فهرست مطالب معصومه رستمی معز

Objectiv (s): 

This study aimed to explore the experiences of health care providers working in health centers during the Covid-19 disease using a phenomenological method.

A qualitative study using phenomenological method was conducted on a sample of health care staff in Hamedan, Iran. Inclusion criteria were physicians and health care providers involved with individuals with or suspected of having corona virus disease. Exclusion criteria were concealment of information in the interviewee or his / her unwillingness to participate in the research. The sampling method was purpose full and continued until data saturation (30 people). In-depth and semi-structured interviews were used to collect information. The average interview time was 40-60 minutes. Data were analyzed using the Colaizzi method.

The findings indicated 4 main themes, 9 categories and 59 sub-categories. The main themes included negative emotions, positive emotions, self-efficacy, and health system problems. Sub-themes included psychological responses, lack of good outlook, unappreciative system, altruism, voluntary work, social self-efficacy, individual self-efficacy, violations of instructions, and equipment supply problems.

The present study showed that health service providers experienced inappropriate mental, emotional and occupational conditions during the Covid-19 pandemic. The results obtained from this study can be used to formulate support and strategies for emerging epidemics.

The curriculum is one of the most important elements of a society's education system. The purpose of this study was to determine the degree of compliance of the undergraduate laboratory sciences curriculum with the job needs of the field based on responsive education.Materials &

This cross-sectional study was performed on 54 final-year students and 150 employees working in the last ten years by census method in 1399. Data has been gathered by a researcher-made questionnaire consisted of three sections: demographic information, a survey on the applicability of courses, and overall satisfaction with the curriculum. The content validity index of the questionnaire was 0.75 and the reliability of the questionnaire was α = 0.88. Data were analyzed using descriptive statistics and independent t-test using SPSS software version 23.

 The hematology (1) and (2) had the maximum amount of application from the student's viewpoint with 51.9% and 59.3% and from the employees' viewpoint with 61.4% and 62.4%, respectively; and the seminar course had the least application from the perspective of students (55.6%) and employees (56.8%). Among the basic courses, the general biochemistry course had the most application from the perspective of students and employees with 33.4% and 36.4%, respectively, and the vital physics course had the least application in job tasks with 63% and 53%, respectively.

The results showed some specific and basic courses had little adaptation with job needs; therefore, it is necessary to revise the curriculum to adapt the lessons based on responsive education.

Interest in the field of study and having the desired quality of clinical training will lead to more appropriate job performance. The aim of this study was to determine the relationship between the quality of clinical education and students' interest in their field of study in rehabilitation faculties in Hamadan University of medical science and University of Social Welfare and Rehabilitation Sciences.Materials &  This cross-sectional study was performed on )306( students of physiotherapy, occupational therapy, technical orthopedics, speech therapy and Audiology in two rehabilitation faculties of Hamadan University of Medical Science and University of Social Welfare and Rehabilitation Sciences. Self-report questionnaire included demographic information, questionnaire of interest to the field of study (α =0.713) and the quality of clinical education (α = 0.930). Data were analyzed by SPSS 23. The mean age of students was (21.83 ± 1.09) years. Students were (177(female (59.6%) and (120(male (40.4%). Mean quality of clinical education was in Hamadan University (52.92±11.98)   , Tehran University (53.99 ± 11.48), and not significant between thetwo groups (p>0.05).The highest influential sub-category in the quality of clinical education was area of educational environment (11.66± 3.20). There was a significant and negative relationship between interest in the field of study with goals and educational program, dealing with students, monitoring and evaluation (p <0.01). The level of quality of clinical education in both faculties was moderate and desirable. Regarding to the negative relationship between the quality of clinical education and interest in the field of study, further studies and attention to review in clinical education is recommended.

Evaluation is a major step in the educational process that measures learners' abilities and test analysis is a tool to measure its effectiveness. The pre-internship exam is a test by which qualification of medical assessed before entering the internship stage. Therefore, its analysis can indicate its evaluates the competencies of medical students. In this study, the quantitative and qualitative indices of pre-internship exams of medical students of Hamadan University of Medical Sciences were studied.

In this documentary research, all pre-internship questions in September 2018 to 2020, were assessed in terms of taxonomy, structural defects, and difficulty, discrimination indexes. The taxonomy of the questions was evaluated based on Bloom's classification, the structure of the questions based on the Millman checklist, and the index of difficulty and discrimination using the Excel forms available at the university. Data analysis was performed using SPSS 20 software.

In 2018, 56% of the questions and in 2019 and 2020, 64% of the questions were designed at the level of taxonomy 2 and 3. More than 90% of the questions haven't any structural defects. The difficulty index of the questions was on average at the appropriate level, but the discrimination index of the questions was moderate in 2018 and 2020 and weak in 2019.

In attention to the amount of questions with a negative discrimination index, the review of questions, options and the key questions after designing the exam is suggested.

due to increasing changes and  human knowledge development, one of the responsibilities of the universties  is developing self –learning  skills throughout the life and ability to produce knowledge that  it needs to research methodology course. Considering that the mentioned course has not been seen in the curriculum of undergraduate students in the field of laboratory sciences, we decided to hold a training course on research methods in Hamadan University of Medical Sciences and then make an outstanding evaluation of that.

This quasi- experimental study was conducted on all of 35 Laboratory Students at third educational term in the first semester of the 2019-2020 academic years. The educational program was evaluated based on Kirkpatrick model used by a self-structured questionnaire which concerns reactions learning level after confirming its validity and reliability. Data was analyzed by one-sample t-test and paired t-test through SPSS.

80% of the learners were satisfied by presenting course through new method. The knowledge score was significantly increased after study (p<0.001). But the attitude mean score was not significantly changed (p=0.598);

The results of this study indicate that research methodology program was successful in attracting students’ satisfaction and increasing their knowledge. So, the implementation of this course would be suggested in laboratory sciences curriculum.

One of the basics of healthy eating is five times consumption of fruits and vegetable a day. Given the importance of recognizing effective factors of consuming fruit and vegetable in this group, the present study aimed to investigate high school girl's adherence to five-time serving fruits and vegetables per day in Hamadan based on the theory of planned behavior application. This descriptive-analytical study was performed on 400 girl students from high schools of Hamadan recruited with a multistage cluster sampling method. Participants filled out questionnaires including demographic variables, the theory of planned behavior constructs and a fruit and vegetable consumption measure one week later. Data analysis was performed using SPSS-18 by Chi-square, Pearson correlation and Logistic regression. Fruit and vegetable consumption by female students is 3.4 times daily. Among the demographic variables, family size, mother's education, father's occupation, household income, body mass index and type of school had significant associations with fruit and vegetable consumption (P<0.05). Behavioral intention predicted 35% of the variation in daily fruit and vegetable consumption. Moreover, subjective norms, perceived behavioral control and attitude were able to predict 32% of behavioral intention. Fruit and vegetable consumption in female students is inadequate. The theory of planned behavior may be a useful framework to design a 5-A-Day intervention for female students.

Physical activity is an important part of a healthy lifestyle and active lifestyle is known as an important factor for health in all ages. The aim of this study was to determine the factors that influence regular physical activity of female high school students in Hamadan using BASNEF model. In this cross-sectional study, while using cluster random sampling method, 622 female students from six high schools were voluntarily entered into the study. A demographic questionnaire, IPAQ and constructs of BASNEF model were used to collect the data. Validity and reliability of scales were assessed with a panel of experts and Cronbach's alpha. To analyze the data, Chi-square, ANOVA, T-test and correlation were used. 46.2% of the students had low physical activity, 28 percent of them had moderate and 25.8 % had severe physical activity. Grade of education, level of mother’s education and previous physical activity had significant correlation with student’s physical activity (p< 0.05). The attitude toward behavior, behavioral intentions and enabling factors statistically associated with physical activity status (p = 0.01). Subjective norms were effective on physical activity via behavioral intention (p < 0.001). Low rate of female students’ physical activity in Hamadan calls for an intervention based on models and theories of behavior change to promote and maintain physical activity.

The most unwanted pregnancy occurs while couples used less effective contraceptive method. The purpose of this study was determine effectiveness of educational program to persuade couples for choosing more and the most effective contraceptive methods based on BASNEF model. This experimental study carried out on 120 couples using less effective contraception referred to health centers in 2011 and 2012 in Hamadan. 6 health centers with the most unwanted pregnancy randomly divided to intervention and control groups. Then 60 couples as intervention group randomly were selected from 3 health centers and from 3 health centers 60 couples as control group were participated. Pre-test was done by using a questionnaire in both groups and specific education was performed in the intervention group based on BASNEF model. After 6 weeks, post test filled in both groups and the results were analyzed by SPSS 16. The results showed that there were significant mean differences for knowledge, beliefs, attitude, subjective norms, intention and enabling factors. Finally, in interventional group 55.5 percent of couples were using more and the most effective contraception. Educational program based on BASNEF model to persuade couples for using more effective contraception had been effective.