Journal of Multidisciplinary Care
Volume:5 Issue: 1, 2016

The increasing development of quality-oriented in hygiene is the result of continuly interaction of patients’ expectation of representing service quality. It is true that majority of nurses are aware of ethical demention, but the main challenge is its performance in the face of patients. This study was aimed to determine the ethical professional relation with the quality of care from the view of patients.
In this crossectional descriptive study, 210 hospitalized patients were participated from different wards from 5 hospitals in Shahid Beheshti University by convenience sampling from 2014-2015. Data were collected using standard professional ethical questionnaire made by researcher and Qualpex questionarie. Validity and reliability of questionaries was confirmed. Data were analyzed using SPSS and descriptive and analytical (Spearman) statistics (P=0.068).
According to the present results, 37.4% of patients evaluated suitable this nursing care quality in the psycology–social dimention, 38.8% in the physical and 41.3% in the communication dimension. 48.73% of patients analyzed nurse’s performances in professional ethic at good level. There is no correlation between the quality of caring and professional ethical (P=0.068).
The professional ethic standards and caring quality should be evaluated in the client-centered way. So, it is essential to routine programs in the field of professional ethical nursing importance.

Cognitive behavioral therapy and schema therapy are known as two common methods to promote happiness and mental health. This research aimed to investigate the effectiveness cognitive behavioral therapy and schema therapy in improving happiness and mental health of nursing students who referred to counseling center in Islamic Azad university of Mashhad Branch.
This research was a quasi-experimental study with a pre-test and post-test design. The statistical population included all nursing girl students who referred to counseling center in Islamic Azad university of Mashhad Branch in 2014 year. 45 girl students were selected by convenience sampling and randomly assigned to three groups (each group 15 students) included experimental and control groups. The experimental groups educated by cognitive behavioral therapy and schema therapy in 10 sessions (each session for 70 minutes). All of groups completed the questionnaires of happiness (Argyle and Lu) and mental health (Goldberg and Hillier) as the pre-test and post-test. Data were analyzed using SPSS software and multivariate analysis and covariance methods.
The findings showed the happiness post-test mean of cognitive behavioral, schema therapy and control groups was (3.78±1.19), (3.67±1.12), and (1.96±0.65) respectivly. Also, the post-test mean of mental health in cognitive behavioral, schema therapy and control groups was (3.23±0.91), (3.12±0.87), and (1.68±0.70) respectivly. Moreover, there was a significant difference among experimental groups, cognitive behavioral therapy and schema therapy with control groups (P The results of this study showed that both cognitive behavioral therapy and schema therapy methods can increase happiness and mental health in nursing students. So, it suggests that therapists use these methods to improve happiness and mental health in students.

Nurses of critical care wards are faced with a number of stressors that could also threaten the ability of those affected various aspects of health and undermine the quality of their performance. The role of psychological empowerment skills training to reduce stress among working nurses in intensive care wards is unknown. This research was aimed to determine the efficacy of psychological empowerment skills training to reduce stress among working nurses in intensive care wards in medical center of Shahid Rajaee in Shiraz was conducted in 2013.
In this quasi-experimental study, 120 working nurses in intensive care wards randomly divided into interventional and control groups. Then, the workshop of self-empowerment skills training was performed for experimental group and a month after their training psychological empowerment, data were collectd using Osipow questionnaire in both groups. Data was analyzed using SPSS software and t-test, ANOVA, paired t-test, Chi-square and Mann-Whitney tests.
The mean score of job stress before training in the control group was 256.68±14.81 in intense level and after training) without training was 265.8±5.16 in severe level. Mean stress scores before training in the intervention group was 269.26±6.18 in intense level and after training was 251.70±17.97 in moderate level. There were significant differences between stress score mean before and after intervention (P=0.002).
According to existing stress in the nursing profession; psychological empowerment can be effective to reduce stress and increase the quality of their nurses.

Patient satisfaction is a suitable indicator of the quality of health care. Patient satisfaction reflects the ability of medical staff. This study aimed to evaluate the effect of telephone support on postpartum women's satisfaction in lying.
This interventional study was carried out in Marand city. 260 mothers who have inclusion criteria were selected by convenience sampling after normal delivery in Razi hospital and were randomly divided into two groups. The intervention group received telephone counseling for 20 minutes at the first week twice, second week till 6th weeks once a week plus routine cares. Control group received general postpartum education. Data were collected using demographic data sheet, and satisfaction questionnaire from postpartum care which was administered by a trained interviewer six weeks after delivery. The data were analyzed using SPSS software, and descriptive and inferential statistical, chi-square and t-test tests.
The results showed the mean of mother age in interventional and control groups was 25.57±5.63, and 24.61±5.63, respectively. After intervention, the average total satisfaction score in the intervention group was 29.78±5.82, while it was in control group 18.96±10.91. The difference between two groups was statistically significant (P The results of this research showed that telephone support postpartum by midwife increase women’s postpartum satisfaction. So, it is recommended that interventions are employed to promote awareness of postpartum women and their satisfaction.

Privacy is one of the fundamental human rights and its consideration during health care is required and caused to maintain dignity and trust between the nurse and patient. This study was performed with the aim of investigateing the privacy of patients in the hospital operating room of Shahrekord University of Medical Sciences from the view of the staff and patients.
This research was a decscriptive-analytic study. 38 operating room personnel and 88 patients who had surgery were selected by census and simple random sampling. Data were collected by a questionaire made by researcher. Data were analyzed using SPSS software with chi-square and t- test.
The results showed paying respect to privacy in physical dimention was considered from the standpoints of operating room personnel 62.9%, the researcher's observations 60.7% and patients 78.9%. Paying respect to privacy has been estimated in social dimension from the view of staff and patients’and the researcher's observation 4%, 11%, and 5.3%, respectively. Paying respect to privacy was considered from informational dimension, from the staff, patients’, and researcher's observations views 54.2% and 79.5%, respectively. In total, the results showed there was significant relationship between paying respect to privacy and gender so that more precent of patients stated having no paying respect privacy in physical dimension (P=0.022).
Therapy personel and researcher’s observations due to awareness of legal and ethical rules in this regard evaluated paying respect patient’s privacy in the low level. It is obvious to pay more attention personnel and authorities to moral standards in patient care.

Valeriana officinalis is one of the most practical herbal medicines with anxiolytic and sedative properties. This study was conducted to compare herbal medicine V. officinalis and diazepam on reduction of preoperative anxiety.
In this double-blinded clinical trial study, 60 female patients candidated for elective surgery were enrolled into the study. The patients were randomly divided into 3 groups including: V. officinalis (5 dl concentrated extract [Zardband Pharmaceutical Co.]), Diazepam (5 mg tablet), and Placebo. The medicines were orally administered to the patients every 2 hours before anesthesia. The data were gathered by Spielberger Anxiety Inventory (manifest anxiety) and form of individual information and vital signs including blood pressure, pulse, and respiration at 2 steps, before medicine administration and two hours after medicine administration. Collected data were analyzed using descriptive statistics, pair t- test, Chi- square, and ANOVA in SPSS software.
Mean score of manifest anxiety in the patients was 28.26±7.94 prior to treatment with V. officinalis and 16.56±7.25 after treatment, in diazepam group prior to treatment 25.56±5.44 and after treatment 22.40±5.54, and in placebo group prior to treatment 24.70±7.09 and after treatment 23.60±7.09, with a significant reduction in score of manifest anxiety in the patients in all three groups (P=0.001). The highest reduction of anxiety score was associated with V. officinalis followed by diazepam and placebo (P=0.001).
Considering the findings of this study could be argued that V. officinalis has effect on preoperative anxiety and could be used in reducing preoperative anxiety in operating rooms.

Breast feeding because of many advantages is preferred on any replacement feeding for all infants. One of the major causes of discontinuation of breast feeding is insufficient knowledge of mothers from the benefits of it. So, the aim of this study was the effect of a supportive educative program on mother's knowledge and performance that referred to health care centers of Shahrekord city.
In this quasi-experimental study, carried out in 2012, 168 mothers (each group, 84 persons) were divided randomly into two groups: experimental and control. The program performed in nine sessions of 2 hours. Data collection tool was questionnaire. Questionnaires were completed by both groups; the training received after re-training questionnaire was completed by two groups. The data were analyzed by software SPSS.
The demographic characteristics of 2 groups were not significant different. Average scores of breastfeeding information before launching the application in the experimental group was 78.59±18.49 and in the control group 75.93±18.62 and after the program in the experimental group was 89.90±13.85 and in the control group 77.24±15.45. The average of performance scores before the program in the experimental group was 45.41±24.62, and in the control group 50.62±25.33 and after the run the program in the experimental group 76.45±21.08 and in the control group 51.04±24.80 respectively. There was no significant difference between mean knowledge and performance scores of experimental and control groups before the intervention (P=0.35), but after the intervention, difference was significant (P The results showed the effectiveness of this supportive educative program on increasing mother's knowledge and performance about breast-feeding. Regarding the cheap, simple and appropriate ability to run of the program recommended that the program performed by health workers for breastfeeding mothers even be extended to other women of reproductive age.

Professional socialization is a process in which nurses compose values, attitudes and acquired knowledge from educational situation with organizational condition and adjust with them. This process is affected by individual organizational and situational factors. So, the aim of this study was to investigate regarding influencing factors to professional socialization of clinical nurses.
This was a cross sectional analytical study. 300 and 200 nurses working in Tehran and Shahrekord teaching hospitals were selected by convenience sampling, respectively on 2013. Data were collected by a valid and reliable questionnaire made by researcher in 2 parts; demographic data and professional socialization and its domain. Data were analyzed using SPSS and descriptive statistics, independent t- test and Chi square test.
Results showed there was a significant relationship among professional socialization influencing factors and sex and occupational location (P=0.01). Also, There was a significant relationship among domains of professional socialization and sex, professional commitment (P=0.013) and belongingness (P=0.44). There was significance between occupational location and professional autonomy (P=0.016) and competency (P=0.051) domains of professional socialization. Whereas there was no significant relationship between other influencing factors such as marital status (P=0.707), age (P=0.650), training location (P=0.551), role model (P=0.453) and etc and professional socialization.
It seems feminine framework of nursing profession is still an influencing factor of professional socialization. Moreover, working in larger cities provides more opportunity for nursing practice and clinical experiences.

Considering the important role of the family in patients with diabetes in management and good control of the disease, the present study was conducted to compare the efficacy of patient-centered and family-centered teaching methods (based on empowerment model) on the laboratory variables of patients with type II diabetes.
This was a quasi-experimental study and applied. 147 patients with type 2 diabetes refrred to diabetic center of shahroud were divided into three groups: control (A), patient-centered intervention (B), and family-centered intervention (C) through simple random allocation. Before the intervention and three months after that, nonfasting and fasting blood glucose, cholesterol, triglycerides, and low and high-density lipoprotein was carried out from patients as laboratory indexes. The intervention was carried out in the form of patient-centered in group B and family-centered in group C and routine education was conducted in the control group. Data was analysed using SPSS software and Chi-square and ANOVA tests.
There was no significant difference in the demographic variables and laboratory variables among the three groups before the intervention (P>0.050). A significant difference was found between all of these variables after the intervention FBS: (P=0.012), BS: (P=0.002), triglicerid: (P=0.015), cholesterol: (P=0.013), LDL: (P=0.010), HDL: (P=0.022). A significant difference was reported between all of the laboratory variables in the intervetion groups in comparision with the control group (P Due to the significant differences in the results of traditional method empowerment approaches, using this model to enhance the clinical indicators recommended. Also, taking into consideration the important role of the family in the management and control of diabetes, will be facilitated the achievement of optimal control and desirable.