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This study is a descriptive -analytical research which is designed to evaluate clinical skills of Nurses in coronary care units in affiliated hospitals of Tehran medical sciences University.The specific objectives of this research are as follows: Determining clinical skills of nurses in coronary care unit in the fields of patient assessment, intrepretation of Electrocardiogram, and ABG test administration, Iv therapy, educating the clients , caring the patients under cardiac catheterization and resuscitation ofcardio-pulmonary disorders. The population involved 50 nurses who were working in the coronary care units. The sample and population were the same. The researcher collected the data during a period of 3 months and observed the subjects minimum two full working shifts.The results indicated that nursing skills of the majority of the subjects towards the patientassessment was at weak level, one half of them had high level skill ofEKG interpretation(+90%), Meanwhile 2/3 of the subjects (68%) had a very weak skill (0-20%) in the field of ABGtest interpretation. One half of them had a medium skill for administration ofthe IV drugtherapy and all of them were at very weak levelforpatienteducation skills. More than one halfof these nurses had a good skill about nursing care of the patients under cardiaccatheterization. Finally, the last objective (Cardiac resuscitation skill) was not analysed due to afew cases.

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The objectives of this research are determine the difference in the effect of "Syntocinon" and "Syntocinon and Methergine" on postpartum blood loss as well as the side effects arising from administration of methergine.The number of subjects, under study was 108. The subjects were divided into two grups of 54. All subjects received an intramuscular injection of 10 units of Syntocinon after delivery of baby, while one group received, in addition, an intramuscular injection of 0.2 mg. of Methergine, after delivery of placenta. Then the amount of hemorrhage within 24 hours after delivery, determined by Higham's pictorial chart, the postpartum hemorrhage (P.P.H.) determined visually and experimentally, the difference of hemoglobin and hematocrit measured before and 24 hours after delivery, in two groups were compared. The statistical tests showd no significant difference between any of the particulars of the subjects in the two groups.As shown by the results, that the average hemorrhage in "Syntocinon" group was 145.56 ml. Meanwhile, there were three cases of postpartum hemorrhage (5.6%) in this group. The average hemorrhage in "Syntocinon and Methergine "group was 130 ml. wih two cases of postpartum hemorrhage (3.7%). The statistical tests showed no significant difference between average hemorrhage and cases of postpartum hemorrhage (p = 0.5, df=l) in both groups. These findings were objectively confirmed by the comparison between hemoglobin and hematocrit before and 24 hours after delivery in both groups, suggesting no significant difference between the two groups as regards, pre-and post delivery hemoglobin and hematocrit differences.The findings also suggest that there is no significant difference between the groups as regards the incidence of nausea, vomiting, chest pain, dyspnea, headache, mild and severe after-birth pains, backache, Systolic blood pressure of 140 (mmHg) and higher as well as diastolic blood pressure of 90 (mmHg) and higher. However, There have always been significant differences between the average systolic and diastolic blood pressures as measured 6,15,30 and 45 minutes as well 1, 2, 3 and 4 hours after delivery of placenta, as compared to pre delivery ones (p<0.05).

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This is a quasi - experimental study, made with the objective of a comparsion between the impacts of two methods of training in characteristic signs ,symptoms and risky factors of increased intracranial pressure in head injury patients upon the cognitive domain of a number of nurses serving at some selected hospitals of Tehran Medical Sciences University in 1375 . The samples were made of 74 male and female nurses from CCUs and / orsurgery wards , who were divided randomly into two groups of 35 and 39 nurses respectively . The training approach concerning the former group was made through lectures, while that of the latter used computers .The data collection tool was a questionnarie consisting of two parts . The first part dealt with individual demographies and the second part included 40 questions . 25 of which were multiple choice and the remaining 15 were matching questions about the characteristic signs, symptoms and risky factors of increased intracranial pressure . The questionnaries werefdled in by the samples in two pre - test and post - test stages , while the researcher was present. The collected data were organized into 24 tables and are analized throughdescriptive and inferential statistic methods . Absolute , relative and mean indicatots , mean standard deflation , mean variation, standard deriation of mean variation , as well as McNemar, paired and student tests were used for the analysis. The findings demonstrate that the number of those filling in the questionnaries increased following the application of lecture and computerized training methods..The statistic results of the paired test in relation with the lecture method ( t~12.312 , of - 34 ) show a meaningful difference in comparison with the computerized method ( t=q.528 , of- 35) atp< 0.01 level. The results of thestudent test, however, did not reveal a significant statistic difference when the impacts of the two approaches are compared. The study results, also make it clear that in lecture approach , the mean variation of the grades given to the cognitive domain shows a significant increase in terms of all the variables excluding those of : not obtaining information during education , in - service training courses , and other cases and records of serving at CCUs or neurology surgery wards for more than 48 months. At the conclusion , the applications of the results of this study are mentioned, and suggestions are made - on the basis of the findings here - to bring the findings and results of the study to Completion and also to make further studies.

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This research is a descriptive study which had been preformed to identity theknowledge , Attitude and practice of the health Workers of south area inTehran and Quom about prevention of malaria disease in 1995. the sampleswere consist of 50 health workers, who had been selected by a class samplingmethod from a targer population . The data collection instruments were a questionnair and a check list.The questionnair had four separate sections as follow :l)The demographic with 8 questions2) The knowledge with 20 multiple choice questions3)The attitude section with likert type questions4) The evaluative Section of practice with 8 questions in order to analysis the data, it was used discriptive and deductive type of statistics.The information has been summerized in 17 tables and 11 graphs .The results Showed that: most of the subjects have had moderate knowledgeand practice about the prevention of malaria. a negative attitude showd thatthere is also asignificantrelationshipamongknowledge and practice withhaving affected patients also there is no significant relationship betweendemographic data and their attitudes Analysis of the data , it indicated a significant relation ship between knowldge and attiluds knowledge practice,also attitude and practice of health workers.At the end application of the results, findings and the suggestion, were madefor the future resercher,

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This research is a descriptive - analytic study which has been conducted in order to assess the application for prevention of osteoporosis, on menopausal women referred to the health care centers of Tehran University of Medical Sciences in 2001.The research subjects were composed of 336 menopausal women who had been selected by two-stage sampling.The results of the research showed only 4.8% of research subject had adequate calcium intake.Also 5.1% of research subjects have been treated by hormonal drugs, 7.7% of research subjects have taken non hormonal drugs adequately, and (78/3%) had no physical activity.Also the results showed, the application of preventive agents for osteoporosis was influenced by the variables such as: age menopausal characteristic, educational level, marietal status, family income, history of bone fracture, family history of osteoporosis, having employed relatives engaged in medical group, also receiving and having preventive information.

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Introduction: It is necessary to understand that psychological reactions after a natural disaster are as complex as disaster itself. Following a catastrophic earthquake like Bam’s, such reactions can be seen in nursing team members as well.

Materials and Methods: This study is a descriptive cross sectional analytic research, conducted with cooperation of Japanese Nursing Association to identify somatic and psychological problems of nursing team members of Bam. A total of 92 members of nursing team affiliated to healthcare centers of Bam were studied. Data collection tools were 2 questionnaires first for evaluating demographic characteristics and general health and second- questionnaire of Goldberg and Williams- for evaluation of four domains of psychosomatic problems, anxiety and insomnia, psychosocial functioning and severe depression. Each domain contained seven questions, each scored from 0 to 3 based on Likert score. Complete score of general health was 0-84. Scores were classified in four groups: 0-20 as optimal, 21-4 as approximately optimal, 41-6 as approximately suboptimal and 61 and higher as suboptimal.

Results: One year after the earthquake, evaluation of general health of nursing team members showed 30.3% of subjects had optimal psychosomatic status, 34.8% had moderate problems of anxiety and insomnia, 40.2% had approximately optimal psychosocial functioning and 44.2% of subjects were not severely depressed. Overall, 38.4% of nursing team members had approximately optimal general health.

Conclusion: This study showed that following a catastrophic earthquake, most of the victims suffer from several psychological and somatic reactions. In addition to on time rescue procedures, other important allaying factors are cultural and religious values and believing in God.

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Background & Aim: In the health care system, manpower recognized as a key factor for development, has an important role in community health. Ensuring the quality of service delivery necessitates the maintenance and enhancement of job satisfaction among service providers. One influential aspect of job satisfaction is the individual’s happiness. This study aimed to determine the correlation between job satisfaction and happiness among nurses working in hospitals affiliated to Tehran University of Medical Sciences.
Methods & Materials: This descriptive-correlational study was conducted with a sample of 362 nurses from hospitals affiliated to Tehran University of Medical Sciences. Sampling was performed using a quota sampling method. The data collection tools included a socio-demographic characteristics questionnaire, a Job Satisfaction Questionnaire, and a Happiness Questionnaire. Data were analyzed using Kendall Tau-b correlation and Pearson correlation, with SPSS software version 26.
Results: The mean score for nurses' job satisfaction was 217.40, while the mean score for happiness was 69.27, with both scores indicating an average level. The results of the study revealed a significant positive relationship between job satisfaction and happiness (r=0.614, P<0.05), indicating that happier nurses tend to have higher job satisfaction, whereas lower job satisfaction is associated with decreased happiness.
Conclusion: Nurses’ job satisfaction and happiness are not at optimal levels. However, a positive correlation between the two has been identified. Therefore, healthcare system administrators and officials should focus on creating essential infrastructure and planning initiatives to enhance nurses’ job satisfaction, ultimately fostering greater happiness among nursing staff.