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Zeinab Khaledian, Javad Moazzeni, Liela Najafi, Nasim Badiei, Fatemeh Yonesi,
Volume 22, Issue 4 (3-2025)
Abstract
Background and Aim: Providing high-quality prenatal and postnatal care plays a crucial role (during pregnancy and at labor) in reducing maternal and neonatal mortality and complications, improving outcomes, and increasing patient satisfaction and enhancing healthcare system efficiency. This study aimed to assess the quality of intrapartum care using the Comprehensive Quality Measurement in Health Care (CQMH) model.
Materials and Methods: This was a descriptive study conducted in 2020 at Ommol banin hospital in Mashhad, Iran, including 324 mothers admitted for childbirth. Participants were selected through simple random sampling and data were collected using the CQMH questionnaire, which assesses three dimensions of care quality, namely, technical quality, service quality, and customer (client) quality. Data analysis was performed using the SPSS version 27.
Results: The overall quality index score was 80.9. Technical quality was rated as favorable (mean score: 90.3), while service quality (mean score: 79.5) and customer quality (mean score:73) were rated as moderate. As regards service quality communication, continuity of care and preventive measures had the lowest scores.
Conclusion: While the technical quality of intrapartum care was found to be satisfactory, there is a pressing need to strengthen provider–patient communication and empower mothers to actively participate in theirown care during childbirth.
Mansoureh Ganjali, Leila Najafi, Zeinab Khaledian,
Volume 23, Issue 1 (6-2025)
Abstract
Background and Aim: The return of working mothers to the workplace after maternity leave is a critical and complex stage in women's career paths, influencing the balance between their familial and professional roles. Understanding the challenges at this stage is essential for improving policies and support systems.
Materials and Methods: This qualitative study, employing content analysis, was conducted in 2025 at Zahedan University of Medical Sciences. The study population included employed mothers after childbirth and health sector managers. Data were collected through semi-structured interviews and analyzed using conventional content analysis. Ethical principles and data validation were emphasized.
Results: A total of 30 participants, including 20 employed mothers’ post-childbirth and 10 managers, were included. The findings were categorized into five main themes: psychological, familial, organizational, cultural and social, and legal and supportive challenges, encompassing 13 subthemes and 34 distinct codes.
Conclusion: According to the findings, revising organizational policies, enhancing legal awareness, and providing a flexible and supportive work environment for employed mothers are essential. Given the unique cultural and social characteristics of Sistan and Baluchestan province, this study can guide policymakers and health managers in improving working conditions for mothers.
Mina Molaei, Zeinab Khaledian, Leila Najafi, Shaqayegh Vahdat, Ali Fakhr Movahedi,
Volume 23, Issue 2 (9-2025)
Abstract
Background and Aim: The nursing profession, as a vital pillar of the healthcare system, plays a crucial role in delivering health and medical services. In clinical settings, teamwork and conflict management are key factors for improving the quality of care and reducing workplace stress. A positive attitude toward teamwork can enhance conflict management skills and contribute to higher job satisfaction among nurses. This study aimed to investigate the relationship between teamwork attitude and conflict management among nurses, to better understand this association and propose strategies to improve team collaboration and reduce conflicts in healthcare settings.
Materials and Methods: This quantitative descriptive-analytical cross-sectional study was conducted in 2025 in Tehran. After obtaining the necessary permissions, the researcher visited three hospitals affiliated with Azad University and distributed online questionnaires among nurses. The collected data were analyzed using SPSS software.
Results: Findings indicated that 63% of the nurses were female, and 44% were aged between 30 and 40 years. Eighty-five percent held a bachelor's degree, 49.5% were formally employed, and 37.5% worked at Farhangian Hospital. A strong positive correlation was observed between teamwork attitude and conflict management (r = 0.815). Significant differences in conflict management were noted across age groups (p = 0.03) and work experience (p = 0.03).
Conclusion: The results suggest that demographic factors such as age, marital status, and employment type significantly influence nurses’ conflict management and teamwork. Specifically, experience, communication skills developed with age, and social support among married nurses enhance team interactions. Moreover, cultural and organizational factors affect the impact of gender and work environment on conflict management. Therefore, targeted training and the establishment of supportive structures for diverse groups are essential for promoting effective teamwork in healthcare settings.
