International Journal of Hospital Research
Volume:9 Issue: 2, Spring 2020

Psychiatric veterans need effective psychological interventions to improve quality of life and promote resilience to problems. The aim of this study was to evaluate the effectiveness of acceptance and commitment group therapy on the resilience of psychiatric veterans.

This study was a pilot study using a pre-test and post-test design with a control group. The statistical population was all psychiatric veterans of Iran in 1399 which was selected by multi-stage cluster sampling in Dezful city of Khuzestan province and randomly. Out of 200 people, 40 were selected who received the highest score from Connor Davidson's resilience test, and 30 of them had the necessary criteria and were replaced in two groups of 15 experimental and control. The experimental group participated in 12 group training sessions based on the acceptance and commitment program for 12 weeks while the control group did not receive any intervention.  

The Connor and David Sean Resilience Questionnaire was used to collect data. ACT was performed on the experimental group in eight two-hour sessions per week, then the questionnaire was administered to both experimental and control groups (post-test). The results showed that acceptance and commitment training significantly improves the quality of resilience  of psychiatric veterans.(p = .000, F =26.630)

The analysis of covariance and regression showed that the post-test scores of the experimental group who were treated with ACT increased and this treatment improves the resilience of veterans.

Humans have so many worries, tensions, concerns and problems. There are suitable exit ways for solving these problems by psychologist specialists. What coping models do the world's existing approaches consider appropriate? In general, according to the investigations conducted by the researcher in psychiatric hospital, no comprehensive model has been done yet regarding the simultaneous effect of indigenous therapies in Kerman, that the present research can create the ground for research in this field. If the effectiveness of the above model is confirmed in this research, this treatment can be useful along with other therapies or even prior to cognitive-behavioral therapy. Therefore, according to the mentioned points and the importance of the psychiatric hospital, the effectiveness of the indigenous treatment model on mental health in female can be evaluated and a step can be taken to solve it, and the results of this research can be used in the fields of education and life. Methodologically, the use of mixed (qualitative-quantitative) research method to compile an integrated-indigenous model makes it possible to accurately investigate cultural factors in the form of a theoretical model. After compiling an educational package based on the model of integrated indigenous intervention in Kerman in accordance with the needs of Kerman, at this stage its effectiveness on mental health was evaluated. This stage was performed in a quasi-experimental manner, and pre-test and post-test with the experimental and control groups were used in it.

The regionalization is a suitable approach to reduce the cost of health services and to increase the number of patients covered by special services. Since the establishment of the Neonatal Intensive Care Unit (NICU) needs expensive equipment and experts, it is critical to find the optimal number and location for NICU beds and referral networks.

The geographical access to NICU beds was investigated by collecting the annual demand and the distance between cities at first. The demand consisted of the number of neonates that were born under 32 weeks of gestational age or having less than 1500 gram birth weight in one province of Iran. Next, the location of the available hospital has defined on the map. A maximizing coverage model was developed to find the optimal location for NICUs by ArcMap software. Scenarios of reducing NICU centers were built to simulate real situations for policymakers. Coverage and average traveled distances were then calculated for each scenario. The results were compared with the natural journey of pregnant women and the available distribution of resources in the province.

The results revealed that reducing the number of NICU centers has had no direct impact on average traveled distance. A comparison of the optimal result with the natural journey of pregnant women represented a long distance traveled. The data also showed that 64% of neonates were born outside of their residential cities, and 31% of them were born outside of their provinces, although the occupation rate of available NICU was less than 50% on average.

The effect of reducing NICU centers on total coverage and average transportation was studied in this paper. The proposed methodology with the objective of equity in access can be used as a referral model to other resource allocation cases in health care.

The purpose of this study is to provide a developed model of human resource management and the model of staff evaluation, especially nurses in clinical wards in Shahid Hasheminejad Hospital.

The research method is qualitative-descriptive which has been done in two stages: 1- reviewing the current situation and 2- presenting the developed model. In the first phase, 32 unstructured and open interviews were conducted with officials of different units and senior managers of the hospital. Also, the current evaluation documents of the hospital were reviewed and analyzed using the content analysis technique. In the second stage, were presented, the models using the brainstorming technique in the panel of experts and using the analysis of the previous stage.

According to the presented model, in specialized committees with the presence of officials, based on the needs of the hospital, hospital jobs and positions are defined and a description of the duties of each position and the minimum capabilities required to obtain positions are compiled separately. The description of tasks developed over time, based on the strategic goals of the organization, instructions and programs of superior organizations such as accreditation is variable and dynamic. Human resources manager through superior organizations to attract the appropriate staff. After 3 months of recruiting a pilot, a test is taken to determine whether to continue working with him. According to the presented model, in the clinical wards of Hasheminejad Hospital during the year, 4 types of evaluation, evaluation based on job description, evaluation of the sample employee, general evaluation and end-of-year evaluation are performed. Finally, based on the results of 4 evaluations, educational priorities are determined based on the score of each process and per person, and the educational path is presented and implemented.

Based on the implementation of the model provided in one of the clinical wards of the hospital, it was observed that in addition to comprehensive evaluation of staff, the model provides continuous improvement in staff performance and subsequently increases the quality of services and patient satisfaction. Is. Also, due to the participation of staff in the evaluation, their satisfaction has increased.

Physician empathy is an essential component in every primary health care consultation and has the pivotal role in patients- physician relationship. Physician with good empathic communication, will be able to find insight toward patients' experiences.  We investigated the psychometric properties of an Iranian version of the Consultation and Relational Empathy (CARE) Measure in outpatients' clinics of teaching hospitals.

Thisresearchwas carried out as cross-sectional study at outpatient clinics of teaching hospitals in Zanjan city in 2018. The study population included 285 outpatients selected by systematic sampling. The Iranian version of CARE measure was used for the data collection. SPSS (version 16) for Windows was used to analyze the data. Statistical analyses included descriptive: mean, percentages and frequency and analytical statistics: Pearson’s correlation and factor analysis (construct validity), Cronbach’s alpha (internal consistency), factor analysis and Independent samples t-test and ANOVA. P values less than 0.05 were assumed statistically significant.

The factor analysis on ten items of CARE measure leaded to one prominent factor with an eigenvalue of 6.04 that explained 61.04 percent of the variance. Correlations of Items-total CARE measure score ranged from 0.64 to 0.77.  Reliability of the Measure was 0.93 that higher than minimum accepted value (0.7). Overall mean of CARE Measure score was (28.5± 8.7). Difference in mean of CARE Measure score was statistically significant on the base of education characteristics (f = 2.89, p = 0.036). There were statistically positive and significant association between the CARE items scores and outpatients' overall satisfaction (r = 0.63, p <0.001) and recommending physician to their relatives (r = 0. 51, p <0.001). Majority of the outpatients (72percent) agreed with item" physicians really listen". In contrast, less than a half of the outpatients (40.9 percent) agreed with item" physicians fully understanding their patient concerns ".

The findings of present study showed that patients' perceived relational empathy from physicians was at average and high average level. Thus, there is room for improvement of empathic communication skills during consultation process for health care team (especially physicians).

In this study, considering the existence of psychiatric veterans and in order to help solve their problems, the effect of acceptance and commitment-based psychotherapy on psychiatric veterans is investigated in mental health hospitals.

This quasi-experimental study with pre-test and post-test experimental design into two experimental and control groups among all psychiatric veterans of Dezful hospitals in the spring of 2020 in which 30 people were selected by random sampling and 15 of them were selected as experimental group and 15 people another control group that is considered random. Oxford Happiness test was taken as a pre-test from both groups and the experimental group was trained in acceptance and commitment based psychotherapy in eight sessions of two hours per week and the control group was not trained at all. Finally, Oxford happiness test was taken again from both groups. (Post-test), then with statistical tests Kolmogorov-Smirnov and Shapiro-Wilk and t-test were performed for two independent groups with SPSS software and statistical analysis was performed and the results are as follows.

Happiness post-test scores were significantly different between the experimental and control groups and in the experimental group the happiness score was higher, ie the intervention in Mani is effective based on acceptance and commitment. These findings were obtained with 95% confidence.

Therapeutic intervention based on the method of acceptance and commitment is effective in promoting the happiness of psychiatric veterans and is an effective help for their mental health and standard of living

One of the currently important and widely used research subjects in the healthcare area of cancer patients is the diagnosis procedure of cancer tumors and metastases in magnetic resonance imaging such that it has a high level of accuracy and also be a support for doctors in interpreting and diagnosing medical data. To this aim, a multivariate Hotelling’s T2 control chart is used.

Using a two-dimensional discrete wavelet transform, some features of the image texture are extracted by using statistical and transform methods. Then, to reduce the data dimensions and feature selection, a genetic algorithm is used. Afterward, two methods including fuzzy c-Means clustering algorithm and a multivariate Hotelling’s T2 control chart are used to diagnose bone marrow metastasis patients.

From 204 bone marrow samples, 76 features are extracted from which six ones are selected and a 204×6 feature vector matrix is generated. Finally, the performance of the proposed two methods is compared. The results show that the diagnosis and accuracy measures of multivariate Hotelling’s T2 control chart are better than the other method.

In the context of cancer, one of the current concerns for healthcare providers is to use non-invasive, short response time, and highly accurate methods in diagnosing tumors and metastases. The proposed method appropriately addresses these requirements.

The study of the sensory pollution load and perceived air quality has been introduced as one of the methods of evaluating indoor air quality in non-industrial environments. This method is also used to estimate ventilation needs. This study aims to recommend the required ventilation rate according to the SPL to improve the PAQ in a therapeutic space.

Ventilation rate and time which is required for 98% of the old air to be exhausted at that rate were calculated in 9 rooms in inpatient wards of a hospital. High dissatisfaction had been reported from these spaces. The SPL of individuals, building materials, and ventilation systems were estimated using the Fanger model. The required ventilation rate was recommended and compared with the existing ventilation rate, WHO, AIA, and ASHRAE standards.

In the studied spaces, the measured flow rates and air changes per hour were from 28 (minimum) to 178 (maximum) l/s and 2 to 7 ACH. These values were in accordance with the AIA standard, less than the values calculated through the ASHRAE (39-117 l/s) and WHO (80-560 l/s) standards, and Fanger model (51-393 l/s & 3-13 ACH).

It seems that considering sensory pollution loads is a practical, simple, and fast method for estimating ventilation needs to improve perceived air quality and users’ satisfaction and performance while reducing the energy consumption required to meet the ventilation rate. It does not have some shortcomings and limitations of other standards and methods. In existing hospitals, it can be used as a method to evaluate the effectiveness of the ventilation systems as well as the perceived air quality. Besides, the importance of adopting some strategies to reduce the sensory pollution load was emphasized.