RESUMO
Introduction: Nurses are important resources in a community health system. Therefore, attention to mental health to this group seems to be essential. The aim of this research was to determine the effect of cognitive- behavior religious training on hopelessness, worthlessness and dissatisfaction on nurses' life
Materials and Methods: This study was quasi-experimental, in which 66 employed nurses in the Shahid Hashemi Nejad Hospital in Mashhad were selected and divided into two groups of experimental and control. The intervention was formed of 10 sessions of 90 minute long. Sessions were held three days a week for the experimental group. The instrument for collecting data was [Identity Crisis Questionnaire] Content validity was measured by 12 experts and reliability was determined by Cronbach's alpha [alpha=0.93]. The questionnaires were completed before and after a month of intervention. The data was analyzed by SPSS/18 and use of descriptive and analytical statistics includes paired and independent and covariance
Findings: Overall mean scores of hopelessness, worthlessness and dissatisfaction on nurses' life was 44.12+/-11.76 before intervention and 33.47+/-14.18 one month after change of intervention [P<0.001]. While control group did not have any significant change, but overall mean scores of one month before and after had a significant change [P<0.06]
Conclusion: Cognitive- behavior religious training is inexpensive, effective, essential and safe method to help mental health of nurses. It is recommended to enhance mental health of nurses and improve the quality of care, from this type of training is used
RESUMO
Paying per case approach is being applied at Iranian Hospitals as one of the important levers of management, but, the payment rate is not proportionate to the services provided by each staff. The aim of this study was to compare patients' satisfaction of a hospital before and after the implementation of the method of paying per case based on the services provided by each staff. This before-after quasi-experimental study was conducted on two independent groups of hospitalized patients at Shahid Beheshti Hospital of Yasouj city. The sample, before and after intervention was 500 and 660, respectively. The sampling method was purposive. Data collection tool was questionnaire and data were analyzed using descriptive and analytical statistical methods. The results showed that the mean and standard deviation of the age of the subjects, before and after intervention were 28.15 +/- 13.77 and 29.33 +/- 14.68, respectively. Based on the results, no statistically significant relationship was found between the gender and satisfaction before and after intervention. The education level of samples had statistically significant relationship with their total satisfaction of services before intervention [P<0.05], while, this relationship was not significant after intervention. The patients' satisfaction of nurses' performance and total services was statistically increased after intervention [P<0.05]. Implementing the method of paying per case based on the services provided by each staff, may increase satisfaction rate of patients
RESUMO
Pain, rather than any other problems, would persuade people to pursue remedy and treatment. Muscular injections are among pain producing factors. This technique of prescription can be followed by some complications from which pain is the most prevalent one. This study was performed to compare the pain severity caused by muscular injection of Tramadole in Z and Bulb methods. This is a clinical trial study in which 90 women who referred to the emergency ward of Shahid Beheshti hospital in Yasooj in 2006 were randomly selected. Data collection instrument was questionnaire. The pain severity was evaluated by visual scale. Data were analyzed by descriptive statistical method, independent T and chi square test using SPSS software. Mean of pain severity in bulb method was 2.84 +/- 1.242 and in Z method was 4.56 +/- 1.659. The independent T test indicated that the differences in pain severity in two injection methods were statistically significant [p=0.036]. No significant differences were found between age, educational level, job, marriatal status, number of previous injections and BMI of samples between two groups. Bulb method injection induces less pain in comparison with Z method; therefore it is an ideal method for muscular injections. As such, health care workers, especially nurses, can, through this method, minimize the patients' pain, which is one of the most important injection complaints