and STROBE checklists were used to assess the quality of the quantitative papers. The JBI checklist was applied for qualitative studies. Results Factors affecting moral distress in nurses include lack of nursing staff, nurses with inadequate experience, lack of support from organizations and colleagues, inadequate education and lack of knowledge of nurses, poor collaboration of physicians with nurses, ethical insensitivity and lack of teamwork, heavy workload, poor quality of care and moral violence and they are considered as risk factors for moral distress. Conclusion Many of the related causes are due to the nature of nurses’ work and it is necessary to manage the underlying conditions of this phenomenon so that it can be effectively prevented from spreading. Levels of moral distress require more attention of authorities in the use of prevention strategies and the reduction of effective factors in distress. (shrink)

It is deemed that the effectiveness of teachers is highly entangled with psycho-emotional constructs, such as critical thinking (CT), emotion regulation (ER), and immunity. Despite the potential roles of CR, ER, and immunity, their possible relationships have remained unexplored in the higher education context of Iran. To fill in this lacuna, this study explored the potential role of CT and ER in university teachers' immunity in the Iranian higher education context. For this purpose, a total of 293 English university teachers (...) were selected using a convenience sampling method. They were invited to fill out the Watson–Glaser Critical Thinking Appraisal-Form, Language Teacher Emotion Regulation Inventory, and Language Teacher Immunity Instrument. The findings of path analysis indicated that the university teachers with higher CT were more productively immunized. Moreover, the results revealed that ER could predict the university teachers' immunity. The findings of the study lead to this implication that higher order thinking skills, emotion regulatory strategies, and immune enhancement should be incorporated into educational programs of higher education. (shrink)

Sustainability has been one of architecture’s most significant trends over the last twenty years. The environmental consciousness of professionals has put sustainability at the heart of the architectural profession and has contributed to adopting and implementing sustainable designs on the scale of urban landscapes. A green roof or living roof, which is a sustainable solution in architecture, is a roof on the surface of which plants are grown. The roof is covered by plants, covering the waterproof layer beneath the vegetation. (...) However, various types of plants can be used in this scheme. Understanding the influencing factors in choosing the right plant species and the impact that utilizing green roofs has on the overall energy consumption of the building can tremendously help scientists and clarify the possible future research topics in this field. Hence, this article investigates energy optimization in the construction process of a green roof in sustainable architecture and its advantages and challenges. The results of this study show that budget limitations, managerial and organizational policies, legal issues, technical and scientific infrastructure, and cultural and geographical aspects are all affecting the widespread use of green roofs currently and need to be considered in future studies. (shrink)

As a result of the successful religious policy of the Great Leader, the preserved traditions of tolerance, restored historical-religious, architectural monuments, rich art and literature of our people are our greatest contribution to world culture and our most valuable heritage for future generations. There is no doubt that the Azerbaijani people will remain in history as the owner of this heritage, Heydar Aliyev as its protector, and the Heydar Aliyev Foundation as its patron and promoter. In recent years, many religious (...) monuments, including Mohsun Salim and Imam Reza mosques in Bina settlement of Azizbayov district, Shah Abbas and Hazrat Zeynab mosques in Ganja city, Juma mosque in Buzovna settlement, Pir Hasan shrine in Mardakan settlement, were repaired and restored. (shrink)