فهرست مطالب mahvash kalhor

The professional competence of health personnel depends on adherence to the principles of professional ethics, and given the importance that the issue of professional ethics in natural disasters becomes more important, Therefore this study was conducted to investigate the ethical challenges of health care system personnel in natural disasters.                                                     

This qualitative study was conducted with a conventional content analysis approach. Participants were 38 employees of Lorestan University of Medical Sciences who were present at the Lorestan 1398 flood incident for at least two days to provide relief and willingness to participate in the study. Data were analyzed using in-depth semi-structured face-to-face interviews with the aim of understanding non-verbal evidence. The interview guide was used to focus on the content of the interview.

In this study, 38 medical staff of Lorestan province participated in the study. 66% of the participants were women and 44% were men. 37% were married and 63% were single, with a mean age of 42 years. The data were analyzed with 58 initial codes in 15categories and five main themes. The results of data analysis were divided into the following five concepts: Injustice extracted from classes such as inadequate distribution of resources and locations, crisis management deficits resulting from classes such as lack of coordination in service delivery, lack of pre-accident planning, and so on. Delays in the provision of services resulting from classes such as delays in receiving medication and medical services. Responsibility and conscience:  These two concepts were extracted simultaneously with classes such as empathy, compassion and kindness, self-sacrifice, hospitality, humanity, and difficulty in enduring heartbreaking scenes.                                                                                                                          

The crystallization of manifestations of national determination and jihadi will, donations, public presence, empathy and kindness, the beauty of religion and culture in times of national crises are among the strengths obtained in this study. Despite the positives, there were challenges such as inconsistencies between aid centers, lack of adequate planning and training of staff, inequality in the distribution of services and facilities, delays in service delivery, and injustice. It seems that the root of these problems is the lack of scientific planning before, during and after the crisis, the lack of coordination of the responsible bodies during the crisis and the basic problems in the infrastructure. It is suggested that in order to reduce the problems, more studies be done in the field of rooting out the problems and how to eliminate the mentioned shortcomings.

Nowadays, libraries are core set oriented towards the customer. Therefore, the quality assessment of the libraries must be performed based on the service delivery process to the users. This research was conducted with the aim of measuring the quality levels of library services in Lorestan University of Medical Sciences using the LibQual standard tool.   In this study, a descriptive survey method was used. The statistical population was all active members of the libraries of Lorestan University of Medical Sciences in the second semester of the academic year of 20017-18. The sample size was 323 persons who were selected by simple random sampling method. The data were collected using the standard self-report LibQual questionnaire and analyzed by independent t-test, variance analysis and Tukey post hoc test.   The most satisfaction of the users, from the three components of LibQual respectively, the information control component with a mean of 15.58 ± -0.18, the service effect component with a mean of 14.53 ± 4.22, the library component to The title of a place was 10.80 ± -0.73. There was a significant difference between the level of receiving services and the minimum of maximum expectations (p <0.001).   Libraries' services meet the minimum expectations of users, but they differ between the existing level and the maximum expected level. The dimension of information control had a higher mean than the other dimensions and the library dimension as a mean had a lower mean than the other dimensions. It is also necessary that the relevant authorities have the necessary effort and planning to optimize the conditions in the libraries of Lorestan University of Medical Sciences, especially in the library dimension.

Nowadays, libraries are core set oriented towards the customer. Therefore, the quality assessment of the libraries must be performed based on the service delivery process to the users. This research was conducted with the aim of measuring the quality levels of library services in Lorestan University of Medical Sciences using the LibQual standard tool.
 

In this study, a descriptive survey method was used. The statistical population was all active members of the libraries of Lorestan University of Medical Sciences in the second semester of the academic year of 20017-18. The sample size was 323 persons who were selected by simple random sampling method. The data were collected using the standard self-report LibQual questionnaire and analyzed by independent t-test, variance analysis and Tukey post hoc test.
 

The most satisfaction of the users, from the three components of LibQual respectively, the information control component with a mean of 15.58 ± -0.18, the service effect component with a mean of 14.53 ± 4.22, the library component to The title of a place was 10.80 ± -0.73. There was a significant difference between the level of receiving services and the minimum of maximum expectations (p <0.001).
 

Libraries' services meet the minimum expectations of users, but they differ between the existing level and the maximum expected level. The dimension of information control had a higher mean than the other dimensions and the library dimension as a mean had a lower mean than the other dimensions. It is also necessary that the relevant authorities have the necessary effort and planning to optimize the conditions in the libraries of Lorestan University of Medical Sciences, especially in the library dimension.

Nurse's awareness of the rules and standards of their professional duties, the biggest obstacle to their mission in providing health services, care, treatment, and rehabilitation at the highest level is desirable. This study aimed at determining the level of nurse’s knowledge on the standards of care at intensive care units.
This descriptive cross sectional study on 94 nurses at the ICU (ICU, CCU and NICU) of government hospitals in Boroujerd, was done by sampling throught the census method. The used tools consisted of demographic, general, and specialized nursing duties at intensive care units, and the validity and reliability of the samples was measured by a self-report. Descriptive and inferential statistical analysis was performed by SPSS software version 21.
The results showed that mean scores of nurses in the 3 sections were not significantly different (P = 0.06), yet based on age and years of service, there was a statistically significant difference (P 0.05). There was a moderate positive linear correlation between knowledge score and years of service (0.42; P Nurses’ awareness of their mission, and management and official plans for promoting deficiencies in this regard could help promote health.