فهرست مطالب محمد ارشدی

Intensive Care Units nurses prioritize their assigned tasks due to their high workload, which may result in missing some care. On the other hand, accurately documenting these care activities is very complex, time-consuming, and may affect the provision of complete care. Therefore, this study was conducted with the aim of determining the quality of nursing records and its relationship to missed care by Neonatal Intensive Care Units (NICU) Nurses in Tabriz.

This descriptive correlational study was conducted in 2022, using a census study, on all 151 nurses working in the Neonatal Intensive Care Units of Al-Zahra, Mardani, Azar, and Taleghani hospitals in Tabriz. The data collection was performed using the Nursing Report Quality Questionnaire and the Tubbs-Cooley Missed Care Questionnaire. Data analysis was performed using descriptive statistics, Spearman's correlation test, and t-test using SPSS-26.

The average score of the total nursing records quality was 56.19±8.69. The most neglected cares were "Parents inclusion in baby’s care" and "Parents education about home management of illness". The number of 12 cares had a significant relationship with the quality of nursing records (p<0.05). Among theme, "Medication administration principles follow", "Medications administration in scheduled time" and "Infection control precautions follow" had the highest correlation coefficient (p<0.001).

From the nurses’ perspective in neonatal intensive care units, the quality of nursing records was above the average and most of the cares are provided completely. At higher quality recordings, the missed cares are less likely. Considering that there are many detailed cares in the neonatal intensive care units, recording them accurately can be important in reducing the negligence of care.

The Iran’s Supreme Water Council (SWC) was established in 2000 with the aim of creating the necessary institutional and organizational bases for the coordination of policies on water supply, distribution and consumption. However, two decades after its inception, the fact that the water management issues are becoming more complex and deeper and the discrepancies in the policies, actions, and their consequences are widening, raise the questions that; to what extent has the SWC been successful in its missions, and to what extent has it had the necessary effectiveness and authority in resolving the conflicts and applying good water governance in the country. Accordingly, the objective of this paper is to present the results and achievements in identifying, reviewing and analyzing the strengths, weaknesses, opportunities and threats facing the SWC and to conclude the strategies and action plan needed to improve the performance of the SWC. The methodology used is based on the formation of an expert working group from different disciplines and sectors and holding brain storming meetings to harvest ideas of stakeholders. Finally the study employed a combination of SWOT technology and matrix technique (IFE-EFE Matrix) to evaluate internal and external factors for analyzing the results. The study identified 11 strengths (S), 10 weaknesses (W), 9 opportunities (O) and 7 threats (T) in regards of the SWC. According to the calculated scores for internal and external factors (i.e. 2.34 and 2.62, respectively), the intersection of these two values in the SWOT diagram located in the “WO” zone, which indicated that the main strategy to be followed to improve the authority of the SWC, would be an adaptive (conservative) strategy. For greater effectiveness and authority of the SWC, a new vision and mission was developed. Also, five sub-main strategies and 21 actions were identified to improve the performance and authority of the SWC. The proposed action plan was tailored to the identified sub-strategies, and then weighted and prioritized. The results indicated that in good water governance and for coordinated policy-making, the spirit of inter-institutional cooperation between government institutions should be accepted as a fundamental principle and the social interactions of the council should be increased. It is also necessary to expand the council's cooperation with ministries within the executive branch, the judiciary branch, the legislative branch, universities, non-governmental organizations, and other stakeholders.