جستجوی مقالات مرتبط با کلیدواژه « خدمات پرستاری » در نشریات گروه « پزشکی »

Different dimensions of nursing care as a component of health care services are very important in satisfying the patient. This study was conducted to investigate the patients satisfaction with nursing services in Imam Reza hospital of Lar City during the Covid-19 pandemic.

In this descriptive study conducted in 2020, 190 hospitalized patients were selected by convenience sampling. Data were collected using a standard patient satisfaction questionnaire by interview. Pearson’s and Spearmen’s correlation coefficient tests and one-way analysis of variance were used to determine the relationship between the variables.

The mean and standard deviation of patients 39; age was 47.63±14.58 years. Out of 190 respondents (patients), 110 were men (58%) and 80 were women (42%). Also, 63 people (33.2%) had undergraduate education, 28 (14.7%) had a diploma, 19 (10.0%) had an associate degree, 48 (25.3%) had a bachelor’s degree, and 32 (16.8%) had a master's degree. 24 people (12.6%) were dissatisfied with their opinion on the components of satisfaction, 49 (25.8%) were somewhat satisfied, and 111 (58.4%) were completely satisfied with their opinion on these components.

The findings of this study showed that the majority of patients had full satisfaction with nursing services. It is recommended to improve the quality of nursing care by implementing educational programs and assessing the reasons for patient dissatisfaction to increase patient satisfaction.

The Nursing Services Tariff Setting and Adjustment of Nursing Fees Act and Productivity Improvement Act for Clinical Staff have not been adequately implemented after more than ten years of approval. However, various pressures that put the health system in a difficult situation should be considered carefully. This study aims to make a multilateral analysis of nursing services tariff setting, its policy, and executive dimensions. Scenarios confronting the nursing services tariff setting are explained and evaluated.

The study followed a qualitative approach using library studies. The authors selected the participants using purposive sampling, while they collected data through semi-structured and in-depth interviews. Library data were analyzed and implicated using the stakeholder analysis method. The "policy analysis triangle" model has also been used to take a comprehensive and coherent approach to data collection, analysis, and presentation.

The research findings were categorized into four dimensions of this model, namely policy content, context, process, and actors, which clarified the required scientific and theoretical foundations, the existing documents in the field of pricing, the history and components of pricing, and the views of the main stakeholders on this issue.

In conclusion, possible scenarios have been evaluated to ensure both nurses' satisfaction and motivation while maintaining the quality of health services. Also, some suggestions have been made for short-term and medium-term actions that can provide the opportunity for fundamental reforms by reducing the current crisis severity.

Patientschr('39') perspectives as a reliable source can be considered for the evaluation of health services. The purpose of this study was to evaluate the satisfaction of patients with COVID-19 from the services provided in Baqiyatallah Hospital, Tehran, Iran in 2020.

In this cross-sectional study, 73 patients with COVID-19 discharged from Baqiyatallah Hospital, Tehran, Iran were selected by the available sampling method. The data collection tool was a patient satisfaction questionnaire consisting of 48 questions which were adjusted based on the Likert scale and its validity and reliability were confirmed. The questionnaire assessed patient satisfaction in two aspects of medical (nursing, physician, health and hygiene) and non-medical services including nutritional status, welfare facilities, admission services, staff behavior, discharge and religious observance. Data were analyzed using SPSS software version 18.

Patientschr('39') satisfaction with the medical aspect was 86% and in the non-therapeutic aspect was 84.15% (excellent level). There was no statistically significant relationship between demographic variables such as age, sex, marital status, hospitalization, type of insurance and the reason for hospital selection with patient satisfaction. (p>0.05).

Due to the high satisfaction of patients in the hospital, especially in the medical aspect, it is possible to strengthen the positive points and also analyze the reasons for patient dissatisfaction, especially in the non-medical aspect, to improve hospital services and performance and increase patient satisfaction.

An efficient health care system can only fulfill its mission of ensuring the health of the community through the provision of desirable services. Access to patientschr('39') points of view as a reliable source can be considered for evaluating health services. The purpose of this study was to determine patientschr('39') satisfaction with services provided in a Military Hospital.

In this cross-sectional study, 230 patients who were discharged from a military hospital were selected by convenience sampling method in 2019. The data collection tool was a patient satisfaction questionnaire that its validity and reliability were confirmed. The questionnaire assessed patient satisfaction in two health-care sections with 21 questions and three dimensions of hygiene, nursing and physician services, and non-healthcare with 27 questions and six dimensions of admission services, staff treatment, nutrition, welfare and facilities, religious issues and discharge services.

Overall, patientschr('39') satisfaction in the medical and non-medical wards was 81.05% and 78.58%, respectively. Satisfaction in health care services and nurses (excellent satisfaction) was higher than the satisfaction of physicians (good satisfaction) and in non-healthcare services, the highest level of satisfaction was observed in the admission services (excellent) and welfare services had the lowest satisfaction (Good Satisfaction). Among demographic variables, only patient age had a statistically significant relationship with satisfaction (P =0.03). Other demographic variables such as gender, marital status, type of hospitalization and type of insurance had no significant relationship with satisfaction (P =0.23).

Considering the higher patient satisfaction with medical services than non-medical services and higher dissatisfaction rates especially in the welfare services and facilities, the allocation of more welfare facilities to patients, improvement of hospital conditions and equipping of the hospital are the most important issues.

The work environment of healthcare providers and hospitals is constantly exposed to tremendous work pressure, complexity, and chaos. Due to the changes in various fields of treatment and care, these work environments are constantly changing as well. Meanwhile, bullying is considered to be a serious phenomenon in these organizations, which has also been reported worldwide as an important issue in the nursing profession. Workplace bullying could variably affect nursing. In healthcare organizations, workplace bullying could increase absenteeism, job loss, and job dissatisfaction among the employees. Furthermore, this phenomenon may reduce the quality of nursing care in hospitals and medical centers. These issues are particularly highlighted in the nursing profession since as the largest group of healthcare providers in these organizations and the leading managers of hospitals, nurses play a pivotal role in patient care. Improving the quality of nursing care is the most important factor to accelerate the recovery and return of patients to the community; therefore, the quality assessment of nursing care is essential. In Iran, most of the studies on bullying have been performed on students and teachers in schools, and few studies have been focused on nurses. Given the lack of accurate statistics on the rate of workplace bullying among Iranian nurses and the fact that the quality of nursing care is an important issue that could be affected by the bullying phenomenon, the present study aimed to evaluate the level of workplace bullying among Iranian nurses and its association with the quality of nursing care.

This cross-sectional, descriptive-correlational study was conducted on 200 emergency department and intensive care unit (ICU) nurses at Imam Khomeini Hospital Complex affiliated to Tehran University of Medical Sciences, Iran in 2019. The sample size included 200 nurses who were selected via simple random sampling. The inclusion criteria were employment as a nurse in the emergency department or ICU of Imam Khomeini Hospital Complex, willingness to participate in the study, and minimum work experience of six months as a nurse in the department. The exclusion criterion was incomplete questionnaires. Data were collected using a demographic questionnaire (age, gender, marital status, admission to the nursing major based on interest/knowledge, education level, clinical ward, service history, type of employment, shift work, duration of employment in the current department, having a managerial position, interest in the workplace, and coercion in the current department), negative acts questionnaire-revised, and SERVQUAL questionnaire. Sampling was performed after the approval of the study protocol and receiving the ethics license from the Joint Organizational Ethics Committee of the School of Nursing and Midwifery and the School of Rehabilitation of Tehran University of Medical Sciences. Eligible nurses were selected after explaining the research objectives and procedures and being assured of the confidentiality of their information with oral consent. The questionnaires were completed anonymously and in a self-report manner. Data analysis was performed in SPSS version 16 using descriptive statistics to describe the samples (frequency distribution tables, mean, and standard deviation). In addition, research objectives were used to describe the samples. To determine the gap between the perceptions and expectations regarding the quality of nursing care, paired t-test was used, and to determine the correlation between workplace bullying and the quality of nursing care, Pearsonchr('39')s correlation-coefficient was employed at the significance level of 0.05.

About half of the nurses (51.5%) were female, with the mean age of 32.58 ± 6.38 years. The mean work experience of the subjects was 9.74 ± 5.86 years in the nursing profession and 4.59 ± 3.99 years in their current ward of employment. The majority of the nurses (51%) were formally employed, had rotating work shifts (77%), and worked in the ICU (61.5%). In addition, most of the nurses had a BSc degree (84.5%). Based on the experience of daily or weekly workplace bullying, the mean workplace bullying of the nurses in the work-related bullying dimension was 10.11%, while it was 4.27% in the person-related dimension, and 5.66% in the physical dimension, with an overall mean of 6.68%. The maximum and minimum mean values belonged in the dimensions of work-related bullying and physical dimension, respectively. The results of paired t-test indicated significant differences between the dimensions of the perceptions, expectations, and gaps in the quality of nursing care in the viewpoint of the nurses and the dimensions of reliability (P<0.001), assurance (P<0.001), and total score (P<0.001). Furthermore, workplace bullying had inverse, significant correlations with the dimensions of reliability (P=0.006; r=-0.194) and assurance of nursing care quality (P=0.001; r=-0.229), so that with decreased workplace bullying, the quality of nursing care increased in these dimensions.

Although the results of this study indicated the low prevalence of bullying among nurses, nursing managers and policymakers should properly plan for the recognition, prevention, and management of this phenomenon due to the physical, psychological, and organizational effects of workplace bullying on the nurses employed in hospitals and health centers. Moreover, the organizational factors that lead to the workplace bullying of nurses should be identified. Due to the significant associations between workplace bullying and the dimensions of the reliability and quality assurance of nursing care, hospitals must fulfill their promises accurately and consistently. By recruiting nurses with adequate knowledge and skills, a sense of trust and confidence should be created in patients. This study showed that the lower rate of workplace bullying is associated with the higher quality of nursing care. Therefore, it is recommended that further investigations be focused on the effects of workplace bullying on patient care and its dimensions, as well as the quality of the provided care in hospitals and health centers.

An effective health system can only be provided by providing good health services to the community. The purpose of this study is "The importance of monitoring the health of patients by nurses and their impact on the quality of nursing care to the patient."

This study aimed to evaluate the importance of monitoring the health of patients by nurses and their impact on the quality of nursing care services. Referring to the articles from 2006 to 1396, the content of the articles was examined.

The results of previous years research showed that increasing the efficiency and effectiveness of nurses 'monitoring of patients increases the quality of nurse services and patients' satisfaction with the provided services.

Considering the importance of the ability of nurses to monitor the health of patients and the effect of this ability on the quality of the services provided, cooperation of senior nursing managers in the Ministry of Health, hospitals, faculties and instructors in order to precisely plan the increase of nursing supervisor skills can be Enhance the quality of services provided to patients.

With regard to the importance of professional ethics’ role in organizational development and work life improvement, it is necessary to consider professional ethics principles in organization for determining effectiveness and directing human resources. The aim of this research is to investigate the effect of Islamic values on professional ethics with the mediating role of organization’s code of ethics.

This research is applied in terms of purpose and descriptive (survey) in terms of method. The statistical population of the study included all nurses working in government hospitals in Zanjan and 182 people were selected as a sample. Questionnaire was used for collecting data which is content validity and reliability (by using Cronbach Alpha) was approved. For measuring professional ethics, the questionnaire of Ghasemzadeh et al (2014) was used and for two other variables the researchers designed their own questionnaire. For testing hypotheses, structural equation modelling and PLS software, were used.

According to the findings, Islamic values has a positive and significant effect on Nurses’ professional ethics and organization’s code of ethics. There is a significant relationship between and organization’s code of ethics and Nurses’ professional ethics. In addition, organization’s code of ethics mediated the relationship between Islamic values and Nurses’ professional ethics. Ethical Considerations: In the period of data collection, respondents were assured that their opinions and responses will remain confidential and used only for analysis.

Compliance with ethical principles will lead to nursing services improvement. Findings show that worth and importance of nurses work is more perceived when Islamic values on the time of service providing is considered.

Patient satisfaction is one of the most effective tools in assessing the quality of health and planning to improve the health system. Considering the importance of this issue in this research, the satisfaction of patients with nursing care and services in Iran through systematic review is examined.

The present systematic review study was conducted using the search strategy of Cochrane with keywords: Patient Satisfaction, "Nursing Care" , "Iran" in databases, PubMed ,Scopus, Magiran, SID search. Finally, 33 papers were found without time limits until April 2019. The review was carried out with the steps of data extraction and the evaluation of the quality of studies and the reporting of the findings.

A total of 165 articles were finally extracted from 33 articles related to the title of the study. The majority of studies show a high level of patient satisfaction from nursing care. However, other studies have reported a controversial outcome. In addition, nurses' job satisfaction, nurses' psychological characteristics, occupational nursing dimensions, nurses' spirituality, type of hospital, type of ward that patient hospitalized, patient literacy level, health insurance and gender as factors that can affect Patients satisfaction are affected by nursing care.

Regarding the important role of patient satisfaction from care services in improving the patient and improving the quality of health care, health policy makers should pay particular attention to removing relevant barriers and problems from both the patient and the nurses.

Economic evaluation is an invaluable and important tool in healthcare decision- and policy-making. The volume-based paradigm has been a prominent tool to evaluate healthcare economy for consecutive decades. In this approach, the main focus is on volume of treated patients alongside to reduce healthcare costs. Despite this view and during recent years, there was a dramatic rising in healthcare costs without attaining excellence in quality and health outcomes. This status is escalating to the point at which governmental budgets, service providers, and patients are unwilling or unable to afford its related costs (1). There is a similar situation in high-income countries that spend several times more money on health than middle-income and low-income countries (2).
The experts believed that one of the most important and underlying causes of this situation is ineffective healthcare service models that resulted in fragmentation, lack of coordination, reduced quality of care, and finally increased health costs (3). It is assumed that the health service delivery models can seriously affect health costs. Accordingly, health economics does not only refer to health costs but also it includes quality improvement, access to, and equity of health services (4).
For the first time in 2006, “value-based care” was developed to evaluate healthcare economy (5). This paradigm which is also considered a kind of healthcare delivery model, is based on patient outcomes payment as an alternative for the fee-for-service model of payment. Based on this approach, healthcare providers such as physicians and nurses will be rewarded when their services improve the health of patients, reduce the complications, and help to make a healthier life for patients (6); while the population transition to old age and an increase in noncommunicable diseases which require behavioural approches for modifying risk factors in addition to acute care only, are also fueling the mandate for change. Therefore, 30% of healthcare payments in the US by the end of 2016 and 50% of payments by the end of 2018 were tied to the value-based care approach. Based on that, new institutions such as Accountability Care Organizations (ACOs), Advanced Primary Care and Integrated Care models were launched (7). The focus of these institutions is on effective care pathways which, along with the reduction in health care costs, lead to prevention and primary care (7). The principals of new payment model are greater teamwork and integration, more effective coordination of health providers across settings, greater attention to population-based healthcare, and providing information system to improve care for patients (7).
A report in 2011 entitled “The future of nursing: leading change, advancing health” asserted that despite the financial concerns, nursing service can on the one hand address the increasing demand for safer and high-quality healthcare and on the other hand, create equitable and affordable access to health services for societies (8).
The report believed that nursing practice covers a broad continium from health promotion, to disease prevention, to coordination of care, to cure-when possible-and to palliative care-when cure is not possible. Therefore, nurses have a direct and indirect effect on patient care. They can provide assessments and care in hospitals, nursing homes, clinics, schools, ambulatory settings, and workplaces and accordingly they can contribute to the provision of accessible, equitable, and high quality care in healthcare system.
From value-based model perspective, quality, access, and value are key indicators that are specific and sensitive to health service effects on health economics (1). Evidence reveals that nursing services can suprisingly affect these three indicators. However, there are few studies showing that the development of nursing services results in lower costs, along with increased service quality. Of course the evidence in favor of such a conclusion is growing. The current evidence on these indicators are as follows:Nursing and health service quality
Although causation is difficult to prove, an emerging body of literature has revealed that the quality of care depends, in a large degree, on nurses. The association between nursing care and quality of hospital care such as patient outcomes, including lenghts of stay, mortality, pressure ulcer, deep vein thrombosis, and hospital-acquired infections has been published in several studies (9-11). Studies have shown the role of nurses in improving the quality and efficacy of hospital (12,13). However, the extent to which nursing care has an impact on health and life or death issues is still ambiguous (8) Also, the patient-centered nursing care has recently been disscussed as a cause of patient satisfaction which is an indicator of the delivered service quality in all over the world (14,15).
Nursing and access to health services
Evidence suggests that access to quality care can greatly be expanded by developing the use of nurses in primary, chronic, and transitional care from hospital to home. For example, If nurses are involved in special roles such as care coordinators or primary healthcare providers, that increase the level of access to services, the hospitalization and rehospitalization rates of patients will be reduced. A 52% reduction in emergency department (ED) visits with a cost per admission of at least $800 has been mentioned as a result of nursing postoperative visits and telephone follow-ups (16). In the coordination of transitional care from hospital, nursing visits during a three-month transition period in patients with heart failure showed the average savings of $4,845 per patient with a significant increase in survival and fewer readmissions (17). Also, performed activities such as self medication management and referral care coordination by nurses in community-based or ambulatory care settings can save $686 per patient in a 12-month period (18).
Nursing and value of health services
The value in healthcare is expressed as the physical health and sense of well-being achieved relative to the cost. There is little evidence at the macro level indicating that the development of nursing services results in cost savings to society while promoting outcomes and ensuring quality (19). For example, managing nursing work hours is dramatically associated with 1.5 million fewer hospital days, nearly 60,000 fewer inpatient complications, and 0.5 percent reduction in costs (20).
Overall, it seems that we need to conduct precise studies at macro-level to assess the net economic effects resulting from nursing care delivery models in order to seriously integrate them into health policy. Also, undrestanding the impact of nursing care on the health system requires the data to enable nurses have more effects on healthcare transformation

Despite the development of hospitals in recent years, there is a gap between the number of hospital beds in our country and standard number of hospital beds, and they are faced with increased workload. The aim of this study is to explain the role of counseling centers and nursing services in reducing the workload of hospitals.
This study was conducted using qualitative method. The main research participants were managers of counseling and nursing care services Centers. Purposive and theoretical sampling was used in this study. In total, 26 managers of various centers and institutions providing health care services, physicians, and clients were interviewed. Data were analyzed using content analysis.
The final research findings emerged on three main themes "outpatient care of patients at home", "decreased care coverage of acute patients at home", "limited cooperation in the care of hospitalized patients" with several subcategories.
Providing community-based services, particularly providing care for critically ill patients hospitalized at home has been reduced in recent years, and large part of this care is transferred again to the hospital. Therefore, it is necessary to revise the executive programs to develop interactive work and regulated the relationship between counseling and nursing care services Centers and hospitals.

The Kano model is a proper technique for classification of needs that can be strategic guidelines for improve of nursing quality which measured by SERVQUAL model. So this study is analyzed the current and expected needs and perceptions of patients from quality of nursing care in line with the strategic focus of analysis methods and quality improvement.
This was a cross-sectional study by the sample size of 196 subjects which selected by stratified random method. Data collection tools was SERVQUAL questionnaire and Kano for determine the needs. Collected data were analyzed by ANOVA, T-test and Pierson statistical tests.
Having enough and update knowledge, new and innovative way of nursing services and adornment nurses were attractive needs that are required by the method of Kano and other components are essential needs. Average of patient's expected situation in attractive dimensions (17.3) was significantly less than necessary need (98/3) (P-value = 0.006). The greatest gap of five quality components was responsibility (-0.7) and the smallest gap was in the Tangible (-0.22).
Applying strategies for improving the quality of nursing services, with priority-based quality component, can afford to achieve more effectiveness. Ability to Assurance of service was one of the essential need so required to more attention so it is necessary to raise the level of communication skills in nurses.

Background and Patient satisfaction is a complex phenomenon that is influenced by several factors, amongst which nursing care is one of the most important one. The aim of this study was to evaluate the patient's satisfaction with nursing care in Behshahr public hospitals, Iran, 2014.
This cross-sectional study was performed in 300 patients using available sampling. Data was collected by Patient Satisfaction Instrument (PSI) and analyzed by SPSS applying descriptive and inferential statistics (Fisher's exact test).
The results showed that only 3% of patients were completely satisfied with services delivered, 20% were moderately satisfied and 77% were dissatisfied with nursing care. The highest level of satisfaction with nursing care was found to be in cardiac intensive care unit and the lowest satisfaction level was observed in internal medicine ward for women. Among different variables, the type of ward was found to be significantly correlated with patients’ satisfaction level (P Our investigation revealed low levels of patient's satisfaction with nursing care. There is a direct correlation between health organizations and patient satisfaction, therefore, constant evaluation of services delivered seems to be essential. Moreover, identifying related factors and presenting operational strategies would be helpful in eliminating the factors causing patient dissatisfaction.

Nurse's commitment to ethics principles, in addition to improve quality of nursing care, is an effective factor to enhance patient satisfaction. Since nurses ethical performance is greatly influenced by the conceptual and moral criteria such as moral intelligence.
Aim: This study was investigated relationship between moral intelligence in nurses and patients satisfaction of nursing care.
Methods and materials: This was a descriptive -correlational study which was performed on (163) nurses and (489) patients who received nursing care in five educational and clinical centers of Hamada University of Medical Sciences in (2014). Nurses were selected based on stratified proportional random sampling and patients were selected based on simple random sampling from different parts clinical centers, respectively. Using Lennick and Kiel’s moral intelligence (2005) and Biering’s patient satisfaction from nursing care (2006) questionnaires data were collected. Using Cronbach’s alpha, reliability of both questionnaires were measured. The alpha coefficient for moral intelligence was (0.86) and for patient satisfaction was (0.71) respectively. Applying descriptive statistics (mean and standard deviation) and inferential statistics (Pearson moment correlation coefficient and stepwise multiple regression analysis) data were analyzed by SPSS16.
Mean score for nurses moral intelligent was (76.68, SD=6.55) which based on the questionnaire’s standard was at a good level. Mean score for patient satisfaction was (98.27, SD=9.3) which was at a moderate level. There was a significant and positive correlation between nurse's moral intelligent and patients’ satisfaction (r =0.75, p It is recommended to nurse managers to provide facilities such as educational workshop to create possibility of enhancing nurses’ moral intelligent; because it is would be improve their responsibility to patients.

Approximately, more than 60% of the hospital cost allocate to hospital human resources. The study aimed to examination the number of nurses in the poisoning ward in a general hospital in Shiraz. This applicable study was conducted as a descriptive-analytical study. Study population was the patients who referred to a hospital poisoning ward in Shiraz in 2012. The medical records were examined. Each month selected as a stratum and in each stratum samples selected through a simple random sampling. Data collected from the statistics office and patient records (physician's orders and nursing notes) using a data collection form. Linear programming techniques in lingo (version 8) software were used to the data analysis. Two nurses in morning, two in evening, three in night and seven in all shifts were at least required nurses in the poisoning ward of the general hospital. The number of available nurses in the ward was more than estimation. The nurses in the morning and evening shifts were over the examined number in the ward. Moreover, the nurses obtained from quantitative methods such as linear programming were lower than those calculated experimentally by nursing managers. It is recommended to Hospital administrators to use these techniques to the appropriate distribution of staff in wards.

Patient satisfaction with health care reflects organizational performance of a hospital. Nurse is responsible for providing direct patient care, and coordination with other hospital services isorganized.
The aim of this study was to determine patient satisfaction with nursing care provided in general wardsofuniversityhospitals in Bushehr 2012.
A descriptive cross sectional study was conducted in hospitals of Bushehr in August and September2012. It was estimated that a sample size of 282 patients were hospitalized at least for the past 24 hours in the departments of surgery or gynecology. Convenience sampling was carried out according to the number of available bedsusing quotas. Patient satisfaction questionnaire which its validity and reliability had been confirmed, was used. Data were analyzed using SPSS V.18 and descriptive statistics(frequency, mean, standard deviation, chi-square).
Results showed that 1/1 % (3persons) patientshad complete satisfaction with nursing services, 2/14 %(40 persons) had Medium satisfaction and 4/84 %(238persons) were dissatisfied. Among the demographicvariables, only education level was significantly related to patient satisfaction (p= 0/035). Illiterate people had thelowest levels of satisfaction and those witha diploma or higher education showed the highest levels of satisfaction.
the satisfaction ratewaslower than the expected . Due to theimportanceofnursesskills,the necessity of strengtheningtraining,communicating and caring skills to enhancepatientsatisfactionisadvisable .

Theory-practice gap or education-service gap is one of the most important challenges and important issues in today's nursing care which is an important issue in Iran health care system. In this study we aimed at providing national draft on bridging the theory-practice gap of nursing care in Iran. We designed the study in three phases. In the first phase, a systematic review was done. In the second phase, a qualitative content analysis was conducted and in the last phase, we conducted a study using Delphi method. After analyzing the data, we prepared a draft with 12 documents in three structural, educational and clinical sections. After examining structural, educational and clinical components; this draft tried to provide an internalization strategy on nursing needs in Iran. Evidently, the draft belongs to specific period; hence, continuous updating of the draft is a significant key to its dynamics.

Patient satisfaction with nursing services provided as an indicator of the quality of nursing care which was studied here. On the other hand، the literature review showed that cancer patients received a slight care of nursing group. Therefore، the aim of this study was to evaluate satisfaction with nursing care to cancer patients and its related factors.

This was a descriptive – correlation study on 131 patients hospitalized in the oncology department of Shahid Ghazi Hospital in Tabriz. The patients were recruited by convenience sampling. As Satisfaction survey، we used La Monica patients'' satisfaction questionnaire by the score range of 41 to 287. Some socio-demographic characteristics were compared with the check list. Data analysis was done by using statistical software SPSS version 17. Descriptive and inferential statistics were performed as well.

The results showed that the average satisfaction score of Nursing Services was 203/2. There was not direct relationship between socio-demographic characteristics and disease-related characteristics of patients'' satisfaction with nursing care.

Patients with cancer are relatively highly satisfied with nursing care. However، due to the limitations of this study، further studies are needed.

Patient satisfaction is an important concept and priority in health system. The aim of this study was to assess patient's satisfaction from nursing care in hospitals of Iran University of Medical Sciences.

In this cross-sectional study, 450 patients who had undergone surgery during six months were selected to the study. Data were collected using a self-structured questionnaire. Patient's satisfaction was measured in a 5-point Likert scale.

The overall satisfaction of patients pre- and post operation was at an optimum level of 83.6% and 89.1%, respectively. The mean overall satisfaction with nursing care was not statistically significant before and after the surgery. Patient's satisfaction after the surgery was significantly related to the education, gender and residential area (p<0.05).

Most patients were satisfied with the nursing care before and after the surgery. Patient satisfaction should be measured at the time of discharge as an evaluation index.

: using of effective communicative skills is unavoidable part of caring process in cancer patient and their families. It is clear that good communication with cancer patients can have important effect on patient satisfaction with all nursing cares. In other hand there are not any information concern to communication skill between nurses and cancer patient and its relation to quality of this communication with patient satisfaction of nursing services. Therefore the aim of this study is assessment the nurses and cancer patient communication and its relation to satisfaction with nursing services.

this is a descriptive and correlation study that done on 131 hospitalized patient in oncology wards in Shahid Ghazi Tabatabaei hospital in Tabriz. Nurse- patient communication assessed with interaction quality nurse- patient that its scores is variable 24 to 144 and patient satisfaction with nursing services assessed with La-Monica satisfaction with nursing care questionnaire that its scores is variable 41 to 287. Data were analyzed by SPSS and presented with descriptive statistic.

results showed the average score of nurse- patient communication and patient satisfaction with nursing care was respectively 94/7 and 203/2. There was correlation between nurse- patient communication and patient satisfaction with nursing care..

Given that important role of communication between nurses and cancer patients on patient satisfaction of nursing services، it is necessary improvement of quality of nurse- patient in oncology wards.