فهرست مطالب محمدعلی منتصری

Sleep disorders are prevalent in the geriatrics. Any disorder in its natural flow causes psychological problems and decreases the efficiency of a person. Paying attention to the spiritual forces in the elderly is a need that gives them peace and vitality; therefore, spiritual health can improve the quality of sleep in the geriatrics by promoting general health, which is a requirement for comfortable sleep. Therefore, we examined the correlation between spiritual health and sleep quality in geriatrics.

This research was a cross-sectional descriptive-analytical study conducted on 161 elderly in Jahrom City, Iran, in 2017. The standard spirituality wellbeing scale (SWBS) by Palutzian and the Pittsburgh sleep quality index (PSQI) were used. After collecting data, they were analyzed using descriptive statistics and the chi-square test by SPSS software, version 16.

The results showed that 54% of the participants in the research were male and the average age of the participants was 62.96±2.5 years. The average scores of spiritual health and sleep quality in the participants were 79.62±5.1 and 6.53±3.5, respectively. Also, no significant relationship was observed between spiritual health score and sleep quality in the elderly (P=0.43).

Considering that the spiritual health of most elderly was at an average level and most of them had sleep disorders, it is recommended that the factors related to improving the spiritual health and quality of sleep in this segment of society be considered.

one of the biggest challenges in the training of operating room students is to provide an effective teaching method in the course of familiarizing with the operating room equipment and using these tools in the clinical setting. Therefore, this research was conducted with the aim of comparing the effect of scenario-based training through face-to-face and blended methods on the learning rate of this lesson.

This is a quasi-experimental study that was conducted in the form of a pre-test and post-test on 40 operating room students of Jahrom University of Medical Sciences that were selected by census method in 2021-22. Then the scores obtained from the tests were analyzed using descriptive statistics (mean and standard deviation) and analytical (paired and independent t-test through SPSS.

The results indicated that the mean score of the test after training with the face-to-face method was 13.47±3.03 and the mean score of the test after training with the blended method was 15.82±1.91. There was a statistically significant difference between the mean scores of pre and post-test in the blended method group (P<0.05) and between the post-tests of both groups (p=0.009).

The findings indicated that the use of the blended method has increased the students' mean scores and learning level. Therefore, considering the effectiveness of this training method, it is suggested that other instructors also use this training method to increase the students' learning.

Employing traditional teaching methods in universities may result in a lack of knowledge and practice of drug therapy in nursing students. This study aimed to determine the effect of case-based education on knowledge and practice of drug therapy in nursing students at Jahrom university of Medical Sciences.

This study was conducted in 2020 on 37 nursing interns of Jahrom university of Medical Sciences. The participants were selected through the census method. Online case-based training was conducted through the WhatsApp application in four 90-minute sessions over 4 days. Nursing students’ knowledge and practice of drug therapy were assessed before and after the intervention by a researcher-developed knowledge test related to drug therapy containing 26 multiple-choice questions and an  Objective Structured Clinical Examination containing 10 stations, respectively. The validity and reliability of both knowledge and practice tests were assessed before conducting the study. The collected data were analyzed using paired t-test and Wilcoxon tests in SPSS 21.

The means of drug therapy knowledge in nursing students before and after the intervention was 17.97 ± 2.69 and 22.11 ± 2.55 respectively, and the increase was statistically significant (p <0. 05). Also, the results showed that the means of drug therapy practice before and after the intervention were 61.88 ± 5.37 and 92.85 ± 2.56 respectively, and the increase was statistically significant (p <0. 05).

Case-based education improved knowledge and practice of drug therapy in nursing interns. Therefore, this method is suggested to improve the knowledge and practice of drug therapy.

Medical students should have adequate self-esteem to deal with stressful situations and have proper compatibility. Since self-esteem is affected by internal and external factors, the present study aimed to investigate the relationship between students’ self-esteem with variables of happiness, ethical climate, and perceived stress at Jahrom University of Medical Sciences.

This correlational study was performed in the second semester of 2018-2019 and 316 students were selected by consensus sampling method. Data were collected using the Rosenberg Self-Esteem Scale, Oxford Happiness Questionnaire, Olsonchr('39')s Hospital Ethical Climate Survey, and Cohen’s Perceived Stress Scale. Data analysis was performed in SPSS version 16 using descriptive and analytical statistics.

 In this study, the mean and standard deviation of self-esteem, happiness, ethical climate, and perceived stress were calculated at 4.06±4.45, 41.87±12.39, 91.28±13.81, and 26.39±6.33, respectively. We found a significant correlation between happiness (r=0.431, P<0.001) and perceived stress (r=-0.427, P<0.001) with the self-esteem of students. On the other hand, there was no significant relationship between ethical climates with the self-esteem of students. According to the multiple linear regression analysis results, happiness and perceived stress of students predicted 26% of the self-esteem variance.

Due to the relationship between students’ self-esteem and the variables of happiness and perceived stress, it is recommended that programs be developed to increase happiness and decrease stress in students so that their self-esteem could be improved.

Spiritual health is an important aspect of health, which shows the good relationship of an individual with God and a sense of harmony between himself, God, and life. Nursing profession is associated with numerous stressful encounters in the workplace, such as death and illness. Nurses, nursing faculties, and students are the three main groups in this profession who could largely benefit from spirituality in personal, professional, and organizational dimensions. One of the main benefits of spiritual health in the nursing profession is the improvement of mental health and quality of care. The present study aimed to determine the status of spiritual health in the nurses, nursing faculties, and nursing students of Jahrom University of Medical Sciences, Iran.

This descriptive study was conducted on 455 participants (268 nurses, 31 lecturers, and 156 nursing students) at Jahrom University of Medical Sciences in 2018. The participants were selected via census sampling. Data were collected using a comprehensive questionnaire to measure spiritual health in the Iranian population and a demographic questionnaire. The questionnaire consisted of 48 items and two cognitive/emotional (insight/orientation) and behavioral (performance) components. The total score of the questionnaire was 100. The questionnaire was provided to the subjects by two research assistants and completed in a self-report manner after obtaining informed consent. Data analysis was performed in SPSS version 16 using descriptive statistics (frequency, frequency percentage, mean, and standard deviation) and analytical statistics (independent t-test, one-way ANOVA, and Scheffe post-hoc test).

The mean age of the participants was 27.19 ± 6.68 years. The mean score of spiritual health was estimated at 79.89 ± 11.87, and achieving approximately 80% of the total score indicated the favorable spiritual health of the participants. In addition, the mean scores of the cognitive/emotional and behavioral components of spiritual health were 82.28 ± 11.93 and 75.45 ± 11.99, respectively. The mean score of spiritual health was 84.58 ± 9.58 in the nurses, 86.67 ± 11.15 in the nursing faculties, and 68.44 ± 14.55 in the nursing students. A significant correlation was observed between age and spiritual health (r=0.362). The mean score of spiritual health was significantly higher in women compared to men (P=0.001). The spiritual health of the participants with the work experience of more than five years had no significant difference with those with less work experience (P=0.507). Moreover, years of teaching had no effect on the spiritual health of the faculty members (P=0.57). Participation in spirituality courses also had no significant effect on the score of spiritual health (P=0.658). First-year students had higher a spiritual health level compared to the senior students (P=0.007).

In this study, the participants achieved nearly 80% of the total score, which indicated their favorable spiritual health status. It seems that the religious nature of the Iranian culture and the tendency to preserve spiritual values have been effective in achieving these results. The nurses in our study attained 84% of the spiritual health score. Since Islam is the main religion of the Iranian community, religious beliefs are an integral part of peoplechr('39')s lives, and attention to the spiritual issues of patients is inevitable. This makes nurses more sensitive to the concept of spirituality, and they managed to achieve spiritual health as a result. According to the results, the nursing faculties also achieved 84% of the total score, which indicated that they are acceptable role models to their students and have great spiritual capacity to teach spiritual concepts. Meanwhile, the nursing students achieved approximately 70% of the spiritual health total score. Nursing students enjoy respecting, helping, giving hope, and supporting other, and such actions enhance their spiritually. Given the importance of spiritual health in nurses in personal, professional, and organizational dimensions, maintaining and promoting these values are of utmost importance. Therefore, the recognition of the factors with constructive or destructive effects on the spiritual health of nurses should be considered by authorities. Considering the favorable spiritual health of nurses and nursing faculties and their close interactions with nursing students, it is recommended that the spiritual capacity of nurses and nursing faculties be exploited through proper planning and teaching of spiritual concepts to nursing students. Furthermore, the integration of the concepts associated with spirituality in the nursing curriculum and providing executive guarantees for the teaching of these concepts by authorities are highly recommended. Efficient training courses should also be planned and implemented in the form of in-service training in order to promote the spiritual health of nurses and nursing faculties.

in the past decade,significant progress has occurred in order to improve patient safety But still there are several shortcomings and the amount of damage on patients from the adverse effects is high unacceptably So one of the most important goals of health care organizations is assess, improve the quality of health care and increase patient safety Therefore,this study has done to examine the degree of Observance of the WHO Surgical Safety Checklist in jahrom of teaching hospitals.

This is cross-sectional study that is performed on all of the anesthesia and operating room nurses in educational hospitals of Jahrom University of Medical Sciences in 2016. Instrument of data collection in this research were"demographic information and Surgical Safety Checklist"of the World Health Organization in 2009.

In this study,46/2percent of participants were anesthesia nurse and 53/8 percent were operating room nurse.The average age of participants in this study were(31/06±6/16).the Degree of Observance of the WHO Surgical Safety Checklist in anesthesia nurses was(14/27 ±1/57)and in operating room nurses was(14/76±1/96)and overall was(79/1±53/14).A significant relationship was not observed between demographic variables and Degree of Observance of the WHO Surgical Safety Checklist(p> 0/05).

considering the role and importance of Surgical Safety Checklist in increased patient safety,research should be conducted in order to identify obstacles Observance Surgical Safety Checklist To be able to take steps to resolve deficiencies and improve the safety surgery of patients.

Cardiopulmonary resuscitation is a critical process to save patients’ lives. The ability to perform resuscitation requires theoretical and practical knowledge in the field of cardiopulmonary resuscitation. Nowadays, for improving the quality of teaching CPR¡ different methods have been used. The aim of this study was to design simulation software and survey the effect of this software on the satisfaction of operating room and medical emergency students in Tehran University of Medical Sciences
Use of Case diagrams, sequential diagrams and activity diagrams were described in the Uniform Modeling Language to better understand entities and the sequence of mentioned software’s operations. According to this, Software was designed in Adobe Flash and Photoshop, Maryam, Poser pro and 3DMax Softwares. Finally the software was evaluated after assessment of student's satisfaction.
Based on researcher’s studies, 7 scenarios for training and 10 scenarios for test part were considered and in general 10 use case diagrams, 12 sequence diagrams and 9 activity diagrams were drawn. Also the results showed that students’ mean satisfaction of the software was located in top condition (3.8).
In addition to traditional lecture methods for clinical contents, we used CPR educational simulation software. Our study showed that the level of student's knowledge improved and many of the shortcomings on lectures and hospital presence was resolved.

Clinical education is the most essential part of nursing education. One of the challenges in this area is the recruitment of several instructors for one group of student or one instructor for a group of students in all clinical wards. The purpose of this study was to compare the two methods of single instructor and multiple instructors in clinical training of nursing techniques. This is a quasi-experimental study. 88 nursing students who had taken courses on nursing techniques within 2 consecutive periods were selected by census and trained by single instructor (n=43) and multiple instructors (n=45) during 2 consecutive years. Double-blind agendas were used to organize the research. Clinical wards and instructors did not change in either group. Data were collected by self-report checklists at the end of semester and analyzed by mean, standard error deviation, X2, Spearman test, Pearson and independent T tests. The mean grade of students’ self-report in single instructor and multiple instructors groups was 1.67±0.08 and 1.97±0.09 respectively. T test revealed a significant difference between the mean of the two groups (P<0.05, F: 1.32 (. X2 and Spearman tests did not reveal a significant relationship between sex and self-report grades and also between self-report grades and interest in nursing. There were no significant relationships between students’ GPA and the mean grades of self-report, using Pearson test (P>0.05). Regarding the higher mean grade of students’ self-report in multiple instructors group and the statistically significant difference between the two groups, it is recommended to utilize multiple instructors in nursing students’ clinical training.

Cerebrocardiopulmonary resuscitation (CPCR) is an important and complex process in treatment of cardio-respiratory arrest. Multiple factors affect the quality and success rate of this process. This study aimed to assess the administration of drugs in CPCR using the existing standards and determine the effect of education in this regard. The study was conducted as a quasi-experimental research. All the personnel involved in CPCR processes applied in the Emergency Ward of Pimaneah Hospital were recruited as the study samples. With regard to the main goal of this research, the performance of the personnel on 30 CPCR processes was evaluated before the educational program by an observational checklist made by the researcher. Then a workshop was held for all of the personnel. Then their performance on 30 CPCR processes was reevaluated. The results were then compared. Comparison of the data shows that the rate of standard administration of CPCR drugs after the educational program increased, but no significant relationship was found except for the mean use of epinephrine (P= 0.001). The present study indicated that continuous assessment of CPRC processes, educational workshops and provision of appropriate feedback to health workers can increase the rate of standard administration of CPCR drugs.

The main part of nursing education is ‘clinical education’. One of the great challenges in this area is teaching by several instructors for one group of students (unfixed teacher) or one teacher for one group of students in all clinical wards (fixed teacher). This study was designed and conducted to compare the achievement of educational goals of clinical training in fixed and unfixed teacher method. This is a quasi-experimental study on 88 nursing students enrolled in the clinical training of the first medical surgical course. They were selected from 2 consecutive academic years selected by census method. They were thought through two blind methods. One group was educated by fixed teacher method (43 students) and other group by unfixed teacher method (45). The teachers and clinical wards for the two groups were fixed in the two methods. At the end of the semester, data were collected through a checklist ‘self report’ and analyzed by mean, standard error deviation and in depended t-test. The mean score of the student's self report in the fixed teacher group was 1.67 ± 0.55 and in the unfixed teacher group it was 1.98 ± 0.61. There were no significant differences between the means of the fixed and unfixed teacher group, based on the results of the student t-test (p<0.05, F: 1.32). Using unfixed teacher method in the education of nursing students is suggested.

health care workers always are at risk for needle accident in hospitals; and it may be a way for transmission of hepatitis B and C and HIV to these individuals. So the prevention (before and after accident) is very important. The aim of this study is evaluations of these actions in hospitals in Jahrom, Iran. This is a descriptive cross sectional study, in which the files of 54 health care workers with needle accident in 1385 are evaluated. 66.7% of the units were female and in 85.2% the preventional procedures was started in 24 hours and the mean time for starting these actions was 5 hours ± 7 minutes. In 50% of the cases, the source of the needle was unclear, and only 44.4% of the unites were completely followed.Conlusion: We need more works for education and better action of the committees of the infection control in hospitals.