ABSTRACT
Good medical nutrition therapy [MNT] is crucial to inpatients' health and treatment, and is part of routine hospital cares. Surgery ward is a highly danger-prone section in any hospital. The present study was conducted for a proactive risk analysis of nutrition and food distribution in Mashhad Qaem Hospital' Women's Surgery Ward in 2013 through health care failure mode and effect analysis [HFMEA]. A qualitative-quantitative research identified and analyzed the failure modes and effects through HFMEA. To rank error modes, we drew upon nursing errors in the clinical management model; to rank the effective causes of failure, we approved the model by the UK National Health System; and to rank the performance improvement approaches, we used the theory of inventive problem solving, TRIZ [theory of inventive problem solving]. A total of 42 failure modes were identified for 15 sub-processes listed in 7 processes of nutrition and food distribution. In sum, 11.9% of the failures modes were classified as high risk [hazard scores >=8]. Of 15 effective failure modes, the highest number of cause failure modes was associated with team factors, and the lowest number was associated with facilities. Using proactive HFMEA is highly effective in detecting potential failures in medication, effective factors in failure modes, and performance improvement approaches in hospital food distribution. [Monitoring proper patient-wards relationship], [committee establishment on diet, nutrition and medications], [performance assessment checklist making] and [supervising by nutrition authority over food distribution in wards] were identified as effective performance approaches in the Women's Surgery Ward in Qaem Hospital
ABSTRACT
Health-promoting lifestyle [HPL] is one of the main criteria which determine health and underlying factors preventing the health-threatening factors. HPL includes six dimensions of spiritual growth, health responsibility, nutrition, stress management, interpersonal relations, and physical activity. Considering the importance of students' health, both at individual and social levels, the present study was carried out to evaluate HPL among students [mainly females] of School of Health, affiliated to Mashhad University of Medical Sciences in 2014. In this cross-sectional descriptive study, 107 students of Mashhad School of Health using stratified random sampling were included. In order to collect data, Walker questionnaire, with a 4-point Likert scale, was utilized which included two sections of demographic questions, and questions related to the six dimensions of HPL. The collected data were analyzed by descriptive statistics and independent T-test, using SPSS version 11.5. The significance level was considered less than 0.05. Lifestyle of 9.3%, 84.1%, and 6.5% of the students was poor, moderate and good, respectively. The mean scores of HPL dimensions were as follows: spiritual growth: 30.27 +/- 5.4, health responsibility: 32.15 +/- 6.5, nutrition: 15.65 +/- 4.06, stress management: 12.76 +/- 2.9, interpersonal relations: 21.34 +/- 4.35, and physical activity: 13.69 +/- 5.1. A significant relationship was seen between gender and physical activity [p<0.05]. The majority of students had a moderate score of HPL. Since the lowest scores were related to physical activity and stress management, more facilities and training programs are required to improve these issues. It is recommended to provide high-quality healthcare services for students and raise their awareness about the benefits of physical activity via mass media