Journal of

  Background and Aim: Family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. The main purpose of this present study was to investigate situation of the family physician program and identify referral route in this program in six pilot cities in Khuzestan province .

  Materials and Methods: A cross-sectional descriptive study was conducted in 2011. Pre-designed checklists were used for collecting data. In this study, 15 healthcare team in six pilot cities for family physician program in Khuzestan province were examined and their specified referral levels for each city was investigated and compared with the national instruction to identify current gaps.

  Results: The least number of staff belonged to nutrition, nurses and physicions respectively. In the second referral level cities, Specialists did not welcome the program . In Mahshar, a second level city, five specialists have been registered to family physician program. In the third level, 28/5 percent of specialist were enrolled in this program.

  Conclusion : It seems that it is necessary to facilitate patient access to physicians under contract with family physician program and referral system in second and third levels. Therefore, establishing a motivation system for attracting specialist and improving their maintenance situation can also be beneficial.

Background and Aim : Nurses' perception of spirituality can affect the way they behave and communicate with patients in line with spiritual care provision. The present study aims to investigate nurses' perception , capability, and adequacy of training about spirituality and spiritual care in Genaveh hospitals affiliated to Bushehr University of Medical Sciences (BUMS) .

Materials and Methods: A cross-sectional descriptive study was performed among 111 nurses working in BUMS hospitals in 2013. The spirituality and spiritual care scale (SSCRS) was used for data collection, which explores nine aspects of spirituality and spiritual care. Descriptive statistics were used to analyze the data. 

Results: The overall spirituality and spiritual care was 3.86 (out of 5). Among the nine aspects of need for spirituality, belief in God had the highest mean score, and beliefs and values had the least mean values. About 78.7 % of the participants were confronted with the patients' spiritual needs. Meanwhile, 74.6 % of them noted that the current training about spiritual care was not sufficient .

Conclusion: Although most participants were able to meet the patients' spiritual needs, most of the nurses did not know enough about the issues related to spiritual care. Therefore, inclusion of spiritual care in nursing curriculum and holding workshops and training courses in this area can be useful.

Background and Aim: Nurses’ main tasks include the provision of healthcare services at the highest levels of quality and quantity standards, and based on the findings of scientific research. The aim of the present study is to identify and determine the barriers of evidence-based practice among nurses of Qazvin hospitals, in Iran, at 2013.

Materials and Methods: The present cross-sectional research was a descriptive- analytic study conducted among 260 nurses practicing in six hospitals of Qazvin in 2013. The barriers scale questionnaire developed by Funk, et al. was used to examine the four dimensions of evidence-based practice (EBP) barriers including adopter, organization, innovation and communication characteristics. To analyze the data, descriptive and analytic statistics were used.

Results: The mean score of EBP barriers among subjects was 3.07 out of 4. Among the barriers, "organization" and "adopter" dimensions had the highest and lowest mean scores, respectively. There was no significant statistical relationship between gender and EBP performance, But a significant relationship was observed between organizational dimension with age, employment type and work experience.

Conclusion: Since “organization” was found to be the main  barrier to  the use of research in nursing performance, policy-makers and administrators should pay attention to the use of research in performance, the establishment of a research culture in organization, the creation of appropriate infrastructures, and the allocation of sufficient time to the nursing personnel to have access to evidences.