نشریه مدیریت ارتقای سلامت
سال هشتم شماره 2 (پیاپی 36، فروردین و اردیبهشت 1398)

The use of health information systems can have positive or negative effects on the relationships between nurses and patients. The purpose of this study was to determine the correlation between the use of health information system and nurse-patient relationship with mediator role of perceived organizational justice. The present study is descriptive-correlational. The statistical population consisted of 272 nurses of Amir al-Momenin Hospital in Isfahan. Using the available sampling method, the data were collected from 160 persons using three questionnaires: “System Use Questionnaire”, “Nurse-Patient Relationship Questionnaire”, and “Justice Questionnaire Organizational Justice Questionnaire”. The face, content and construct validity was performed using verifiable factor analysis. Reliability was measured by Cronbach's alpha coefficient and composite stability. In order to analyze the data, SmartPLS M2.0 software was used. The use of health information system has a positive and significant correlation with organizational perceived justice and its components as well as with nursing-patient communication (P<0.01). Perceived organizational justice (P<0.01) and its components have a positive and significant correlation with nurse-patient relationship (P<0.01). Only correlation between the relationship between procedural justice (P<0.05) and nurse-patient relationship was statistically significant (0.95). The use of health information systems has a significant correlation with patient-nurse-patient relationship with the role of mediator of perceived organizational justice. Hospitals managers are recommended to use hospital information systems to improve the relationship between nurses and patients. Improving nurses' perception of organizational justice in the hospital environment can also promote relationships between nurses and patients.

Healthy lifestyle and internal documentary styles are among the variables that affect many aspects of life and play an essential role in controlling blood pressure. The purpose of this study was to predict hypertension from lifestyle, documentary style, and age in outpatients referring to public health centers in Urmia, Khoy and Mahabad. The present study is a descriptive-correlational study. The statistical population includes all outpatient patients referring to public health centers in West Azarbaijan Province. The sampling method is randomly clustered. Three cities (Urumieh, Khoy and Mahabad) were randomly selected. All outpatient patients who visited these centers on even days were selected as a statistical sample (353 people). The instruments were “Lali's Life Style Questionnaire”, “Rotters Locus of Control” and balance and blood pressure monitor. Validity and reliability of the questionnaires have been confirmed in previous studies. Data was analyzed using SPSS. 23. There was a correlation between the source of internal control and age (P≤0.01) and lifestyle (subscales of weight and nutrition control, psychological health, avoidance of drugs and drugs) with hypertension (P≤0.05). The variables of the source of the style of internal documents, lifestyle (weight control and nutrition, mental health, avoidance of drug use), and age were able to predict 17.7% of outpatient hypertension. Weight control and nutrition, psychological health and avoidance of drugs and drugs, and the source of internal control of hypertension were inversely correlated. These variables are in control of the individual, so they can control blood pressure by controlling them. Therefore, it is suggested to strengthen the internal documentary style for positive events to reduce blood pressure, preventing self-medication and weight gain.

The distribution and productivity of human resources in the health sector have a significant role to play in providing health-care services and services to the population covered. The purpose of this study was to determine the distribution of nursing staff in hospitals affiliated to the Ministry of Health and Medical Education before and after the implementation of the Health System Evolution Plan. This study is a descriptive study carried out in 2014. In this study, the study population consisted of all hospitals affiliated to the Ministry of Health and Medical Education (621 hospitals) from 54 medical universities of Iran that were studied by census method. The data collection was carried out using the "Hospital Information Form". The contents of the form were approved by five management and health professionals. Data analysis was done with Dasp2.1, STATA and SPSS.19. The Gini coefficient varied from 0.05 to 0.09 before the Health System Evolution Plan, and after the between 0.05 and 0.09. There was a significant correlation between the number of beds and the distribution of nursing staff. Distribution of nursing staff after the implementation of the Health System Evolution Plan was more equitable. It is suggested that these indicators be taken into account in the development of medical and non-medical manpower standards at the level of medical universities of the country.

The emotional divorce is the most important factor in the family's frustration and causes the emotional gap of the family. The purpose of this study was to determine the correlation between differentiation and neuroticism with emotional divorce in married students of Azad Shahr city in 1396. In this descriptive-correlational study, 278 students were selected by sampling method. Data collected using the “Skowron & Friedlander Differentiation of Self Inventor”, the NEO Five-Factor Personality Inventory, and the “Gottman Emotional Divorce Questionnaire”, which the validity and reliability were confirmed in previous studies. After collecting the questionnaires, data were analyzed using SPSS.19. The mean scores of self-differentiation, neuroticism and emotional divorce were 105±10.76, 16.24±1.25 and 8. 58±5.21, respectively. Also, the results of the correlation test showed that there was a negative correlation between self-differentiation and emotional divorce. Among the different dimensions of self-differentiation, the correlation between the three variables: "emotional response", "emotional fault" and "blending with others" was positive with emotional divorce. In addition, the correlation between "position of personal position" and emotional divorce was negative. Finally, it was also found that there was a positive and significant correlation between neuroticism and emotional divorce. By increasing self-differentiation and reducing neuroticism, the amount of emotional divorce in couples decreases. The average of the score obtained in emotional divorce is the signs of emotional divorce among respondents. It is suggested that training courses be conducted on the psycho-destructive effects of neuroticism and its consequences for students.

Hemodialysis in chronic renal failure leads to affecting all patients' existential dimensions and the development of anxiety, depression and tension. Considering the significant role of psychological factors in the treatment and improvement of patients, this study was conducted to determine the effectiveness of "virtual reality therapy with aromatherapy" on anxiety, depression and stress of renal patients under hemodialysis. The present study was a semi-experimental design with pretest-posttest and follow-up with control group. The statistical population of the study was hemodialysis patients in Vali-e-Asr and Bahmanan hospitals in Zanjan. Twenty patients were selected on purpose basis based on entry and exit criteria. Then, 10 patients were randomly assigned to "virtual reality treatment with aromatherapy" and 10 subjects in the control group. To assess the variables in the research, pre-test, post-test and follow-up were used for "Depression, Anxiety and Stress Scale" (DASS-21 Depression Anxiety and Stress Scale-21). The validity of the questionnaire was verified by the counselors and the reliability of the questionnaire was measured using Cronbach's alpha. In order to perform the intervention, patients with virtual reality therapy with aromatherapy for 8 sessions of 1 hour after attachment of the patient to the dialysis machine, a handkerchief dipped with three drops of essential oil of the Lavandula plant was attached to the patient's collar, and the patient was requested to be inadvertently breathing At the same time, at the same time, virtual reality treatment was performed using glasses that were placed on the patient's eyes and the control group did not receive any treatment. Data was analyzed using SPSS. 24 software. The results of repeated measures analysis of variance showed that after the intervention, the scores of all three sub-scales of depression, anxiety and tension significantly decreased compared to the control group (P < 0.01). “Virtual Reality Therapy compound with Aromatherapy," is considered as an effective treatment to reduce the symptoms of depression, anxiety and stress in renal patients under hemodialysis. Therefore, it is recommended that therapists and practitioners use the results of this study to improve the health of patients.

Nurses are required to use stress management methods due to their high exposure to daily stress. The purpose of this study was to determine the effect of resilience skills training on nursing stress of nursing staff in hospitals of Golestan Province. The present study is quasi-experimental. Participants included nurses working in hospitals in Golestan province who were randomly selected and randomly assigned to participate in the study. The samples were 40 in each of the experimental and control groups. The experimental group underwent a 4-session workshop on resilience skills. Data were collected using a two-part instrument consisting of demographic questions and “Nursing Stress Scale” (NSS). The Scale was completed by participants in the three stages before, immediately and one month after the intervention. The reliability of this scale before the intervention was performed by Cronbach's method. Collected data was analyzed using SPSS. 21. In the test group, the difference between the mean score of total nursing stress before and after the training was 101.05, 93.50, respectively. After intervention, training of resilience skills between two groups of test and control was also significant in nursing stress variable. In other words, intervention significantly decreased nursing stress in nursing staff (n = 141.104, P < 0.001). Training of resilience skills reduced nursing stress in nursing staff. Training this skill for nurses is recommended.

The "Wireless Sensor Network" based rehabilitation is one of the major issue in hospitals. The purpose of this study was to prioritization the criteria of wireless sensor networks in the rehabilitation supervision using the Fuzzy MCDM Approach. In this descriptive study, the population consisted of all doctors and nurses in Tehran Day's Hospital, with 210 people. From the statistical population, there were 70 doctors and 40 nursing experts. Satisfaction rate and willingness to participate in the study were individuals with specialization in rehabilitation and wireless sensor networks and at least 5 years in the field. Therefore, 30 people were selected through purposive sampling. Also, a fuzzy multi-criteria decision-making model is used to illustrate the hierarchical structure of existing factors. The data gathering instrument was “Pairwise Comparison Rehabilitation Questionnaire”. Validity and reliability of the Questionnaire was confirmed using content validity ratio and alpha Cronbach. Data analysis was performed using SPSS.19 and MATLAB 6.5 software. Calculations indicate that comfortable and durable criteria have respectively the highest degree of importance relative to other criteria. Also, the options of reliable communication and body impact in signal propagation were the highest priority in comparison to other challenges of wireless sensor networks in rehabilitation monitoring. Prioritizing the criteria for wireless sensor networks in rehabilitation monitoring leads to a significant selection of criteria in engaging with decision makers. It is suggested to managers to improve the performance of staff in using sensors through training.

Today, the use of strategic planning capacities can well illustrate the development path of university exercise. The aim of this study was to design sports strategies at Shiraz University of Medical Sciences at all levels of the organization. The present study was descriptive and the statistical population was in several groups. The Delphi method was used to assess the strengths, weaknesses, opportunities and threats, as well as identification of mission, vision and exercise values in Shiraz University of Medical Sciences. Snowball sampling method was carried out to achieve theoretical saturation. In this phase, 55 individuals were identified as managers and experts. In the second step, to identify internal and external factors, Swat model (Strengths, Weakness, Opportunities, and Threats) was used for statistical population including all students, staff, teachers of Shiraz University of Medical Sciences. A sample of 344 students was selected based on simple random sampling from students of Shiraz University of Medical Sciences. In the second stage, 27 teachers and 28 employees of Shiraz University of Medical Sciences were selected to examine the strengths, weaknesses, opportunities and threats by available sampling method. The questionnaire was a researcher-made SWOT questionnaire, which included SWOT factors (weaknesses) and external factors of SWAT (opportunities and threats). In order to evaluate the data, weighted method and SWOT-related statistical methods such as strengths, weaknesses, opportunities and threats (SWOT), and position assessment matrix and strategic action (SPACE matrix) were used. The low level of interest of male students in sport and physical activity with a final coefficient of 0.412 was the most important disadvantage of sport in Shiraz University of Medical Sciences. Also, the importance of exercising and physical activity in the community with a final coefficient of 0.476% was the most important opportunity of sport. Sports strategy point of Shiraz University of Medical Sciences was conservative in the region. In order to develop sports, planning is recommended to address the weaknesses.