نشریه مدیریت ارتقای سلامت
سال چهارم شماره 3 (پیاپی 15، تابستان 1394)

Nosocomial infection in neonatal intensive care units is one of the health challenges in recent decades. Lack of nosocomial infection control by nurses is one of the health behaviors problems. This study aimed to determine the factors associated with nosocomial infection control behavior of nurses working in nursery & NICU based on «Health Belief Model”.

This descriptive study with model testing design، was conducted on 103 nurses working in neonatal and NICU in Shahid Beheshti University of Medical Sciences hospitals via census. Data collection tools included 4 questionnaires: “Demographic Characteristics Questionnaire”، “Measuring Health Belief Model Structures Questionnaire”، “General Self-Efficacy Scale” and “Self-report Questionnaire of Nurses'' Infection Control Performance”. Content validity and reliability of scales was assessed through calculating internal consistency and test-retest. The data were analyzed with the SPSS/19 software.

Perceived intensity (86%) and sensitivity (87%) of the hospital infection among nurses reported well. Most perceived barriers (66%) in infection control were related to insufficient knowledge، skill and time. In addition، major preserved benefits (88%) were related to health benefits of nurses and family members and recovery of patients. Self-efficacy (54. 4%) and Nurses'' Infection Control Performance (60. 1%)، were evaluated poor. The most important affecting variable on probability of infection control behavior was perceived severity (70%).

Perceived severity as the most important variable which can impact the infection control behavior has a strong cognitive component which is knowledge dependent. According to health belief model، establishing educational programs in line with the perceived severity and stress on the negative consequences in preventing the infection control behavior is suggested.

Over past years water pipe smoking have been increased among teenagers in the world. Hence، implementing an intervention plan to reduce water pipe smoking is required. This study aimed to determine the effect of an educational intervention on water pipe behaviour of students in dormitories of Kerman Medical University based on BASNEF Model.

This was a quasi-experimental study. In total 80 students who were resident in university’s dormitories and were eligible to enter to the study were divided in two groups of intervention and control using multi-stage random sampling. Data were collected using «Water Pipe Behavioural Intention Scale» which was designed according to BASNEF Model. Face and content validity were used to determine the validity، while test-retest method was applied to measure the reliability of the questionnaire (r = 0. 99). Two-month educational intervention included two sessions of group discussion، one reminder session، educational compact disc and educational messages. To analyze the data SPSS/16 was used.

The mean scores of attitude (P=0. 66)، subjective norms (P=0. 103) and behavioural intention (P=0. 13) showed no significant difference before the education in both intervention and control groups. However، the result showed compelling difference in mean scores of attitude، subjective norms and behavioural intention after the education (P<0. 001). Enabling factors showed no important variation among intervention and control groups before and after the experiment.

The educational intervention according the BASNEF Model was effective to decrease water pipe smoking behaviour among university students. In addition، the educational intervention influenced individuals’ attitude، subjective norms and behavioural intention. It is recommended to perform educational interventions based on the theory and models of health education to change high-risk behaviour.

Promotion of management index in health system is so important. Organizational silence and knowledge management can enhance the performance of the hospitals. The present study aimed to determine the correlation between organizational silence and knowledge management in Firoozgar Hospital Tehran.

The present study is descriptive-correlation which was conducted in Firoozgar hospital. This study was conducted on 169 nursing، administrative and financial staffs of Firoozgar hospital who were selected by stratified sampling. The data were collected by questionnaire of “Dimitris Buratas Maria Vakula” for organizational silence and questionnaire of “Josef Haddad” for knowledge management. Content validity of the questionnaires was confirmed by distribution between 5 employees. The reliability by Cronbach''s alpha method were approved for silence organization with 0. 83 and knowledge management with 0. 92. Data were analyzed by SPSS/17.

There was a significant and positive correlation between organizational silence and four components of knowledge management in Firoozgar hospital of Tehran (P<0. 001). In addition، the results showed the mean score of 22. 11 for knowledge، 22. 49 for knowledge creation، 16. 57 for deployment of knowledge and 14. 55 for knowledge sharing. As for organizational silence and knowledge management، mean scores of 27. 24 and 75. 72 were recorded respectively.

Due to a positive correlation between organizational silence and knowledge management in Firoozgar Hospital، educational courses for employees to develop their decision-making skills to resolve organization problems is suggested.