مقالات رزومه دکتر شهناز پولادی

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.

Introduction :

Nurseschr(chr('39')39chr('39')) job stress affects the quality of their care and professional performance. Meanwhile, nurses working in psychiatric wards face different challenges in their work environment due to the special characteristics of hospitalized patients and the unique nature of the atmosphere of these wards. Better understanding of the atmosphere of psychiatric wards and understanding its relationship with job stress of nurses working in these wards requires further studies in this field.

In this cross-sectional correlational study conducted in Shiraz and Bushehr in southern Iran in 2019, the study population included nurses working in psychiatric hospitals in these two cities. The sample consisted of 181 nurses working in psychiatric wards of selected hospitals in Bushehr and Shiraz who were selected by census. Data collection tools included demographic form, valid and reliable ward atmosphere scale of Mous (1968) and nurse stress scale of Taft and Anderson (1981). Data were analyzed using SPSS software version 19 and Pearson or Spearman correlation tests, independent t-test, one-way analysis of variance and linear regression. Significance level was set at less than 0.05.

Results :

Although the total atmosphere score of the ward did not show a statistically significant relationship with the nurses chr(chr('39')39chr('39'))total job stress score, but other results showed that among the atmospheric subscales, the "order" subscale is a strong predictor of nurseschr(chr('39')39chr('39')) job stress. If the "order" is lower, the nurseschr(chr('39')39chr('39')) job stress will be at higher levels (P = 0.001, β = -0.275).

Findings of the study emphasized the importance of "order and organization" in the psychiatric ward as a strong predictor of job stress. In order to reduce the job stress of nurses in psychiatric wards, nursing managers should act in designing the physical atmosphere of the ward, arranging equipment and facilities, as well as implementing management programs and processes in such a way that nurses working in the ward feel "order and organization" in the atmosphere of the ward.

Individual desires and motivations vary from person to person depending on different temperaments. Therefore, this study aimed to investigate the relationship between temperament and academic motivation of nursing and midwifery students of Bushehr University of Medical Sciences in the second semester of 2017-2018.

This descriptive-analytical study was performed on 296 nursing and midwifery students of Bushehr University of Medical Sciences in the second semester of the 2017-2018 academic year. Sampling was done by stratified random sampling. The data were collected by Self-report and using questionnaires of mojahedi temperament (2014) and vallerand motivation of academic achievement (1992). Data were analyzed by SPSS software version 22, using descriptive statistics and analytical tests as Chi-square at the significance level of less than 0.05.

Out of 296 students, 94 people were with cold and dry temperament (31.8%), 93 people were with cold and wet temperament (31.4%), 55 people were with hot and wet temperament (18.6%), 54 people were with hot and dry temperament (18.2%). Most students (69.33%) had good motivation for academic achievement. The mean score of the motivation of academic achievement participant in students with cold and wet temperament was (124.42±18.6), cold and dry temperament was(114.48±20.01), hot and wet temperament was (124.84±20.11), and hot and dry temperament was(137.39±20.74) that showed a significant difference between studentschr('39') motivation of academic achievement according to their temperaments(p <0.001), so that the highest academic motivation in students with hot and dry temperaments and the least academic motivation were observed in students with cold and dry temperament.

The results of the present study showed that temperament can play a decisive role in a personchr('39')s academic. Therefore, it is suggested that by using the teachings of traditional medicine and temperament correction by health policymakers as well as those in charge of education, the field of improving the level of academic motivation in students should be provided.

Attending a dentist and placing on the unit can cause anxiety.

The aim of this study was to compare the effect of the aroma inhalation of orange and lavender essential oils in comparison with placebo on the level of anxiety in clients in a dental clinic in Shiraz.

This randomized double-blind clinical trial was performed on 120 patients referred to a Dental Clinic. The patients were divided into three groups of anxiety treatments with scent of lavender, orange and sesame (as control). The Spielberger questionnaire was used to measure the anxiety of the patients before and after the study. Data were analyzed by SPSS version 22. The level of significance was considered as 5%.

Overall, there is no difference in the state scores of anxiety before and after the interventions. In the sesame group (t-test (-0.068) and the significant level (0.501), in the orange group (t (0.465) and significant level (0.645), in the lavender group (t (0.321) and significant level (0.750). However, a statistically significant difference was observed between the levels of state and trait anxiety after the interventions in all three groups.

Although, based on the present study, the use of orange and lavender extracts had partially reduced the levels of state and trait of anxiety in dental clients, more clinical studies are recommended.

The health system reform plan was implemented by the Ministry of Health and Medical Education in accordance with the Fourth and Fifth Development Plan Acts in order to achieve public health coverage. Despite achieving many successes in the pursuit of the objectives of the plan, it has faced challenges. The purpose of the study was to determine the challenges of health system reform plan in the centers of affiliated to Bushehr University of Medical Sciences.

This study was conducted with qualitative content analysis approach. A total of 38 healthcare providers were selected from centers affiliated with Bushehr University of Medical Sciences by purposive sampling method. Data was collected from semi- structured interviews in six focus group discussions, and analyzed simultaneously with data collection. Data accuracy and rigor were confirmed in various ways.

The three main categories of decreased satisfaction, infrastructure problems, and management system weaknesses emerged after analyzing 860 initial codes. Decreased satisfaction emerged from primary satisfaction and dissatisfaction subcategories; infrastructure problems emerged from ambiguities in upstream laws, weaknesses in policy making and building culture of change, and lack of comprehensive coverage, and the management system weaknesses emerged from weaknesses in planning, weakness in human resource management, and weaknesses in supervisory practices.

It appears that the main challenges included financial problems, rapid implementation and failure to consider the less-favored cities in the implementation of the plan. In order to quickly revive the plan and achieve its positive and beneficial goals, it is recommended to revise the plan and take effective measures, especially in solving infrastructure and management problems.

Background and purpose:

Communication skills as important behaviors enable the person to have an effective interaction and avoid an undesirable response. These communication skills indicate behavior and social health. Considering the importance of communication skills in acquiring knowledge and skills of learners, the aim of this study is to investigate the relationship between temperament and communication skills of nursing and midwifery student of Bushehr University in 2017-2018.

Methods and Materials:

The present study is a cross-sectional correlation survey conducted on 300 nursing and midwifery students through census in Bushehr during 2017-2018. The data were collected using questionnaires of Mojahedi temperament (2014) and queendom communication skill (2004). Data were analyzed by SPSS software version 22, using descriptive statistics and analytical tests including Chi-square, independent T test and one way ANOVA considering the significance level of 0.05.

Out of 300 students, 94 people possessed cold and dry temperament (31.8%), 93 people had cold and wet temperament (31.4%), 55 people had hot and wet temperament (18.6%) and 54 people had hot and dry temperament (18.2%). Mean score of communication skills was more than average (108.21±9.72). Mean score of communication skills participant in students with cold and wet temperament was 107.48±6.84, cold and dry temperament was 104.1±10.67, hot and wet temperament was 112.98±7.43, and hot and dry temperament was 112.72±8.42. There was a meaningful relationship between the students' temperament and communication skills. Hot and wet-tempered students as well as hot and dry- tempered students had higher communication skills than cold and wet-tempered and cold and dry-tempered individuals (p<0.001).

Meaningful relationship between temperament and communication skills suggested that focus of attention should be on student’s temperament and temperament modification planning is required in order to increase the communication skills of students.