نشریه پژوهش سلامت
پیاپی 3 (بهار 1395)

Due to the rapidity and necessity of implanting this plan, the authors did not have enough time to run some preparations. To continue the plan, we need to an understanding of the opportunities and challenges being faced to organizers. Implementation of a healthcare reform, like other plans, had particular problems. Therefore, the aim of this study was to identify the opportunities and challenges of healthcare reform organizers.
Method and Materials: this was an applied research. For collecting the qualitative data, semi-structured interviews with healthcare managers and experts in university hospitals were performed. Sampling was based on purposive method. Data obtained was entered into MAXQDA software and then was analyzed by content analysis approach.
The results of the study, which was on opportunities, challenges, threats and strategies to improve the Ministry of Health in the implementation of the health reform plan, led to the formation and identification of 369 primary codes, 13 classes and 3 themes.
It is hoped that the results of the study, through identification of opportunities and challenges, can be a useful step in order to provide a framework for monitoring and evaluating the healthcare reform plan as well as being helpful for policy makers and planners in various stages of healthcare reform.

Hollander theory was developed by America's fifth classification criteria Psychiatric Association classified in three groups. Therefore, this study aimed to investigate and compare the impulsivity in patients Hollander was recommended range.
Material and Data population consisted of patients with body dimorphic disorder, anorexia nervosa and hypochondriasis, impaired Impulse control disorder, impaired removal of hair and skin, sexual addiction and healthy group referred to clinics, mental health and psychosocial city of Hamadan, from the society 91 patients (each 13 people) were selected to the approach, tools used Barratt impulsiveness questionnaire (1994), the data were analyzed using ANOVA.
The results of this study indicate that there are differences in impulsivity, cognitive and non-planning in patients with body dimorphic disorder, anorexia nervosa and hypochondriasis, Impulse control disorder, hair and skin picking disorder, sexual addiction and healthy, and the results can be said, the group offers a wide range of high impulsivity Hollander. So that most of impulsivity were on Body Dimorphic with 982/2 ± 67/29 And anorexia nervosa and hypochondriasis and sexual addiction disorder were second with an average of 34/29,Momentum with 598/2 ± 28 disturbances in the control group and pulling hair and skin with a 465/2 ± 67/26 lowest Hollander’s theory of impulsivity.
According to the results we conclude that the nature of these disorders; as Hollander was introduced; are risky behaviors including impulsive behaviors in all impulsivity, cognitive and non-planning dimensions.

Long-term work with computer can lead to damage of vision and musculoskeletal disorder on the computer users. The aim of this study was to determine the predictors of ergonomic computer users based on the Trans theoretical model of computer users working in Baqiyatallah hospital (Aj) in Tehran.
Material and This descriptive study - an analysis on 102 computer users with up to 20-hour work per week was done with computer. To collect demographic questions and questions valid and reliable questionnaire was used the Trans theoretical model. The data descriptive and analytical statistics were spss software at a significance level 0/05.
The mean stage of change the samples studied was 2.7. And the Trans theoretical model structures efficacy was good and 50% of the balance in the decision making process change and change process in the moderate and low.
Educational interventions based on the Trans theoretical model structures can improve ergonomic knowledge for computer users.

Suicide as a psychiatric emergency is one of the greatest problems of today’s societies. The aim of this study was to investigate the efficacy of dialectical behavior therapy in reducing suicidal thoughts (suicidal ideations) in suicide attempters with a history of previous suicide.
The method of this study was a quasi-experimental study with two groups; experimental group and control group. The study population consisted of all patients that had attempted suicide, and were refered to priviate medical centers during fall and winter of 2012. The sample consisted of 32 females, who had attempted suicide with a score of one standard deviation above the average test grades of suicidal thoughts, had at least intermediate level of education, and history of suicide attempt. Beck’s diagnostic interview and structured interviews were performed for all participants. Dialectical behavior therapy for groups, during a four-month period (2 to 2.30 hours per week) was performed. Data were analyzed using analysis of variance with the SPSS software.
The results showed that dialectical behavior therapy significantly reduced the rate of suicide and the score of the experimental group (P=0.029).
Suicidal thoughts can lead to suicide attempts. In the field of treatment of suicidal ideation and those who are living in a state of crisis, dialectical behavior therapy due to its nature, seems to be very efficient and promising.

Today, musculoskeletal disorders are of extensive occupational injuries around the world. These disorders represent one-third of all the occupational injuries, which have significant economic and social worth effects. The causes of these disorders are very different; but one of the most important ones is awkward working postures. For this purpose, this study was carried out to survey work postures in hospital staff using Rapid Entire Body Assessment (REBA) and Rapid Office Strain Assessment (ROSA) methods.
In this cross-sectional study, 57 employees were randomly selected from all the hospital staff working in different wards. ROSA was used to assess working postures in the administrative personnel, and REBA was applied for the rest of the staff.
According to the results of REBA, the final risk scores of 45% of employees were in the high level range and 48% were in the medium level. The results of ROSA indicated that in 43% and 57% of the administrative personnel, the final risk scores were in high and safe levels, respectively.
The results indicated that the risk of musculoskeletal disorders among administrative staff as well as the rest of the hospital personnel was high. In order to diminish the prevalence of musculoskeletal disorders, prevention and educational programs must be arranged for all the staff in every department of the hospital.

Due to the rapidity and necessity of implanting this plan, the authors did not have enough time to run some preparations. To continue the plan, we need to an understanding of the opportunities and challenges being faced to organizers. Implementation of a healthcare reform, like other plans, had particular problems. Therefore, the aim of this study was to identify the opportunities and challenges of healthcare reform organizers.
Material and this was an applied research. For collecting the qualitative data, semi-structured interviews with healthcare managers and experts in university hospitals were performed. Sampling was based on purposive method. Data obtained was entered into MAXQDA software and then was analyzed by content analysis approach.
The results of the study, which was on opportunities, challenges, threats and strategies to improve the Ministry of Health in the implementation of the health reform plan, led to the formation and identification of 369 primary codes, 13 classes and 3 themes.
It is hoped that the results of the study, through identification of opportunities and challenges, can be a useful step in order to provide a framework for monitoring and evaluating the healthcare reform plan as well as being helpful for policy makers and planners in various stages of healthcare reform.

High-Fidelity simulators are considered as costly educational technologies. With a cost-effective view, if this technology can be an effective and profound impact on learners may be considered as a good alternative and complementary option to theoretical and clinical nursing education. But if the effects of this technology haven’t appropriate depth, it should paid special attention to the advantages and disadvantages of its use in nursing education. This study was conducted to examine the psychological - emotional effects of using simulators in undergraduate nursing education using a systematic review.
In order to ensure no duplicate study, search the Cochrane Library databases were conducted. Search strategy was limited to search for English-language studies in the last decade, the years 2002-2015. CINHAL, Cochrane Database and the MEDLINE and journal Clinical Simulation in Nursing were searched. In the last step, Journal of the Society for Simulation in Health Care manually assessed. One hundred and ninety-seven studies were found. According to Inclusion criteria, finally it was selected 10 studies.
Review findings revealed that the use of High-Fidelity simulators can be effective on anxiety, self-confidence or self-efficacy and satisfaction of nursing students.
Psychological – emotional factors due to education can be an important factor in the actively engage of learners and successful outcomes in learning process. So it should pay more attention to this area.