[Barriers to clinical governance administration from point of view of managers and nurses]

Introduction: clinical governance is a framework in which the organization providing clinical services is accountable for continuing improvement of quality of clinical service excellence

Objective: this study aimed to determine obstacles of clinical governance administration from view point of managers and nurses in hospitals affiliated to Jahrom University of Medical Sciences

Methods: this is a cross-sectional study conducted on 280 nurses and 20 managers selected by census method. Data were gathered by a researcher made questionnaire, consisting of 48 items in 7 domains of clinical governance. Questionnaire validity was done by face and content determination style and its reliability was established through Test-retest method and Spearman test [r=0.73]. Data were analyzed by descriptive statistics

Results: clinical audit and personnel management had the most negative effect in clinical governance administration from participants' viewpoint. From all questions "inattention to personnel job satisfaction" in "personnel management" domain had the most negative effect

Conclusion: according to importance of clinical governance administration, such research results should be considered by health managers

[ assessing mental health in pregnancy and relative psychopathologic factors in Jahrom]

Many physiological and psychological changes occur in women during pregnancy and often delivery, after accompanied by pathologic changes. The present study aimed at surveying and assessing pregnant women's mental health during pregnancy and its refuted factors. This is a cross-sectional study, researching about 214 pregnant wormens mental health referring to the maternity clinics in jahrom. The data were corrected using random cluster sampling method The in strumpet of the study was a questionnaire containing demographic information and 90 sc190 questions used for delecting mental disorders. The data were an alyzed both descriptively and analytically using frequency and chi-squeal tests. There results revealed that the disorders with the highest frequency was depression [94%] and, anxiety [90%] and the lowest belonged to psychosis [54%]. It was shown that many of them suffered symptoms of disorder; about 43% of them. There was significant relasion shipe between demographic finding and total score mumber of patient [p<.05]. It can be said that mental health care during pregnancy is as important as physical care, that we need defined and identified suspicious mother and we need defined and identified suspicious mother and mental care to prevent such disorder