نشریه مدیریت ارتقای سلامت
سال سوم شماره 2 (پیاپی 10، بهار 1393)

Different factors affected the nursing job satisfaction. One of the most important factors is quality of nurse's work life. The aim of this study was to determine the correlation of quality of work life and job satisfaction in nurses of Kerman University of Medical Sciences. This study was descriptive-correctional one. This study was conducted on 266 nurses of Kerman University of Medical Sciences through simple random sampling. For data collecting the “Job Satisfaction” and “Quality of Nursing Work Life” questionnaires were used. Then after content validity and test- retest reliability were measured. For analyzing data the SPSS/16 was utilized. There was a significant positive correlation between job satisfaction of nurses and dimensions of quality of work life (P=0.0001). In addition, nurse's quality of work life can predict a part of job satisfaction score. Considering the correlation between job satisfaction and nurse's quality of work life, promoting and improving of nurse's quality of work life through nurses and hospital managers can increase job satisfaction. It is recommended that hospital managers consider the quality of nurse's work life and also act on it.

Quality of life in chronic diseases such as diabetes is a very important concept. Quality of life enhancement of these patients is done in different ways. One of these methods is control stress management. Therefore، this study aimed to determine the eeffectiveness of stress management training on improved quality of life in patients with type 2 diabetes. This study was a quasi-experimental intervention study. The study sample was consisted of 96 female and male patients with type 2 diabetes (48 patients in the control group and 48 patients in the intervention group)، that were participated in convenience method. Quality of life in patients before and after the intervention groups was measured with a questionnaire SF36. Data were collected and analyzed with SPSS/20. The total mean score of quality of life before and after intervention in the control group was 54. 1±15. 53 and 54. 32±14. 79. The total mean score of quality of life before and after intervention in the intervention group was 54. 21±16. 69 and 63. 52±12. 41. The results showed there is significant difference in quality of life the patients with type 2 diabetes before and after stress management training (P<0. 0001). The results showed that education of stress management will improve the quality of life in intervention group. It is recommended that the supplement treatment to be provided be used for diabetics patients and other chronic patients.

Quantitative analysis of the scientific output is known as one of the most important indicators of scientific productions. Assessment of indexed articles in valid databases is one of the most efficient methods of scientific analysis output. The aim of this study was to determine Iranian nursing contribution to scientific production in late decade (2003-2012) in the Web of Science Database. In this descriptive study، scientific productions of Iranian nursing community were reviewed over the later decade (2003-2012) using Scientometrics method. Through the Science Citation web page، and using keywords of «Iran» and «Nursing» the Iranian nursing articles were retrieved during the above mentioned period. The Excel software was used to draw the charts and graphs. According to the findings، electronic engineering with 34247 articles (22. 42 percent) was at the first position and the nursing articles with 274 records (0. 18 percent) were raked as 95. Also in the fields of medical sciences، the rank of nursing was 42. Regarding the subject، cancer with 20 records was at the first. The number of citations to all of nursing articles was 793 with the mean of 2. 9 for each article. Original articles had the highest frequency. Nursing scientific productions had an increasing trend over past decade. For a more extensive review it is recommended that the other data bases such as Medline and Scopus to be further studied.

Social participation of women which cover، half of the population has a significant role in society. Women’s social participation can affect their quality of life in different aspects، hence the aim of this study was to determine correlation between social participation of women and their quality of life in Kerman. In this descriptive-correlational study، 300 women between 18 and 73 years old from 12 suburbs of Kerman were chosen by cluster sampling method. To collect the data، «Social Participation Factor''s Women» and «The World Health Organization Quality of Life (WHOQOL) –BREF Questionnaire» with confirmed validity and reliability were used. Data was analyzed using SPSS/20. Social participation was appropriate in 18%، moderate in 81% and inappropriate in 3% of women. Also quality of life was appropriate in 44%، moderate in 54% and inappropriate in 1. 7% of women. There is a significant and direct correlation between social participation and quality of life (r=0. 21، p<0. 001). Women’s social participation affects their quality of life. It is recommended that، women should more participate socially، especially at time of old age، low income، and more children.

Proper control of type 2 diabetics as a chronic disease is an important factor for preventing complication. Attitude of patients to preventive behavior can affect their performance. The aim of this study was to determine the attitude toward preventive behavior of complications in type 2 diabetics. In this descriptive-correlation study، 200 patients with type 2 diabetes attended and were examined in the Yazd Diabetes Research Center. The Questionnaire used for data collection consisted of demographic variables and «Attitude toward Preventive Behaviors of Complications in type 2 diabetics». Content and face validity were confirmed and the reliability of the instrument was determined by internal consistency and test-retest methods. Data analysis was analyzed by SPSS/19. Majority of patients had positive attitude towards preventive behavior of diabetes type 2 complications. In addition، the length of diagnosis was significantly correlated with attitude toward preventive behavior (p<0. 05). However، age was not significantly correlated with attitude toward preventive behavior of type 2 diabetes complications. Positive coloration between attitude toward preventive behavior of diabetes type 2 complications and the length of being diagnosed of type 2 diabetics can direct policy makers to conduct training programs for new patients with type 2. Providing educational programs to prevent type 2 diabetes complications behavior is suggested.

One kind of women''s'' assault is spouse violence. The aim of this study was to determine the factors related to coping with domestic violence in women who refer to Forensic Medicine Centers in Tehran. This was a correlational descriptive study. Samples included 200 women with domestic violence who refer to Forensic Medicine Centers who were selected by purposive sampling. Data collection instruments included a demographic questionnaire، ”General Self-efficacy Scale”، “Attitude to Coping with Domestic Violence”، “Subjective Norms to Domestic Violence” and “Coping of Domestic Violence”. Validity of the instruments were determined by content and face validity. To measure reliability، internal consistencies (Cronbach''s alpha=0. 86) was used. Data were analyzed by SPSS/17. The results showed that there was a significant relationship between education status and women''s attitude toward domestic violence (P=0. 001) and marital status and women''s subjective norms (P=0. 012). Also there was a negative correlation between women''s attitude toward domestic violence and self efficacy and also between attitude toward domestic violence and economical assault (r=-0. 098 and r=-0. 095). Results showed no correlation between women''s'' attitude toward domestic violence with sexual and psychological assault (r=-0. 006، r=-0. 068). Some of the causes of coping with domestic violence were such as demographic characteristics (age، job، education، marital status،…)، self-efficacy، subjective norms، attitude towards coping with domestic violence and kinds of domestic violence. It is suggested that these factors can be used to help empower women for coping with domestic violence

Earthquake is one type of natural disasters which results in massive physical، economical and life losses. As it is an unexpected phenomena، it is necessary to plan for mitigation and preparedness of the cause. This research was aimed at assessing the vulnerability of general hospitals of Tehran University of Medical Sciences at time of earthquake. In this descriptive study، disaster risk in all 6 general hospitals at Tehran University of Medical Sciences were examined in three dimensions of structural، nonstructural and managerial with informant personnel. Data were collected by the «Hospital Disaster Risk Assessment» instrument developed by «World Health Organization». The face and content validity and reliability of this instrument have been confirmed in similar studies. The result was analyzed using Microsoft Office Excel 2007 software. Structural vulnerability of all 6 hospitals was at intermediate safety level with a minimum of 12 and maximum of 18 points. Considering nonstructural vulnerability; 4 hospitals had high safety level and 2 hospitals had intermediate level. Findings of managerial vulnerability assessment indicate that 5 hospitals had high safety level and 1 hospital was in low level. The minimum and maximum scores of this section were 48 and 99. Majority of hospitals were in the intermediate level of safety، In the event of an earthquake with moderate intensity the residents of the hospitals might be safe from damages، but they will not be able to provide uninterrupted services. To improve safety levels of hospitals، re-locating different sections of hospitals is recommended.

Workplace violence (WPV) in the health care setting has become an important issue in recent years. Researches show that nurses encounter with the highest rate of violence in the workplace. Although numerous studies have been conducted in this area in Iran، however، there is no consensus that reflects the current status and future research needs. The aim of this study was to determine the status of workplace violence against Iranian nurses. In a systematic review، all papers published during last decade (2004-2013) in both Persian and English language regarding WPV against Iranian nurses were included. Magiran، SID، IranMedex، IranDoc، PubMed، Science Direct، Ovid، Google Scholar، CINAHL databases were searched using the terms: Workplace Violence، Nurse، Iran. In addition to databases، national data were used. Also، «Data Extraction Form» which developed based on research aim، was used for data collection. From 31 related papers and research projects، 10 articles were excluded due to lack of inclusion criteria. Finally، 21 papers and research projects were included in this study. 19 of 21 articles (90. 5%) were from descriptive studies، only two of them (9. 5%) were qualitative study and there was no intervention study. Eight of researches (38%) were conducted in Tehran، 10 of them (47. 5%) using the “Workplace Violence in the Health Sector Questionnaire” developed by World Health Organization، 3 studies (14%) were conducted on nursing students and others were carried out on nurses. Nurses are exposed to significant rate of various types of workplace violence especially verbal violence. Also، five main concepts were derived from the literature review including: Characteristics of Workplace Violence، Characteristics of nurses and their reaction to violence، predisposing factors، preventive factors and reporting rate and reasons for under-reporting. Based on the results، prevalence of workplace violence against nurses is a serious problem. Preventive actions in order to control workplace violence is an essential requirement. Also، due to the lack of intervention studies، future research must move from descriptive to intervention studies in order to provide a guideline in clinical settings.