RESUMO
Introduction: numerous factors play an important role in participation of medical staff in education programs. However, information in this regards is very limited. The purpose of this study was to assess facilitating and inhibiting factors in health care personnel participation in in-service education programs
Method: in this cross sectional study, 740 medical staff from Kerman university of medical science were enrolled into the study using convenience method from April to July 2013. Data collected using three questionnaires [demographic questionnaire, questionnaire that examined barriers of participation in continuing medical education programs and questionnaire that examined facilitating factors of participation in inservice medical education programs. Data were analyzed using SPSS version 16. Descriptive analysis, independent t test, and one way ANOVA were used
Results: "credits earned" was the most important motivational factor with mean score of 4.25 +/- 0.84 and "competitive advantage" was the least significant with mean score of 3.0 +/- 1.12. The main barrier was "lack of enough personnel" with mean score of 4.02 +/- 1.20 and the least significant was "low self-confidence" with mean score of 2.88 +/- 1.38. Results of present study showed significant difference between mean score of personal [3.97 +/- 0.22] and organizational [3.48 +/- 0.27] motivational. But difference between mean score of personal [3.42 +/- 0.36] and organizational [3.49 +/- 0.23] barrier were not significant
Conclusion: "credits earned" was the main motivation factor of participation in continuing education programs. Therefore, methods such as employee suggestion program, determining content of educational, and workshops on program verification for staff nurses may change their attitude towards educational programs
RESUMO
Many factors influence patients' sleep and recognizing them can help care givers to provide good care. The aim of this study was to compare view of physicians, nurses and patients in regard to factors relating to sleep disorders in patients. This descriptive-comparative study was conducted on 530 patients in medical surgical wards, nurses and physicians of those wards in Kerman Medical University Hospitals. Sampling was done on two stages of quota and consecutive. Data was gathered by "Related Factors of Patients' Sleep" questionnaire with 58 questions about environmental factors, individual-physical, individual-psychological, caring and behaviors before sleep was used. Content validity 0.96, Cronbach alpha 0.86 for questionnaire was confirmed. Data were analyzed by using SPSS/18 software, descriptive statistics, [frequency, mean, SD],independent T- test and ANOVA. Factors influencing sleep health in view of physicians, nurses and patients were not significant. The most prevalent environmental factor was reported as sleeping on hospital beds and changing the bed, pain as a physical factor, being worry about family and separation from them were as mental problems. The most prevalent habit before sleeping was, talking to others and the major sleep distraction for patients, was waking them up for routine nursing cares. Patients hospitalized in medical and surgical wards don't have good sleep due to several reasons. Nurses can help to improve patients sleep by solving some of these problems. They can arrange a quiet environment, and try to relive some of the physical concerns. In addition they can decrease patients' anxiety by communicating and talking with them. This provides a healthy sleep which ultimately leads to mental and physical health of the patients.