[Factors influencing nurses' readiness to implementation of electronic health records]

Introduction: Personnel readiness is the major factor for implementation of Electronic Health Records [EHR]. On the other hand, nurses play an important role to the delivery of care. This study aimed to determine factors influencing nurses' readiness to implement EHR

Methods: This descriptive - cross sectional study was conducted on the nurses in the teaching hospital affiliated to Golestan University of Medical Sciences in 2013. The data was collected by a valid and reliable structured questionnaire. Data was analyzed using Descriptive statistics

Results: Data analysis indicated that the factor of perception and awareness of the characteristics and advantages of EHR [4.76 +/- 0.45] had the highest score, whereas the factor of ensuring the security and confidentiality in the EHR [4.21 +/- 0.81] and participation in the design and implementation phase of EHR [4.29 +/- 0.71] had the lowest score

Conclusion: The most obvious finding to emerge from this study is that most nurses believe that awareness of benefits and understanding of EHR concepts, increases their readiness to implement EHR. Thus, this issue should be considered by policy makers of information technologies

[Attitudes and knowledge of HIV positive persons and high risk behaviors groups in Golestan, Iran]

The epidemic of HIV has been become worldwide. Infected people with HIV which are most intravenous drug users [IDUs] and/or people who have unsafe sex are important source of transmission of infection to other persons in a community. Since there is little known about the knowledge and attitudes of HIV positives about HIV in Iran, therefore we decided to measure the level of knowledge and attitudes of this group in Golestan province in compare with individuals with risky behavior. This cross-sectional study was conducted on 54 HIV+ persons and 134 people with high risk behavior individuals in 2007 year. Our study showed that HIV- [High risk group] cases had higher education level [P=0.034]. Rate of jobless was higher in HIV+ persons [P<0.001]. HIV+ cases had lower income [P=0.037]. Both groups had moderate knowledge and poor attitude on HIV/AIDS. Level of attitude in HIV+ positive persons was lower than high risk group [P=0.05]. It is concluded that these susceptible persons and also infected individuals with HIV regardless of their socio-economic levels need more continuous education in structured programs

Evaluating the client satisfaction from family physician program [FPP] in health centers

Today, satisfaction is a concept that has an important role in health services. If it is evaluated properly, it can be very helpful to improve and enhance the activities. This study has been done in rural areas of Tehran to evaluate the client satisfaction from family physician program [FPP] in health centers. This is a cross-sectional and descriptive-analytic study. Sampling was randomly and systematically done and data was gathered by a questionnaire and face to face interview. Data was analyzed by inferential statistics. Satisfaction of 172 clients [70%] was evaluated in good range and there was no significant relationship between sex and the level of satisfaction. But between age and satisfaction was a significant relationship. [p=0.007 and R=-K].197] Between the level of education and satisfaction, there was a reverse non-significant relationship. [p=0.332 and R=-.062] The client satisfaction level varied among different districts. There was no significant relationship between level of satisfaction, location and type of assurance. In general, the level of client satisfaction was good. It seems that health centers should preserve the present situation and promote services by new client demands

[Satisfaction of family physicians [FPs] about effective factors on activation of FP program in medical universities]

Family Physicians [FPs] played a responsible role as the manager of health team for using of potentials promotion and conserve the health in their protege population. Family physicians Satisfaction can be effect on efficacy, quantity and quality of health services. To evaluate the level Satisfaction of family physicians [FPs] about effective factors on activation of FP program in medical universities in northern provinces of Iran. This cross-sectional descriptive- analytic study was performed on rural regions and towns with population under 20000 persons in the universities of Golestan, Mazandaran, Bobol and Guilan in 2008. At first 20% of health centers which applied family physician program were selected by randomized systematic selection, 160 FPs were interviewed by questionnaire in each center. Data was analyzed by Chi-square, Fishers Exact and Kendalls Test in SPSS. Among 160 FPs, 92 persons [55.4%] were male, 132 persons [79.5%] were married. Mean age of them was 34.5 +/- 4.95 years, mean records of their services was 32 +/- 9.79 months. Mean of their prot‚g‚ population was 4285 +/- 1338.persons. Level of FPs satisfaction was low about the function of district health center, specialists between the second level of referral system and the people with rural assurance,there was a significant difference between the mentioned universities [about these factors]. But the Level of FPs satisfaction was high about the health team. According to the results the managers of district health center must promote the programs and increase the coordination between first and second levels for presentation of health services

[Benchmarking records of administrators and officers at health deputy headquarters of Iranian universities of medical sciences: 2008 - 2010]

Benchmarking is used to identify the successful experiences and achievements of a business to develop and improve organizational performance. This study aimed to determine, firstly, the frequency of benchmarking made by administrators and officers at Health Deputy headquarters of Iranian universities of medical sciences and, secondly, the relationship of this frequency to individual and organizational factors. This cross-sectional study was conducted in spring 2010. The research population constituted administrators and officers at Health Deputy Headquarters of Iranian universities of medical sciences from which thirteen universities were randomized and stratified. All available administrators and officers in the selected universities were interviewed and, then, were asked to complete a reliable and valid questionnaire consisting of individual and organizational variables. From the 293 administrators and officers under study, 75 [26.5%] could exploit 167 cases of successful experiences and achievements of other organizations to improve and develop their organizational performance. While 46.7% of benchmarking was conducted through site visits, 86.2 % of all the process was performed by the health sector, and 91% of the activity was done within the country. Among individual and organizational factors, only the educational degrees of the participants showed a significant relationship with benchmarking rates [p=0.045]. To promote the low amount of benchmarking capita among the administrators and officers, it seems necessary to design and implement intervention programs

[Correlation between obesity, exclusively breast feeding and breast feeding duration among infants, Bandar Turkmen district Northern, Iran]

Child obesity is increased in developing countries. This study assessed the prevalence of obesity on children which are exclusively on breast feeding and its duration among children aged 24-59 months in Bandar Turkmen district Northern, Iran. In this descriptive- analytical study, 343 in children aged 24-59 months were selected with stratified random sampling. Obesity was defined as >+2SD NCHS [National Center for Health Surveys] reference. Data were collected by questionnaire, interview with mothers and were analyzed with Chi-Square and Fisher tests and multiple regression logistic models. In this study, 6.4% of children were obese. Prevalence of obesity was not significantly different between boys and girls [5.4% and 7.4% respectively]. Breast feeding duration<18 months [P<0.005] and formula or cow's milk plus breast feeding up to 6 months old [P<0.01] was significantly correlated with children's obesity. Breast feeding duration more than 18 months reduced the obesity risk factor with 64%.This study demonstrated that exclusively breast feeding in the first 6 months of life and breast feeding duration more than 18 months reduce the child obesity

[Prevalence of malnutrition in children under 2 years old and its relationship with mothers background variables in Golestan province]

WHO estimated almost 27% of under 5 years children suffered from under-weight. This study aimed at assessing anthropometric indicators [under-weight, wasting and stunting] in 0-24 months children at Golestan province and the relationship with the background variables of households. This cross-sectional study was done on 1473 children [under 2 years old] whom resided in urban and rural area. Samplimg method was single stage cluster sampling. Constitutional variables in child's mothers, age, educational level, job and child's weight and height are measured by structured questionnair. The data were analysed with chi square, chi square for trend and logistic regression. The under-weight, wasting and stunting [mild to severe] prevalence were 21.4% [CI 95%: 19.3-23.6], 16.5% [CI 95%: 14.7-18.5] and 31.4% [CI 95%: 29.1-33.8] respectively. Maximum sex difference in the malnutrition indicators were seen stunting [boys 14.3%, girls 7.2%] [p<0.05]. The prevalence of under-weight, wasting and stunting are positively correlated with increasing the children's age. The under-weight and stunting linear trend was significant [p<0.05]. The risk of under-weight children were 2.8 fold in illitraced mothers relative to mothers with highschool diploma [CI 95% for adjusted odds ratio: 1.1-7]. The risk was 1.5 fold in stunting [CI 95% for adjusted odds ratio: 0.5-4.3]. The under-weight and wasting [moderate to severe] prevalence are increased relatively ANIS study [1998], but stunting prevalence are not increased. The mothers' illitracy and very low educational level can be suspected risk factors for under-weight and stunting