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This study is a descriptive research in order to determine educational facilities and present the kinds of program staff development of nursing officeinhospitalsofuniversity of medical sciences and health services in Tehran, IRAN. The purpose of this research was determinated of the educational space (clossroom, library, Lecture and conference room), educational equipment, educational staff patterns, kinds of nursing staff development program and comparing between educational facilities and present the kinds of nursing development program of nursing office in three medical science university in Tehran. The units that participated in this research was 41 educational facilities and kinds of nursing staff development program of nursing office in three medical science university in Tehran (Tehran, Iran and shahid Beheshti) and no samphing was made. The tools was check list and Questionnarie. Each variable compared with educational standards of hospitals. (Standard 1100% excellent, desire was above 75% and undesired was under 75% and each 100 active bed haveing one educational supervisor).The finding indicated that scale confirmity with standard about educational space in three university was 50% (undesirable) and about educational equipment was 56% (undesirable) and about educational staffing pattern was 79% (desirable) and present kinds of nursing staff development was 56.5% (undesirable). The finding indicated that university medical of science Iran 66.5%, Shahid Beheshti 59.76% and Tehran 55.3% Scale confirmity with stundards have prossess.

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This research is a descriptive- analytic study which has been conducted inorder to determine the degree of tuberculous patients knowledge of their tubereulosis disease and its relation to therapeutic regimen in Tehran TB control centers.In this research , 120 tuberculous patients calling on tuberculosis control centers in Tehran andbeing under drug therdpyfor about 2-9 months were selected as subjects in this research . sampling hasbeeneasyaswellashaphazardlydatawasgatheredthroughaquestionnaire. the questionnaire used in this research includes 3 section . After gathering the data, descriptive and deductive statistics used in order to analyse the data more over, chi-square and fisher Exact Test used to study the relation between the knowledge variables and therapeutic regimen in accordance with demographic characteristics and chouporof coefficient used to determine correlation intensity.Research results concerning units under investigation showed that the majority on insufficient knowledge of their disease which the minority (%18) had a sufficient knowledge, the majority (%62) had a proper drug therapy while the minority (%1) did not the majority (%72) did not Take a efficient diet while the minority (%2) took a proper diet, the majority (%58) medium personal Health care while the minority (%15) folllowed a good personal health care, and generally the majority (%47) had a medium therapeutic regimen while the minority (%11) did not have sufficientRegarding the relation between the degree of knowledge and thrapeutic therapy which was the main objective in this research,the result ofperson,s correlation coefficient (z= 7.88, r-o.62 jshowed a direct correlation in such a manner that the degree of knowledge will increase with quality of therapeutic regimen.

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Introduction: Pain caused by some therapeutic and nursing procedures has been a major concern of health care providers. Injection pain is a common complaint of patients. Materials and

Methods: This quasi-experimental investigation was conducted to compare the pain intensity caused by standard, and Z-Track method for intramascullar (I.M) injection. The samples were 100 female nursing student volunteers that were selected by convenience sampling. Each sample was injected two times blindly: first by standard and then by Z-Track method, with 24 hours interval. None of them knew the method of injection for each time. The injection solution was 1 ml sodium chloride. Pain intensity was measured by a numerical pain assessment scale and pain experienced by every body was compared with herself.

Results: The results showed that the pain associated with IM injection was significantly decreased when Z-Track method was used.

Conclusion: The researcher can join to other authors stating that Z-Track can be the technique of choice for all I.M injections.

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Introduction: Children&aposs health is an important issue in activities of many international organizations. To prepare the children to understand and practice the ways of healthy life, the schools should play their important role by planning and performing effective health education programs.         

Materials and Methods: This research is an analytical-descriptive study. The samples included 330 students who were selected through multistage stratified sampling method. The data was gathered by a questionnaire and were analyzed by using the inferential and descriptive statistics.

Results: The results showed that there was no statistically significant difference between health behaviors of students in schools with and without health educators in the domains of eye and skin health, nutrition, sleep, rest and physical activity, but there was a significant difference between health behaviors related to ear (2=8.58, p=0.014) and tooth (2=9.35, p=0.009) the students with educator had healthier ear and tooth behaviors than students who didn&apost have educator. In the domain of mouth and tooth the girls had healthier behaviors than boys. In the domain of physical activity the boys had better health behaviors than girls, having educator or not.

Conclusion: Overall, there was no significant difference between health behaviors of students in schools with and without health educators. Formation of healthy behaviors is a multifactorial issue and survey of all factors and variables affecting health behaviors can provide clearer measures for planning the health education programs and optimum usage of resources, manpower, budget and time to promote awareness and performance of health behaviors in schools.

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The idea of the technology of molecular engineering or nanotechnology was first proposed by Richard Fieman in 1959. Nanotechnology is, in essence, the technology of breaking down the molecular structures with an atomic precision. The strategic significance of this technology and its relations with minute particles in medical and environmental sciences are discussed in this paper. We first surveyed the potential capabilities of American National Sanitation Institutes and Scientific Foundation, as the leading country in the field of nanotechnology in areas such as health care, medicine and environment in the years 2000 and 2001. Bio-substances (common mediators of living tissues and inanimate substances and adaptable environmental substances), tools (bio-sensors and experimental tools) and diagnostic procedures (medical and genetic injection systems) related to nanotechnology are among the topics discussed in this article. Molecular building blocks of life (lipids, proteins, nucleic acids, carbohydrates and non-biological substitutes of them) are all substances with unique dimensions, repeatability and nonic scales. Using nanoic layers and instruments such as infrared Lasers within 1000 nanometric frequencies and He-Ne gas Lasers with 632.8 nanometric wavelength and with a power of about a few milli-Watts, the current difficult processes of setting the genome and decoding of genes can be revolutionized dramatically and their efficiencies can be increased. Increasing our ability in identifying genetic framework of individuals will entail a revolutionary development in medical diagnosis and treatment. In addition to facilitating optimal consumption of medicine, nanotechnology will also introduce new methods of delivering medicine to body, which in turn, will dramatically expand and improve medical treatment capabilities.

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Introduction: Stress is a complex and physiologic phenomenon that sometimes can be a source of problem. If an individual could not cope with stress, it would be a threat to physical and psychological health. Inclination to cope with stress is a positive way which helps one to improve his/her health.

Materials and Methods: This research is a quasi-experimental study with the aim of determining the effect of education of methods of coping with stress on rate of stress among women working at Tehran University of Medical Sciences. After primary study, 138 cases were chosen through census sampling. The collection tool was Chaudron stress scale. The statistical tests included t test and 2. Data were analyzed by SPSS software.         

Results: The result showed that there was no significant difference between level of stress before and after education in domains of job stress (p=0.22), life health stress (p=0.53), personal life stress (p=0.44) and personality stress (p=0.1). Also the statistical result of X2 did not show significant correlation between variables such as type of school, age, duration of work, marital status, number of children, educational level and housing condition with job stress.

Conclusion: The result showed that work environment is an important source of stress for working women. It could have undesirable effects on physical and emotional health of women. It seems that short term education can not decrease the stress of women therefore it is necessary to organize different long-term education programs, consultation and other strategies to reduce stress.

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Introduction: Education of patients and helping them to be independent in process of self-care in both health and disease is one of the basic responsibilities of nurses.

Methods and Materials: This descriptive-analytic research was done to study perceptions of 317 nurses working in hospitals of Tehran University of Medical Sciences of factors affecting the process of patient education. Data was gathered by means of a questionnaire containing 30 questions about facilitating factors and 17 about inhibiting factors. We used Likert score to measure questions. Data analysis performed by SPSS software. Statistical test were Chi square, t test, variance analysis and correlation of variance.

Results: The highest percentage of nurses (52.1%) believed that enough attention is not being paid to facilitating factors such as considering patient education as priority in patient care, nurses being responsible for patient education, considering patient education as a criteria in nurses annual evaluation, importance of patient education for nurse administrators, having in-service education about patient teaching and having proper time, place and personnel for patient education. Majority of nurses (57.4%) believed factors such as shortage of nurses, lack of proper place, time and patient motivation for receiving education, nurses and nurse administrators’ inattention to patient education and negative attitude of doctors toward patient education by nurses are inhibiting factors in process of education. Statistical tests showed a meaningful relation between demographic variables such as sex, clinical background, shift work and position and facilitating factors. There was also a meaningful relation between variables like working in more than one shift, having clinical experience of patient education and being evaluated for patient education during study of nursing and inhibiting factors.      

Conclusion: This study shows low level of facilitating factors for patient education in hospitals of Tehran University of Medical Science. To improve patient education in these hospitals it is necessary to improve facilitating factors.

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Background & Aim: Decreasing mechanical ventilation and early extubation after cardiac surgery are the important scientific subjects that their clinical and financial benefits had been demonstrated. There are some variables that are associated with extubation time so, determination of them will help nurses to plan appropriate care aimed at doing an early and safe extubation.

Methods & Materials: The purpose of this descriptive-analytic study was to determine whether any preoperative variable had a significant effect on extubation time after CABG. The research was conducted in one of hospitals in Tehran city. In this retrospective study, data were collected by reviewing of files of eligible patients who were undergoing CABG from December 2003 to March 2005. 93 files reviewed by convenience sampling method. Collecting data tool was a checklist consists of three parts: 1) demographic characteristics 2) health and disease history 3) physiologic status. Samples divided into two groups: early and delayed extubation (>6h). Data analysis was performed by descriptive methods, chi square, fisher exact test and regression analysis.

Results: Mean and standard deviation of duration time of intubation was 7.19±3.00 with range of 3-18.25 hours in all samples. Totally 43% of subjects extubated in ≤6h and 57% of them in >6h. Age was the only preoperative variable that was found to be statistically significant to extubation time (p=0.01).

Conclusion: According to our findings age is associated with postoperative intubation time after CABG. It means older patients need to be under long mechanical ventilation. So, nurses should make a decision on extubation in older patients, carefully.

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Background & Aim: Chronic illnesses, such as cancer, can cause changing in self-esteem. This study has been perform to compare the self-esteem between male and female cancer patients.

Methods & Materials: In this research 101 patients (51 women and 50 men) with different types of cancer (solid tumors and leukemia) have selected by simple sampling method. The tool for gathering data was a questionnaire, with three parts: demographic characteristics, disease characteristics, and Cooper smith self-esteem inventory. Data collection was done through interview, patient’s charts and patients self-report. The descriptive and analytic statistics have been used and the exams were “chi-2” and “Fisher”, through SPSS software.

Results: This study showed that the majority of cancer patients in male and female group have moderate level of self-esteem. There is no significant difference in self-esteem of men and women with cancer and the majority of them (84.3% women) and (%76 men) have moderate self-esteem, but noticeable difference between men and women is connected to the variables that are related to self-esteem, whereas, men’s self-esteem has not any significant meaningful relationship with demographic variables, meanwhile, variables of being under support of somebody (p=0.005) and having caregivers at home (p=0.039) have a meaningful relationship with women’s’ self-esteem. Among the diseases’ characters change or decrease in function of different parts of body has a meaningful relationship with men’s (p=0.014) and women’s (p=0.005) self-esteem. Constipation is the only other variable related to men’s’ self-esteem (p=0.071), but about women there are some variables related to the self-esteem of them consist of duration of amputation (p=0.018), anorexia (p=0.001), alopecia (p=0.027) and fatigue (p=0.021).

Conclusion: It seems that, in comparison between tow genders with cancer although the women’s self- esteem is related to more variables than men, but, recognition and specify these variables can help nurses to design an effective care-plan to meet the gender-specific needs.

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Background & Aim: Nurses can support the patients’ rights advocacy, if they are informed of these rights. Furthermore in order to exercise and protect of these rights, the working environment should be appropriate.

Methods & Materials: The aim of this descriptive analytical study was to explore the nurses’ awareness of patients’ rights in Tehran teaching hospitals and the facilitators of observing theses rights from their perspective. To achieve this, 517 nurses were selected using multi stage stratified sampling method. Data were gathered utilizing a researcher made questionnaire with 3o statements regarding patients’ bill of rights, and an open question about patients’ rights facilitators at the end.

Results: The findings indicated that overall nurses had a high level of awareness regard patients’ rights. In addition nurses mentioned 17 factors as facilitators of patients’ rights practice. These were classified to three groups: organization related, personnel related and client/ patient related factors. The most frequent items were in the group of organization related factors.

Conclusion: Despite of nurses’ high awareness of patients’ rights, observing these rights in practice needs many other requirements. These requirements should be recognized and identified. This can be the first step for finding proper solutions by all health care providers and policy makers as well.

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Background & Aim: Hemodialysis centers are highly susceptible to nasocomial infections due to application of hemodialysis machines, medical equipment, and invasive techniques and devices. This research was carried out in order to evaluate methods of infection control using by staff of hemodialysis centers.

Methods & Materials: In this descriptive study, all hemodialysis units in hospitals of Tehran University of Medical Sciences (n=4) were studied. Data were gathered using a 3-section questionnaire as well as five series of check-lists that were designed to evaluate physical characteristics of the units, methods of disinfection processes of the units, hemodialysis machines, and common equipment, and finally precaution measurements using by the staff. Data were described using SPSS statistical software.

Results: Research findings showed that just one of the study units was appropriate regarding physical characteristics of the units. Method of disinfection of hemodialysis centers was appropriate in 50 per cent of the study units and it was relatively appropriate in the rest. Disinfection of hemodialysis machines was appropriate in all units. Regarding disinfection of the shared equipment, all units were relatively appropriate. In 25 per cent of the units, staff had relatively appropriate precaution measurements and the rest (75 per cent) had inappropriate measurements.

Conclusion: Results showed that the methods of infection control using by the staff of hemodialysis centers in hospitals of Tehran University of Medical Sciences were not appropriate.

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Background & Objective: The chronic diseases such as cancer could seriously affect health and consequently quality of life of individuals. The purpose of this study is to evaluate the quality of life in the patients who have been recently diagnosed with caner.
Methods & Materials: This research is a descriptive - analytical study aims to determine quality of life in newly diagnosed cancer patients in selected oncology clinics of Tehran University of Medical Sciences. In this research, 196 newly diagnosed cancer patients were selected by simple sampling method and based on aim. The data were collected by a questionnaire including demographic data, disease characteristic and questions about quality of life in physical, physiological and socioeconomic aspects. The socioeconomic questionnaire presented to the patients after his/ her permission and giving necessary descriptions to him/ her about the objectives of the research. The questions were read for illiterate patients by researcher. The SPSS program was used for data analysis. Descriptive statistics such as absolute/ relative and average sufficiency and deductive statistics such as 2 test were used as well.
Results: The research results show that the quality of life in physical aspect is desirable in majority (67/9%) of patients. The quality of life in physiological aspect is desirable in majority (63.3%) of patients and as well the quality of life in socioeconomic aspect is desirable in majority (76.5%) of patients. The research conclusion shows that there is a meaningful relationship between number of children and economic status (P<0.001) and quality of life in physical aspect. There is a meaningful relationship between economic status with quality of life in psychological aspect and with quality of life in socioeconomic aspect (P<0.05). There is a meaningful relationship between type of cancer, disease stage at the time of diagnosis (P<0.001), and quality of life in physical aspect. There is a meaningful relationship between disease stage (P=0.002), and quality of life in psychological aspect and quality of life in socioeconomic aspect (P<0.05).
Conclusion: The research result shows that the quality of life in physical, psychological and socioeconomic aspects is desirable in the society. Thus the nurses can play an important role in increasing the quality of life of such patients.

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Background & Aim: Breastfeeding is the most cost-effective, health-promoting, and disease-preventing activity that new mothers can perform. Many researches have focused on identifying factors that influence breastfeeding initiation and duration. An important and modifiable factor is the perceived self-efficacy of mothers for breast feedings. It refers to a mother&aposs perceived ability to breastfeed her newborn and is a dominant variable in the duration of breastfeeding. The purpose of this study was to assess the relationship between self-efficacy and breastfeeding.

Methods & Materials: A descriptive, longitudinal, analytic approach was used in this study. The three-part questionnaire was administered to the eligible pregnant women (437 pregnant women) who were at least in 37 weeks of gestation and intended to breastfeed. They were then contacted again at one and four months postpartum to determine their infants&apos feeding level and method. The questionnaire was re-administered to the participants at that time.

Results: The results showed that 80.4 percent of participants had exclusive breastfeeding during one month. There was no significant relationship between antenatal breastfeeding self-efficacy and the breastfeeding. The self-efficacy was significantly related to breastfeeding outcomes at one month. Mothers with high self-efficacy were significantly more likely to breastfed their babies exclusively at one and four months postpartum than the mothers with low self-efficacy.

Conclusion: Maternal breastfeeding self-efficacy is significantly related to breastfeeding duration and level. Measuring breastfeeding self-efficacy not only identifies high risk mothers, but also provides important information to health care providers in providing support to new mothers.

 

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Background & Objective: Conflict occurs more frequently in health care organizations than the other settings due to complexity, frequent interaction between personnel, variations in specialties, roles, and hierarchy. Although conflict is not harmful and destructive in its nature and some degrees of conflict can help to improve health care services, high levels of conflict or its continuity may be harmful. Therefore, it is necessary to manage and control conflict. This study was carried out to assess the relationship between components of the conflict control model.

Methods & Materials: In this cross-sectional study, we developed a questionnaire that probed the relationships between components of conflict control model. A total of 290 nurses were recruited to the study using multi-stage sampling procedure from general educational hospitals in Tehran. Data were gathered using a questionnaire. Content validity of the questionnaire was examined by the expert panel. The internal consistency of the questionnaire was 0.81. Data were analyzed in the SPSS using descriptive statistics and spearman statistical test.

Results: The range of age was 22-53 (34.5±8.2). The majority of the respondents (88.6%) were female, 57.6% were married and 84.8% were staff nurses. From the majority of nurses&apos perspective, the meaning of conflict was discoordination, disagreement and disparity. However, some of the nurses meant it as violence, and difficult issues. About 41.4% of the respondents used negotiation, when they faced up to conflict. Other strategies were aggression, disagreement, avoidance, forgiveness, ignorance, and imposing own ideas to the others. From the respondents&apos point of view, factors that might cause or control the conflict were "mutual understanding and interaction" (32.4%), personality of nurses and their individual characteristics (26.6%), and conditions of the job (21.7%). Interaction was recognized to be the core strategy in conflict control model. Interaction had also significant associations with the five main variables in this study.

Conclusion: Lack of appropriate and efficient communication was an important factor in occurrence of conflict from the nurses&apos point of view. It is essential to improve nurses&apos and managers&apos communication channels by helping personnel to use effective communication skills. This measurement can be helpful for staff in understanding each other and reducing misconceptions. In addition, recognizing additional factors and variables that increases the occurrence of conflict can help to modify effective approaches.

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Background & Aim: Patient satisfaction has been recognized as a key indicator of health care quality which is used by accreditation agencies to monitor quality of care in hospitals. A high proportion of health caregivers are nurses. The services provided by nurses are significantly influential in satisfaction of patients. The aim of this study was to assess patients&apos satisfaction from nursing care in hospitals of Iran University of Medical Sciences in 2010.

Methods & Materials: In this cross-sectional study, we recruited 200 patients from different wards (except for special wards, Emergency department, Pediatric and Psychiatric wards) at the time of discharge from hospital through multistage sampling method. Data were collected using Patient Satisfaction Instrument (PSI). Data analysis was performed using descriptive statistics, chi-square and regression analysis.

Results: Majority of patients (72%) were moderately satisfied. Patient satisfaction had a significant relationship with the type of ward (P≤0.001), and type of hospital (P≤0.001). Of demographic variables, only patients&apos level of education was significantly associated with patient satisfaction (P≤0.019).

Conclusion: In this study, patients were moderately satisfied from nursing care services. Educating hospital staff, especially nurses and encouraging them to actively participate in activities to promote patient satisfaction should be a priority for hospital management. We should also consider that in a competitive market of health and treatment care giving, institutions that put patient satisfaction as their main goal are more successful.