حکیمه واحدپرست

In addition to its impact on the quality of care provided by caregivers, the care burden of informal care-givers also negatively affects the quality of life in patients. The present study was conducted with the aim of investigating the relationship between the care burden of informal caregivers and the quality of life in hemodialysis patients.

This descriptive correlational study was conducted on 259 couples (hemodialysis patients and their care-givers) in all the hemodialysis centers of Bushehr Province, Iran (2021) using the census method. The data collection instruments were a demographic information form for the patients and caregivers, the Kidney Disease Quality of Life Short Form and the Caregiver Burden Inventory. Data were analyzed in SPSS 19.0 using descriptive and analytical statistics. P<0.05 was considered statistically significant.

The patients' quality of life and caregivers' care burden were 47.96±23.53 and 1.24± 0.76, respectively. There was no significant correlation between the caregivers' care burden and the hemodialysis patients' quality of life (P>0.05). Among the available variables, hours of care were an inverse predictor (P=0.019) and patient’s literacy (P<0.05) a direct predictor of patients' quality of life.

These results can be used to design educational and counseling programs in order to increase the patients’ and caregivers’ knowledge and awareness. By empowering hemodialysis patients in their self-care func-tions, the caregivers' care hours can be reduced and the physical and mental health of the caregivers can thus be improved, thereby also causing an enhanced quality of life for the patients.

There is a bidirectional relationship between marital discord and chronic disease. Considering its importance to individuals with chronic diseases, it is critical to explore the factors that influence marital adjustment. This study aimed to investigate the relationship between irrational beliefs and marital adjustment among couples with chronic diseases in Bushehr, Iran.

This descriptive correlational cross-sectional study investigated 92 couples (including 184 individuals) in which at least one spouse had one or more of the most common chronic diseases. Participants were selected using a convenience sampling method from internists' and cardiologists' offices, specialty clinics, and comprehensive healthcare centers in Bushehr during 2022. Data were collected using a demographic survey, the Dyadic Adjustment Scale developed by Graham B. Spanier and the short-form of Jones Irrational Beliefs Questionnaire (IBQ). Data were analyzed using descriptive statistics, Pearson correlation, and univariate and multivariate hierarchical linear regression tests using SPSS-20 software. A significance level of p<0.05 was considered for all analyses.

The mean and standard deviation of the total irrational belief scores for women and their husbands were 111.21±23.60 and 105.24±25.24, respectively. Furthermore, the mean marital adjustment score of the couples was 102.50±18.36. Additionally, 38% of the couples had marital discord. No significant correlation was found between the women’s irrational belief domains and their marital adjustment. However, regarding men's irrational belief domains, "feeling helpless against change" showed a significant negative relationship with marital adjustment (β=-0.400; CI95%: -0.703; -0.083).

The results showed that men's beliefs influenced the marital adjustment of couples.  Therefore, when counseling couples experiencing marital discord, especially those with chronic diseases, the psychologists and family counselors need to identify the factors affecting it. For instance, men's irrational beliefs, especially feeling helpless against change is an affecting factor that can be reduced through appropriate counseling.

Annually, millions of patients in the world are injured and die due to unsafe medical care. In order to manage this issue, it is important to examine the safety status and the factors affecting it. Because of their essential role in the healthcare system and their responsibility for at least half of the patient's health and safety services in hospitals, nurses are considered as one of the most important influencing factors in this field. The culture of patient safety in the sense of accepting patient safety as the first priority and measuring this importance in order to minimize unsafe medical care has a special priority. Therefore, this research was conducted to determine the status of patient safety culture and its related factors from the perspective of nurses working in hospitals affiliated to Bushehr University of Medical Sciences, Iran.

This descriptive-analytical cross-sectional study included 595 nurses working in hospitals affiliated to Bushehr University of Medical Sciences. Data were collected using two questionnaires of demographic information and the Hospital Survey on Patient Safety Culture (HSOPSC). Data were analyzed using SPSS Ver.19 and univariate and multivariate linear regression statistical tests.

The results showed that the mean score of patient safety culture from the nurses’ point of view (133.79±12.30) was moderate. 75.3 and 24.7 percent of the participants reported the patient safety culture as moderate and weak, respectively. None of the participants reported an excellent safety culture. Interest in nursing had a statistically significant and positive relationship with patient safety culture (p> 0.001; β=0.141). Other demographic and occupational variables had no statistically significant relationship with patient safety culture (P>0/05).

Considering the moderate level of safety culture, reviewing ways to improve twelve safety culture indicators should be on the managers' agenda. Because with increasing interest in the nursing profession, the culture of patient safety rises from the point of view of nurses, attention to the interest in the field should be operationalized when admitting students. It is also necessary to try to attract interested personnel and create organizational support for the sustainability of this interest to improve patient safety.

Despite the adverse effects of post-caesarean pain relievers, few studies have compared non-pharmacological methods of pain control. The present study was conducted with aim to compare the effects of foot reflexology and Benson's relaxation on pain levels in women candidates for caesarean section.

This randomized controlled clinical trial study was conducted in 2019-2020 on 135 women candidates for caesarean section in Persian Gulf Martyrs hospital, Bushehr. The participants were selected via convenience sampling and divided into three groups using block randomization: reflexology, Benson's relaxation, and control. In the reflexology and Benson's relaxation groups, the intervention was performed two hours post-operation and six hours after the first time. Pain levels were measured using a visual pain scale immediately, 30 and 60 minutes after the procedure. The amount of pain medication was also recorded. Data were analyzed using SPSS (version 19) and chi-square, Fisher's exact, One-way ANOVA, Kruskal-Wallis, Mann-Whitney, Friedman, and Wilcoxon tests. P<0.05 was considered statistically significant.

Before the intervention, the mean pain ranks were not significantly different among the three groups (P>0.05). Immediately, 30 and 60 min after the intervention, the mean pain ranks were significantly lower in the two intervention groups than the control group (P<0.05). There were no significant differences among the three groups in pethidine intake (P=0.193). However, the control group received significantly higher amounts of ketorolac and diclofenac when compared to the two intervention groups (P<0.05).

Reflexology and Benson's relaxation techniques can reduce post-cesarean pain and analgesics. Therefore, nurses can use these two non- pharmacological pain control methods.

There has always been a gap between nursing education and clinical practice, and nursing scientists have used several philosophical schools to reduce this gap. This article aims at the role of practical philosophy in reducing the distance between nursing education and clinical nursing.

This is a scoping review based on the five steps proposed by Arksey & O'Malley (2005). According to the above, a review of studies by searching the databases of PubMed, Scopus, WOS, Google Scholar, Ovid, Magiran, and SID in the period from 2010 to 2022 with the keywords philosophy of pragmatism, nursing education, clinical Nursing, and nursing practice was performed. A total of 36 articles were obtained, of which 13 studies were reviewed and analyzed.

According to this study, nursing is described as a clinical or pragmatic profession, because pragmatism has transformed nursing into a pragmatic profession by influencing the application of knowledge in practice, effective care, and practical training. which enables nurses to use this school to help reduce the gap between nursing education and clinical nursing.

The results showed that pragmatism is a practical philosophy to support and integrate education with clinical nursing. The best action can help nurses improve the practical basis of using theory education and nursing theories.

Currently, in the researches of library and information sciences, the relationship between the process of searching and learning is discussed a lot. It seems that the search to learning has led to exploratory search and exploratory search has helped users discover concepts in order to overcome their uncertainty and finally, achieve learning. What has been neglected is the extent to which searching process affects learning and the degree of knowledge change until one reaches the level of expertise. Hence, the present study was compiled on research findings with the aim of determining the impact of the information search process based on work tasks on learning. For this purpose, a semi-experimental one-group design with pre-test and post-test was used in 2021. The statistical population was the nursing students of the Bushehr University of Medical Sciences in their sixth semester, and 38 of these students randomly participated in this study. First of all, an educational workshop with the aim of getting familiar with drawing conceptual map and a search training workshop were held. Afterwards, the students were assigned two tasks and they were asked to draw their conceptual maps before and after searching. In order to describe and analyze the information in this research, conceptual map scoring (a type of quantitative content analysis) was used to determine the degree of learning, the Euclidean algorithm was used to assess the degree of knowledge change until reaching the level of expertise, and the pairwise comparison method was used to evaluate the difference in the degree of learning before and after the search. The outcomes indicated that the mean difference before and after the search was significant in both scenarios (P<0.001). Also, there was a significant difference between the mean scores before and after the search and the score of the conceptual map, with high confidence. However, it was low, compared to the rate of learning growth according to the expert score. Besides, the difference between the mean of the conceptual map in the complex and simple scenarios was not significant. The results demonstrated the effectiveness of search as a learning method, so it is suggested that librarians and information professors introduce searching as a learning method along with other methods to increase awareness and develop creative thinking skills in the academic community.

The Covid-19 crisis in December 2019 as a global pandemic was followed by many disorders such as stress, anxiety and depression among different communities and occupational groups. The high incidence and mortality statistics and the lack of known treatment methods indicate the need to discover the awareness, attitude and performance of the society about Corona. Therefore, the present study was designed to investigate the awareness, attitude and self-care behaviors about Corona disease and its relationship with anxiety in employees of universities of Bushehr in 1400.

The present study is a cross-sectional descriptive analytical study in which 287 employees of selected universities of Bushehr participated. The participants received online the researcher-made questionnaire of awareness, attitude and performance about the disease of Covid-19, Spielberger's overt and covert anxiety questionnaire. Mean, standard deviation, frequency tables and graphs were used to describe the data. For data analysis, univariate regression and hierarchical multivariate regression were performed. In the end, after data collection, data analysis was done through SPSS version 19 software.

The average scores of participants’ knowledge, attitude and self-care against Covid-19 in the study were (28.19±1.88), (13.38±1.30) and (34.26±4.02) accordingly. 68% of the participants in the study had moderate to severe overt anxiety and 88% had moderate to severe hidden anxiety. Attitude had a significant relationship with overt anxiety (P>0.001). Full and relative satisfaction with income was also related to obvious anxiety (P>0.001); However, awareness and self-care had no significant relationship with overt and covert anxiety (p>0.05).

According to the findings of the study, although the knowledge of the participants about the covid-19 disease was lower than the average, but they had a higher than average attitude  and performance self-care and high anxiety. In fact, those participants who had a positive view in the conditions of Covid-19 had a lower level of anxiety. But awareness and self-care were not related to their anxiety. It is suggested that related to the undesirable level of participants’ knowledge and their anxiety in covid 19 conditions, health system administrator should develop health education programs of the country and senior university s with the aim of improving the necessary knowledge about Covid-19 and reducing the anxiety levels of employees. Also, the findings of our study lead to the fact that the positive self-care attitude and performance of the participants in Corona conditions is realized in the shadow of other components apart from having awareness, which is necessary for researchers in this field to explain the role of other factors by conducting other studies. Factors affecting the attitude and performance of self-care in Corona conditions should pay more attention.

Having children with autism causes stress to parents, which negatively affects their quality of life. This issue that having a child with autism spectrum affects the father or mother more has been less investigated. Therefore, the present study was conducted with the aim of comparing parenting stress and quality of life and the relationship between these concepts in couples with autistic children.

The current research is a descriptive-analytical cross-sectional. The research population included 96 couples with children with autism who referred to autism centers in Bushehr and Shiraz cities in 2019; who were included in the research using the census method. Data collection tools included demographic form, parenting stress and quality of life questionnaires. Mean, standard deviation and frequency tables were used to describe the data, and paired t-tests and Pearson correlation were used to analyze the data. Data were analyzed using SPSS V.19 software.

The average age of mothers and fathers was 48.48±8.41 and 53.31±7.90 respectively. The average score of parenting stress in fathers and mothers was 133.84±9.85 and 134.73±17.92, respectively, and the average quality of life of fathers and mothers was 54.85±7.45 and 53.56±5.70, respectively. The two groups had no statistically significant difference in average quality of life (p=0.157) and parenting stress (P=0.900). There was an inverse and significant statistical relationship between fathers' parenting stress with their mental (p=0.008) and physical (p=0.004) quality of life and also between mothers' parenting stress with their mental (p<0.001) and physical (p=0.001) quality of life.

The results showed that both parents of children with autism experience the same high parenting stress and similar quality of life. Parents' stress of parenting can affect their quality of life; which is stronger in mothers than in fathers. Therefore, developing parenting stress reduction programs for couples with autistic children should be on the agenda of health policy makers.

The younger mean age of breast cancer incidence in Iranian women and the longer survival of these patients necessitate the evaluation of diverse aspects of their health and quality of life, such as sexual life quality. The first step in addressing this subject is to understand the extent of this problem in these patients, as compared with healthy women. The present study aimed to compare sexual dysfunction between women with breast cancer and normal women.

This descriptive-analytical study was performed in 2019 in Bushehr, Iran. A total of 46 married women with breast cancer who had their last chemotherapy session at least three months earlier were selected through the census method. Moreover, 100 healthy married women were selected for the study through a simple random sampling method. Data collection tools included a demographic information form and the Female Sexual Function Index. The data were analyzed using descriptive statistics, an independent t test, the chi-square test, and logistic regression.

The findings showed that breast cancer patients were more likely to experience disturbance in libido (OR = 7.145, P = 0.022), sexual arousal (OR = 3.898, P = 0.006), genital moisture during sexual intercourse (OR = 4.88, P = 0.001), orgasm (OR = 2.937, P = 0.018), sexual satisfaction (P = 0.001, OR = 5.287), and overall sexual dysfunction (OR = 11.492, P < 0.001) compared with healthy women. The two groups were not significantly different in pain during sexual intercourse (P = 0.1).

The results revealed that the chance of sexual dysfunction is significantly higher in women with breast cancer than in healthy individuals. In breast cancer cases, planning for treating the side effects of the disease, such as sexual function disorder, should be taken into consideration along with cancer treatment.

It is widely accepted that parents of children with autism face higher stress than parents of normal children. Investigating the effects of such stresses on the family is a proper strategy for planning to manage the problems of having a child with autism disorder. The purpose of this study was to investigate the predictive role of perceived parenting stress in adaptability and cohesion among family of children with autism spectrum disorder in Bushehr and Shiraz cities in the years 2019.

This cross-sectional descriptive-correlational study was conducted in 2019 on 125 parents of children with autism in educational and rehabilitation centers Bushehr and Shiraz cities, selected by simple sampling method. Study data were collected using demographic data form, Parenting Stress Index, Family Adaptability and Cohesion Evaluation Scale (FACES), and Diagnostic tests for autism spectrum disorder (GRAS). To analyze the data, different tests were applied including Pearson correlation coefficient, Spearman, independent t-test, one-way ANOVA and linear regression.

Mean age of participants in the study was 53.29±7.94. Mean total score of parenting stress and FACES were equal to 134.51±12.56 and 51.2±7.8, respectively. Among different subscales of parenting stress, Difficult Child character shows a significant inverse statistical correlation with adaptability (β=-0.361, p>0.001), cohesion (β=-0.363, p>0.002) and total score of adaptability and cohesion (β=-0.379, p>0.001).

According to the results, parenting stress is inversely related to family adaptability and cohesion. So, parents of children with autism are experiencing family problems that need attention and planning by health authorities to address such issues.

Diabetes is a disease of high prevalence and imposes high costs on people. Therefore, it is important to study the non-invasive and effective therapeutic methods with low side effects in the prediabetes stage that could be accepted by the individuals. With this background in mind, the present study aimed to evaluate the impact of the training, which is based on the Islamic lifestyle model on fasting blood sugar (FBS) and glycosylated hemoglobin in people with prediabetes in Lamerd, Iran

This randomized controlled clinical trial was performed on 76 subjects with prediabetes who had FBS of 100-125 mg/dL or glycosylated hemoglobin of 5.7-6.4%. The participants were selected through purposive sampling method from Lamerd, Iran and were randomly divided into two groups of 38. The intervention included four sessions of Islamic lifestyle training provided based on the Kaviani lifestyle model. The FBS and glycosylated hemoglobin levels were measured prior to and three months post-intervention in both groups. All the data were analyzed by Chi-square, independent t-test, paired t-test, and Mann-Whitney using the SPSS software version 19.

The mean age of the experiment and control groups was 52.89(12.98 )and 47.34(11.71 )years, respectively. There was no significant difference between the two groups in terms of age and gender (P>0.05). The difference between the mean FBS of pretest and post-test was statistically significant (P<0.001). Moreover, the glycosylated hemoglobin was significantly different between the test and control groups (P<0.001).

According to the results of this study, the FBS and glycosylated hemoglobin reduced significantly after educating the Islamic lifestyle to the subjects with prediabetes. Consequently, in order to prevent diabetes, planning for health approaches aimed to define the culture- and religion-based lifestyle is recommended

Pain assessment is a challenge in traumatic brain injury (TBI) in critical care units. Therefore, this study aimed at investigating the effect of nociceptive stimulation on heart rate, respiratory rate, and oxygen saturation (SPO2) in patients with traumatic brain injury. A quasi-experimental research was conducted in 35 TBI patients, applying nociceptive and non-nociceptive procedures. Heart rate, respiratory rate, and SPO2 were measured one minute before, during, and 15 minutes after the procedures. There was a significant association between the mean scores for physiological variables before, during, and after the intervention. Eta values of physiological variables in nociceptive procedure were higher than those of the non-nociceptive procedures. There were significant associations between the nociceptive procedure and heart rate and SPO2 changes. But, there was no association between nociceptive procedure and respiratory rate (P<0.05). Current findings suggest that painful stimulation could significantly increase heart rate and decrease SPO2 in patients with traumatic brain injury. Therefore, nurses could use these physiological markers as a convenient and easy-to-access method for initial assessment of pain in traumatic brain injury patients.

Adherence from treatment-care regimens is very essential to achieve health promotion and improve quality of life as well as affordable healthcare. Nevertheless, broaden of chronic diseases is still growing in the world because of lack of adherence. Understanding the perceived challenges can facilitate planning to increase adherence. This study aimed to explain the perceived challenges in non-adherence from the prescribed regimen among patients with chronic diseases.
This qualitative study was done in 2015 by using the conventional content analysis approach. Thirty four participants with the most common chronic diseases were recruited purposively and they were entered in the study. Data was collected through semi-structured interviews and simultaneously with data collection; a comparative analysis was conducted by using the conventional qualitative content analysis method.
Four main themes extracted from the data included: flaw in the possibility of observing the recommended regimensafter devotion for family; frustration in facing the conflict between work and recommended regimens; inability in self-adaption with the recommended regimens; broaden cost of prescribed regimens; and limiting and inductive enclosure of beliefs. These themes indicate the nature of challenges in personal, family, and social dimensions of patients with chronic diseases in terms of adherence with treatment regimen.
The findings show that the perceived challenges has special complexity and diversity. Although they are sometimes internal and personal, some others are external and beyound the will and control of individuals. Therefore, it is necessary that health system policy-makers and planners intervene and plan according to the nature, diversity, and complexity of these perceived barriers in order to facilitate in the adherence of patients process from the treatment care regimens.

Communicational skills application is an important part of nursing care; and addressing various aspects of teaching and the use of these skills are important. Hence, a cross sectional study was performed in 2010-2011 to assess attitude of paramedical college students about the training and the utilization of communicational skills between student and patient. The study was conducted on 150 paramedical students in Bushehr University of medical sciences. The sampling method was census; and data were collected through two questionnaires made of available literature review. Their validity was confirmed by the correctors’ verdict and the reliability by pilot study and Alpha Cronbach method too, alpha score was 0.80 to 0.95 for different domains. Descriptive- analytical tests were used for data analysis. According to the results, only 18.5% of subjects reported good quality of communicational skills training; based on student’s view point, the most frequent route for communicational skills training in all aspects was associated with other theoretical course and observation of teacher- patient communication; considering different domains, the use of communication skills at ideal level was %41.4 to %57.9 for. To this end, the education and the application of good communicational skills at optimal level among paramedical students showed low degree, therefore, revising educational programs and improving teaching methods with focus on communication skills are recommended.

lifestyle and quality of life are closely associated Prevalence of hypertension and if not controlled, can cause disability and reduced quality of life. Methods & Materials: This study a quasi-experimental of the clinical trial. Participants are elderly patients with hypertension in Bushehr and that are easy selected and randomly divided into two case and control groups. Intervention in 5 steps was based on the empowerment model (expectations of level of performance by the client, optimal goal setting by the client, planning, reform the structure and evaluation). Then, using demographic data and SF36 questionnaires collected were analyzed in the significance level of 0/05 by using SPSS 18 software. By the using of empowering program for elders (interference) the QOL level of case group improved in different dimensions QOL (P<0.05). Whereas in the same period in the other group which there was not any interference of empowering (control group) didn’t find any defined change in their QOL (>P0.05). Difference between the total score of QOL before and after the experimental group compared to the control group showed a significant difference in the score (P<0.05). The findings suggest that the use of self-management empowerment model, is effective on QOL in elderly patients with hypertension. Therefore, empowerment programs for the elderly with chronic diseases can be prevented from many of their problems and take steps to improve their QOL.

Selected effective training methods are considered as learning objectives and key elements of the training plans. This study has been done with the aim of comparison the effectiveness of” Heart dysrhythmia training by two methods of multimedia and lecturing to the nursing students’ knowledge retention”. In a quasi-experimental study، 45 nursing students were randomly allocated to two groups in semester 7 (group lecturing and multimedia) to teach in the first semester 2013، respectively. Moreover، 20 multiple-choice questions were used to test students'' knowledge in three stages: before، after and reminding (2 months after the intervention). Then data were analyzed with software SPSS 19 at 95% significance level. Although، no significant differences in mean scores were observed between the two groups before intervention (p>0. 05)، the students'' level of knowledge of both methods increased after the intervention compared to pre- (p>0. 001). In addition، in reminding phase the scores in the group trained with multi-media software and lecturing were significantly different between groups (p<0. 05). According to results، the effectiveness of lecture and multimedia software at posttest indicated the usefulness of both methods، however، to increase the preservation and conservation of students’ knowledge، using multi-media software offered.

Recently, there has been an increasing trend in hookah use. If this trend continues, morbidity and mortality due to smoking will increase dramatically. Thus, the aim of this study was to investigate the causes of the increasing trend in hookah use in adolescents and youth living in Bushehr, Iran. This qualitative study was performed using qualitative content analysis. The research environment consisted of all public areas and the research population was comprised of all children and youth in Bushehr. The 12 participants were selected using purposive sampling. Data was collected using semi-structured interviews. After gaining the consent of the participants, the interviews were tape recorded and transcribed verbatim. Qualitative content analysis was used to analyze the data. Data analysis led to the extraction of the 5 main themes of "the influence of culture, media preparation, sensory appeal, mistaken belief, and difficulty of quitting". Hookah use among family and friends, lack of enforcement of laws prohibiting public consumption, lack of awareness and the mistaken belief that it is less harmful than cigarettes, the pleasant fruity smell and taste, not having any alternative healthy pastimes, and social pressure were the most common reasons for the increasing trend of hookah use in Bushehr. These results suggest the need for authorities to view this issue as an important dilemma, and to plan to reduce hookah use and solve this problem using effective methods to educate and inform people.

More than 80% of the elderly have at least one chronic health condition nearly half of them suffer from hypertension. The disease is closely associated with the ability of older people in lacking of control of the causes of disability, which is why it is a necessity due to the empowering older people. The purpose of this study was to determine the effect of management of empowering model on the empowering elderly patients with hypertension.
The present study is a randomized clinical trial which was performed on elderly patients with hypertension in Bushehr. A number of 60 elderly patients with hypertension wererandomly selected and assigned to experimental and control groups. Interventions were done in 5 steps (self-identification level, performance expectations by the client themselves, goals desired by the client, planning, and evaluation of reform) and werebased on an empowerment model. The self-made tools for empowering demographic information and valid 0/82 and 0/84 reliability were collected before and 1.5 months after the intervention. A significant level of 0.05 was considered and the data were analyzed by SPSS v.18 software, using chi-squareindependent t and paired t.
The mean scores of the experimental and control groups before the intervention, and after empowering the management were 64/25 and 64/55, respectively, which was not statistically significant(P=0/89), but after the intervention difference between the two groups before and after were 85/04 and 64/07 in the control test and a statistically significant difference was observed (P=0/0001).
Results revealed that Management empowering Model, in order to improve the empowered of elderly patients with hypertension was effective. Therefore withempowering the implementation of programs for elderly people with chronic diseases, we can prevent many of their problems and take steps to improve their empowering.

Pediatric resuscitation is challenging for therapeutic group. The most physicians have limited experience in dealing with this situation. Appropriate dosing of the drugs depends on the body weight of the children that it is usually not feasible. There is need for a fast، convenient and reliable method for body weight estimation in children. The aim of this study was to assess the accuracy of Broselow tape in children of Bushehr city. This cross-sectional study was conducted in the emergency department of Aliasghar hospital. Children were between 1 month and 14 years. Children with chronic disease، 334، ill children were excluded from study. Estimated weight measured based on Broselow tape and actual weight measured by digital scale، then estimated and actual weight were compared. The results were analyzed by SPSS Software Ver 18 and T-Test، Chi-Square Test. findings showed that 43. 2% of total subjects were female Mean of age were 43 months. 72. 5% of tape body weights were within  10% error of actual body weights. 78. 9% of tape body weight was within  15% error of actual body weights. There was no significant difference between boys and girls. Broslow tape was easy، fast and exact for body weight estimation in emergency situation. it is more exact of body weight estimation by parents or therapeutic group so it helps therapeutic group in emergency department for accounting of medication dosage and equipment sizes.

In disasters، large number of causalities rash into the hospitals in order to get health facilities. So، hospitals are the reference point for delivering the health services in all levels for helping to the most percent of injured people. Aim of study was to assess hospital disaster preparedness of Bushehr province. Maretial and

This was a cross-sectional descriptive study which has been done in all Bushehr province hospitals. In order to collect data، we used 210 questions checklist with 10 different aims; each aim had consisted of 6 different domains (equipment، working stuff، physical space، structure، protocols and functional chart). The checklists were completed by direct observation and evaluation of equipment، programs and documents based on their domains with different people.

The hospital preparedness in traffic base was very poor with mean number of 19/04±16/10 evaluation of security; education and management domain with mean number 35/29±26/52، 38/65±19/46، 36/36±24/05، respectively were poor. In logistics، workforce، communications، excused transportation and addition to the hospitals with the mean number of 53/26±26/31، 49/65±27/61، 45/53±18/29، 43/33±19/72، and 40/47±20/37 were estimated as average. The most number was belonged to the emergency with the mean number of 53/80±19/18.

The Bushehr province hospitals have not enough preparation against unexpected disasters and cannot be a good supporter for disaster happening، and in the occasions of happenings so many serious problems will occur. It will be suggested that the hospital managers should pay more attention to the unexpected disasters.

It is important to consider the students’ perception of clinical learning environments in order to enhance the quality of effective clinical education. We aimed to describe nursing student perceptions of clinical learning experience in the neonatal intensive care unit (NICU). In this descriptive study, we used an exploratory qualitative approach. Data were collected using reflective journalism. 25 senior nursing students were asked to reflect and describe their learning experience in the NICU through reflective journal writing. The students were encouraged to reflect their desires, opinions, emotions, attitudes, or disapproval in their personal journals. Data were analyzed using constant comparative analysis. We found four main categories which reflected the students’ experience: anxiety regarding skill incompetency, satisfaction with new skills, staff-student relationship, and clinical teacher competency. Positive interpersonal relationship between students, staff, and teachers are important factors for enhancing clinical learning. A clinical teacher must be able to provide students with appropriate knowledge and skills to decrease their anxiety regarding task performance. A clinical instructor needs more clinical experience and knowledge in order to have clinical competency.

Peer teaching/learning is an effective educational intervention for students of health sciences in clinical settings. This study explores facilitators and barriers in application of this method in clinical settings. It is a content analysis qualitative study in which the focus group discussion is used for data gathering. Two groups of nursing students (n=15) of Bushehr University of Medical Sciences who were trained through peer education in pediatric or neonatal wards in year 2009, explained about how they experienced peer learning. Analysis of interviews revealed 3 categories of facilitators including type of the job and workload, educational role of the instructor, and students’ characteristics. Also three categories of tension in working environment, trivial supervision of instructor, and competitive performance of students were identified as learning barriers in this method. It may be recommended that teachers brief this method to the students and then start using the method with low workload and less stress to the students and finally keep an eye over its implementation process. Further study in this domain by experts of different fields is recommended.

University teachers make the pillars of an educational system. They help raise competent human resource for community. This study aimed at assessing faculty member's & student's viewpoints on characteristics of a good university teacher in Boushehr University of Medical Sciences,and comparing the two. This was a cross-sectional descriptive research. Samples were 78 university teachers & 1000 students using census. Data were collected through a questionnaire and were analyzed using chi-square, through SPSS. The faculty member's responses to 20 questions on characteristics of a good university teacher showed the following as the most important characteristics:being knowledgeable in the subject matter, honesty, presenting up-to-date knowledge of their subject matter, and lesson planning. The student's responses prioritized the characteristics as: being knowledgeable in the subject area, honesty, attractive presentation of subject matters,and lesson planning. Above all, a good university teacher needs to be knowledgeable. The second most important characteristics is honesty followed by up-to-date knowledge of the subject matter. Finally, teachers need to prepare lesson plans for their classes. This could facilitate learning.

Introduction & When hemodialysis treatment was first used to replace renal function, no one knew how mach dialysis therapy was needed to keep the patients healthy. Dialysis efficacy is one of the predominant factors survivals in hemodialysis patients. There are multiple methods for assessing the adequacy of dialysis. The index KT/V, most commonly used marker for dialysis adequacy. The aim of this study was to determine dialysis adequacy of haemodialytic patients based on urea kinetic modeling in hemodialysis center in Boshehr city. This was prospective study design was applied all of the hemodialytic patients (39 cases) that 2 or 3 number of dialysis per week was selected in total sampling. The total samples it was 15 women and 24 men. Out of 76/9% of total sample was dialyzate 3 times in week. Weight and blood sampling obtained at before &after hemodialysis were determined and KT/V methods were used for adequacy of dialysis. Data collected were analyzed using SPSS, windows version for descriptive (mean- standard deviation) and analytical (X2) statistical methods. Based on KT/V, 96.7% patients in thrice-weekly group and 100% in twice-weekly group had inadequate dialysis. There was significant difference between the dialysis adequacy and Weight (P<0.05). In adequate dialysis is also associated with increased hospitalizations and high inpatient costs. The above results indicate the need further in order to determine the underlying reasons for dialysis inadequacy in these patients.

AIMS. Expensiveness of medical cares, being far from family, high rate of nosocomial infections cause self-care and in-home care to be considered more than previous. So present study have been done to assess effect of self-care education on quality of life in patients suffering from myocardial infarction METHODS. This research is a clinical trial study. 64 patients (32 people in case group and 32 people in control group) who were admitted in coronary care unit of hospital with diagnosis of myocardial infarction were assessed. Self-care education was done in intervention group. “Nottingham quality of life” questionnaires were used for assessing quality of life before and after education program. RESULTS. Statistical independent T- test (P>0.17) showed that total number and quality of life number have not significant difference between two groups before intervention, while after intervention, total number and quality of life number have significant difference between two groups (P<0.005). Paired T- test also showed significant difference in total number and quality of life number before and after intervention (P<0.001). CONCLUSION. Quality of life can improve with self-care education in patients suffering from myocardial infarction.