RESUMEN
Introduction: The objective of this study was to explain the perspectives of managers regarding change management in nursing and midwifery faculties
Methods: This study was conducted according to the qualitative approach; in fact, a descriptive exploratory method was applied with triangulation. Snow ball sampling method was used. Subjects composed of managers in nursing schools in Tehran and the inclusion criterion was at least 1-year experience. In qualitative phase, no variable was measured. Data were gathered by semi-structured interviews in which a guide and field notes were used. Data were saturated after observing the repetition of codes. Content analysis was used for data analysis. The trustworthiness was achieved by a prolonged field experience, member check, peer check and sharing the content with two experts in qualitative research
Results: Ten participants [7 females and 3 males] between 38 and 54 were interviewed. 2 of them had Master degree and 8 with Ph.D of nursing; only 3 of them were in high-level management of their faculties. After interviews, 124 conceptual codes, 15 sub concepts and 3 core concepts were extracted
Conclusion: Accordingly, the concept of change management was postulated as the purpose of this study. Furthermore, its influencing factors were identified. The implication of the study is in the faculties of nursing and midwifery to use the model according to organizational culture
RESUMEN
Background: In recent years, because of population growth and its related complications. evaluating appropriate ways of contraception is important. In this regard, sterilization with low failure rate [tubectomy 0.4% and vasectomy 0.14%] is one of the most effective ways of contraception
Purpose: This descriptive comparative study was conducted to assess knowledge and attitude of couples in selecting sterilization at health care settings of Hamedan in 2002
Method: Subject population consisted of couples with criteria of sterilization, who attended to health care centers of Hamedan. A multistage sampling was used, to select 65 couples choosing sterilization method and 65 couples using other contraceptive methods. Information regarding age, marital status, etc. as well as knowledge and attitude were collected by a questionnaire validity and reliability of the questionnaire were determined by content validity split-half method respectively
Results: Findings showed that the mean ages of couples choosing sterilization were 33.4 +/- 5.62 years in women and 39.3 8 +/- 6.96 years in men. In couples using other contraceptive methods, the mean ages in women were 37.6 +/- 5.81 and in men 44.09 +/- 6.52 years. The majority of women were housewives and the majority of men had nonprofessional jobs. The majority of couples choosing sterilization [52.3%] and the majority of couples using other contraceptive methods [50.8%] had poor knowledge about sterilization. 78.5% of couples choosing sterilization had positive attitude and 49.2% of couples using other contraceptive methods had neutral attitude toward sterilization. The most common source of information about sterilization in the majority of women choosing sterilization [27.7%] was doctors and medical personnel and, in the majority of men [16.9%], were friends and relatives. The majority of couples [40% of females and 30.8% of males] chose sterilization because of its permanency. The most common reason for rejecting sterilization in couples using other contraceptive methods [47.7% of females and 44.6% of males] was fear of sterilization complications
Conclusion: With regard to poor knowledge and positive or neutral attitudes toward sterilization in couples, there is a strong need to improve family planning educational programs specially about sterilization through mass media and develop counseling services in order to reduce sterilization unacceptance