فهرست مطالب es-hagh ildarabadi

Chronic obstructive pulmonary disease (COPD) ranks as the third leading cause of global patient mortality. Patient hospitalization presents an opportune moment to engage caregivers in patient care. This study aims to assess and compare the impact of face-to-face education for the elderly and their caregivers on COPD severity.

This two-group clinical trial included COPD patients from the internal department of Imam Khomeini Esfarayen Hospital. Each group, one for elderly training and one for caregiver training, comprised 29 seniors and underwent four 20-30 minute face-to-face sessions. The COPD Assessment Test (CAT) was administered before intervention, during discharge, and one month post-intervention. Statistical tests, including Chi-square, Fisher's exact, Mann-Whitney, and Friedman, were employed for data analysis by SPSS24 .

Significant differences in disease severity were observed in both the elderly training group and the caregiver training group before the intervention, during discharge, and one month later (p<0.001). However, there was no notable distinction between the two groups regarding the effectiveness of education on disease severity (P>0.05).

Face-to-face education for both the elderly and caregivers yielded reductions in COPD severity. Considering the cost-effectiveness of training caregivers, who often provide unpaid care for the elderly, nurses can contribute to improving elderly health through caregiver education.

Incivility or challenging behaviors in the scientific environment are so harmful that they cannot be neglected. Therefore, these behaviors should be addressed promptly and effectively. The aim of this study was to identify challenging behaviors from other behaviors and evaluate the severity of these behaviors from the viewpoint of university professors in medical students.

This descriptive cross-sectional study was performed on a sample of 110 faculty members in Faculty of Medicine of Mashhad University of Medical Sciences. To identify challenging behaviors from other behaviors, the majority (>50%) was considered. Also, to determine the challenging intensity of each behavior, behaviors that had higher scores were regarded as very high challenging behaviors.

Based on the review of external and internal resources and the viewpoints of professors,32 behaviors were prepared in the form of a checklist for the faculty members to identify the challenge and severity of it. Behaviors such as student insolence, disturbance of class order, and non-respect of rules, as well as disruptive behavior with professors were recognized as the most challenging behaviors. Regarding the intensity of the student incivility, the disruptive behavior with professors, the non-customary jokes, the disruptive behavior with students, and the lack of compliance with the charter of patient rights were considered as very high incivility.

Students’ challenging behaviors interferes in their own learning, others’ learning,staff as well as other individuals’ rights, and order and security of educational environment.Professors and instructors ought to identify these behaviors and manage them.

Today increased life expectancy and lower fertility rates have increased elderly population. Around the world, old age people are faced with several chronic diseases including hypertension which is the most important public health problem in many countries. With ready to the challenges of the new century, for having better life quality, we study the quality of elderly people life to take the best decisions on basis of the results obtained. The purpose of this study is evaluating the quality of life in elderly patients with hypertension (hypertensive elderly patients). This study was a cross-sectional study of life quality in 60 elderly patients with hypertension who referred to health centers in Mashhad and they were eligible for the study in 1393, using a standard questionnaire SF-36 and data analyze with statistical software SPSS 18. The mean age of the elderly persons was 66.78±4.01. Demographic variables on quality of life and quality of life among elderly men and women found a statistically significant association (p>0.05). The life quality of elderly persons was moderate (50.13±15.5). Since the quality of life can easily be threatened at this age level, it is significantly important to consider those potential factors that may affect the quality of the life of the elderly. Thus proper planning for increasing the health quality of the elderly is highly advisable.

The proper evaluation of training competency is one the effective methods for ensuring the health and promote it. Therefore, this study is a comparative examination of the performance results of (self-evaluation of training competency) health care workers in Mashhad using the checklists of performance observation and the amount of clients’ satisfaction of them. correlational analysis has been adopted in the study and a number of 250 health care workers in Mashhad were selected using Multi-stage)classified cluster probability sampling.(Data collection instruments entails three questionnaires including training competency measurement, measurement of clients satisfaction of the workers’ competency and observation checklist of the workers’ training performance which their reliability and validity were proved. Finally, the score correlation and the significant difference between these three methods were analyzed using SPSS v.16 software. The results of the study showed that the healthworkers’self-assessment score is higher than the scores obtained from observation of performance and the clients’level of satisfaction. The comparison of the mean scores of the two groups showed that there is a significant difference between the mean scores of the healthworkers’ self assessment and observation checklist (t= 16.43, p< 0.001). Moreover, there was a significant difference between the mean scores of the workers’ self assessment and clients’level of satisfaction (t= 7.30, p <0.001). Self report by itself is not a good method for assessing the health workers’ performance. So, it is suggested that the managers use a combination of different methods to assess the health workers’ performance.

The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand nursing education to train professional and community-oriented nurses. The aim of this article is to explore the experiences of nursing students during their community health nursing clinical clerkship courses. A grounded theory approach was used to conduct this study. Twelve nursing students, 13 health-care staff members, and 10 nursing instructors were interviewed individually in 2011-2012. The interviews were tape-recorded and later transcribed verbatim. The transcriptions were analyzed using the method of Strauss and Corbin. Ambivalence of motivation was the main category and included five subcategories: Professional identity, educational atmosphere, educational management, motivation-based approaches, and inadequate productivity. This paper presents the aspects of the community health nursing clerkship course from the viewpoint of students in areas such as the role of the community health nurse, attitude toward the course, medical orientation, prerequisite skills/knowledge, poor administrative planning, rotation of students, insufficient activity for students, passiveness, providing service to clients, responsibility, and inproductivity. These categories could explain the nature of the community health nursing clerkship of the Mashhad Faculty of Nursing and probably others in Iran. The findings revealed inadequate productivity of the community health nursing education; so, it is suggested to define a position for nurses in this setting and remove barriers and provide conditions for them to play more important roles in the promotion of community health.