فهرست مطالب mahboobeh afzali

Coronavirus (COVID-19) epidemic has started worldwide since December 2019. Medical students, as front-line health care staff, are at high risk for coronavirus and mental disorders caused by it. In pandemic conditions, higher education institutions are asked to develop management approaches regarding epidemics and encourage positive health behaviors among students. Therefore, according to this issue, examining the knowledge, attitude, anxiety and adaptation strategies of Aja University of Medical
Sciences students during the Covid-19 epidemic can be helpful to increase the adaptation strategies and management of students’ performance in pandemic conditions. This study aimed to investigate the knowledge, attitude, anxiety, and adaptation strategies during the COVID-19 pandemic in students of AJA University of Medical Sciences.

Methods and Materials: 

This descriptive-analytical and cross-sectional study was performed by available sampling method on 295 students of Aja University of Medical Sciences in 2021. The data collection tool is a researcher-made questionnaire including two sections of demographic information and related questions in 44 items. Data analysis was performed using descriptive and inferential statistics.

A total of 295 students from different fields of medicine filled the questionnaire. 98.27% of the participants were in the age group of 18 to 25 years and 92.54% of them were men. Their level of knowledge was estimated to be optimal (positive answer>70%). The anxiety level of students has not been too high. The students’ response about adaptation strategies was shown to be above 70% in all questions. Moreover, there was not any significant relationship between demographic characteristics (gender, age, and field of study) with any of the variables of knowledge, attitude, anxiety, and adaptation strategies.

A high level of knowledge and adaptation strategies with Covid-19 anxiety was indicated among medical students, which may be due to appropriate educational programs to promote a safer lifestyle and prevent the transmission of COVID-19.

Radiological and Nuclear disasters are emergencies which can result in injury, illness, or death. On-site health management are underprepared to respond to recognize key factors which underlie the On-site health management Radiological and Nuclear response is crucial to provide evidence-based knowledge to inform policies and above all clinical practice. Thus, this study aimed to extract the effective components and factors in the dynamic On-site health management and Emergency on the Scene systems.

A systematic review was accomplished in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The seven-stage structure was used in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. The coverage index was strict in terms of the environment, participants (first responders), condition (Radiological and Nuclear responses), and proceedings (diagnosis, decontamination and detection). Twenty databases and topic-specific journals were searched. Researches were critically appraised using Mixed Methods Appraisal Tool. Studies were thematically coded and synthesized using NVivo 10.

Totally, 1065 articles were extracted through the systematic review. After studying the titles, abstracts and contents of the extracted articles, 20 were selected for the final analysis. Data were grouped into 4 themes: of preparedness in Scene, Medical Triage System, Contamination Survey, and Management of uninjured.

The results of this systematic review presented an overall view of the effective components in the dynamic On-site health management and Emergency on the Scene systems. Key factors infrastructure the dynamic On-site health management and Emergency on the Scene system to plan, prepare, and respond to emergencies effectively has legal, practical, and spiritual implications. Further, with the Known concerns from this review, in terms of both knowledge and behaviors propoSEl that a systems approach is required to comprehend the On-site health management and Emergency on the Scene Nuclear and Radiological response in the future.

Disability arising from amputation is intricately shaped by both social factors and rehabilitative care. The efficacy of veterans' self-care emerges as a pivotal factor in effectively managing, controlling, and reducing complications, thereby augmenting and enriching their overall quality of life. This research delves into the creation, execution, and assessment of a comprehensive self-care software tailored for amputees, with a focus on harnessing the practical utility of smartphones and their manifest capabilities in the realm of healthcare.

In 2023, an applied developmental study was conducted, encompassing the evaluation, design, development, implementation, and assessment of a mobile application dedicated to the self-care management of veterans with amputations. The mobile application's conception unfolded within the Android Studio environment, utilizing the Java programming language within the Android operating system. A user interface satisfaction questionnaire was used to gauge the app's usability, with feedback from 20 veterans experiencing amputations.

The needs assessment for a comprehensive self-care software tailored for amputation veterans identified requisites across four distinct sectors. Building upon these insights, a holistic self-care software solution was meticulously designed. Evaluating usability and user satisfaction revealed that veterans rated the app at a "good" level, with an average score of 7.88±1.03 (out of 9).

The mobile application proved apt in content, functionality, and quality, presenting a valuable tool for enhancing the lifestyle, education, and self-care practices of veterans with amputations. This conclusion stems from a thorough usability evaluation from the end-users' perspective.

The operating room, being a unique department, has encountered specific challenges during the COVID-19 pandemic. These challenges can impact the performance of operating room nurses. Therefore, this study aimed to explore the experiences of operating room nurses in military hospitals during the COVID-19 pandemic.

This qualitative study utilized contractual content analysis in Iran in 2021. Purposive sampling with maximum diversity was employed for participant selection. Data was gathered through individual, semi-structured, in-depth interviews with 12 operating room nurses in Tehran.

Twelve operating room nurses, with an average age of 32.31±5.23 years, participated in the study. Analysis of the data revealed three main categories: "disruption of the balance of interactions and relationships with the patient," "the stressful intersection of roles," and "the increase in the volume of tasks and the lack of life and job security."

This study highlighted the fears and anxieties experienced by military operating room nurses during the COVID-19 pandemic, including concerns about contracting the disease, increased workload, lack of support, and inadequate post-infection facilities. The findings can be valuable for hospital authorities in developing efficient planning and effective management strategies during the ongoing pandemic.

The existence of disruptive behaviors in medical centers is a long term problem that has very negative consequences for nurses, organizations, and patients. Since the disruptive behaviors are a complex, multi-dimensional, interactive, and social phenomenon, and they are depended on the culture and religion of each community; therefore, this study aimed to explore perceptions of nurses on disruptive behaviors in the Iranian medical centers.

This qualitative study was conducted with the participation of 15 nurses working in six military hospitals in Tehran, Iran in 2016. The targeted sampling method was used during semi-structured interviews to collect data. Data analysis was performed by contractual content analysis and was conducted continuously and simultaneously with the data collection.

Two main categories and five subcategories were recognized, including: 1) domination in nursing (bullying and violence, abuse of power); and 2) subordination in nursing (lack of power over physicians, silence and passive compromise, hatred of organization and reduced self-confidence).

One of the most important reasons for nurses’ disruptive behaviors is the phenomenon of oppression, dominance subordination in nursing, and power hierarchy in Iranian medical centers. Therefore, in order to solve this problem and improve professional behaviors, the concept of empowering nurses to deal with dominance subordination in nursing should be emphasized.

Disruptive behaviors are one of the most topics affecting the wellbeing of organizations, therefore, it has become a significant research area. The purpose of this study was to determine experiences and perceptions of nurses who were involved in disruptive behaviors.
A qualitative study was conducted by using a conventional content analysis. The data was obtained through 15 unstructured and in-depth interviews with nurses in six hospitals of Tehran city, Iran. A purposive sampling method was used. All interviews were recorded, typed and analyzed simultaneously.
The main theme obtained from the nurses’ views and experiences analysis about disruptive behaviors were injustice and discrimination in hospitals including injustice in payments, work division, interactions, and judgment and evaluations.
It seems that the best way to prevent and correct the disruptive behaviors was to eliminate the perceived nurses’ injustice feeling and establishment the justice and fairness in organizations.

The first essential step to addressing disruptive behaviors is to gain an understanding of the causes of disruptive behaviors in healthcare organizations. This review article was conducted to gain an understanding of the causes of disruptive behaviors in the nursing workforce. The University of York center for Reviewers and Dissemination Guidance approach was used for searching five databases (PubMed, PsycINFO, CINAHL, Medline and Science direct) with 3main category key words from 2000 to Nov 2014. Lastly, 12 full texts were analyzed for responding to the research question. The results are explained in four categories; individual, organizational, environmental and social factors. This study showed that disruptive behaviors are a complex phenomenon, and the causes that contribute to disruptive behaviors typically operate at multiple levels and suggested that there are many factors behind a disruptive behavior and the escalation of the situation.