فصلنامه پژوهش های سلامت محور
سال ششم شماره 1 (پیاپی 20، بهار 1399)

Patientschr('39') health and recovery progress are affected by the quality of services provided by nurses and their commitment. Since part of the nurses’ commitment and quality of work is affected by organizational justice and workplace well-being, the present study was done to determine the relationship between organizational justice and workplace well-being in nurses.

In this descriptive-analytical study done in a cross-sectional manner in 2019, 225 nurses from two public hospitals and two private hospitals in Gonbad-e-kavus city were selected through simple random sampling. Data gathering tools were organizational justice and well-being questionnaires. Data were analyzed using Spearman statistical test and through SPSS statistical software version 22.

Organizational justice in the studied public and private hospitals was at a moderate level and workplace well-being in the studied private and public hospitals was good. There was a significant and positive relationship between the mean score of organizational justice and workplace well-being in public hospitals (P=0.006).

Conducting interpersonal and social interaction training courses for all nursing staff in all health departments is essential to enhance well-being at work. There is also a need to periodically evaluate the status of organizational justice based on standards to address shortcomings or deficiencies.

Maternal mortality rate due to complications of pregnancy and delivery is one of the most important indicators of the development status of countries which has a direct relationship with delivery conditions. Preposition home delivery increase, this study has been done for the purpose of study of mothers views who are under Kerman Medical Sciences University for causes detecting of delivery at home.

This study was a descriptive-analytical one that was performed cross-sectionally on 503 mothers who are under comprehensive health service centers of Kerman University of Medical Sciences who were included in the study using convenience sampling method. The data were collected using a researcher-made questionnaire and were analyzed by descriptive statistics as well as logistic regression in SPSS software

The most causes of home delivery were the high cost of delivery at hospitals (71.4%) and family’s decision (33.4%).  Unfavorable weather conditions (0.6%) had the least important role in home birth. The highest number of home births was related to non-Iranian population (98.4%). Based on the goodness of fit of logistic regression model, only the number of pregnancies and number of stillbirths had a significant effect on home birth.

Since the high cost of delivery at hospital is the major reason preventing non-Iranian women from referring to the hospital, it is necessary to adopt new policies for admission of non-Iranian women in public hospitals and provide insurance to them so that they would be encouraged to have delivery at hospital.

Coronavirus has now affected almost all countries in the world and most cities in Iran, and given its numerous consequences, understanding how the virus is distributed and spread can help both discover the treatment methods and return to normal life. To this end, the present study aimed to assess the status of neighborhoods and urban areas of Mashhad and determine the areas least and most affected by this threat.

This descriptive-analytical study was conducted cross-sectionally in the spring of 2020 in thirteen districts of Mashhad Municipality, using field survey and information provided by 300 users who had been trained for this purpose. The data collection tool was an online web-based questionnaire compatible with smartphones. Data were analyzed and mapped using Geographic Information Software (ArcGIS 10.7).

Comparison of real field data with those published in cyberspace and unofficial networks showed that the number of infected people was higher in certain parts of the city and high-risk areas were not exactly the same areas identified by cyberspace users.

If a system is designed with the ability to officially provide information about the concentration of those infected with the virus to everyone, the people’s lives will be brought back to normal conditions sooner and the health authorities will also be assisted in their mission

Organizational culture can have a positive effect on health information and including organizational culture in discussions of health literacy influences the recognition of health as a cultural concept. Therefore, the objective of this study was to determine the relationship between health literacy and organizational culture among the staff of Rafsanjan University of Medical Sciences in 2018.

This descriptive-analytical cross-sectional study was performed on 137 employees of the faculties and the central organization of Rafsanjan University of Medical Sciences who were selected by census method. The Health Literacy and Organizational Culture Questionnaire was used to collect data. Chi-square, Pearson correlation coefficient, and ANOVA were used to analyze the data. Data were entered into SPSS statistical software version 21.

The mean age of the study participants was 38.9 years. The highest mean scores of health literacy and organizational culture were for understanding and participation, respectively, and the lowest were for decision-making and adaptability, respectively. Peoplechr('39')s health literacy status as related to organizational culture was good. All four dimensions of organizational culture had a significant relationship with decision-making and evaluation of health literacy. Education had a significant relationship only with the adaptability dimension of organizational culture and age had a significant relationship only with access and reading health literacy.

Improving the organizational culture of employees through personnel training, organizational learning, organizational change, and including these items in strategic planning can improve their health literacy.

Depression is a common problem during pregnancy that can endanger the health of mother and baby. Therefore, the objective of this study was to determine the prevalence of depression in Iranian pregnant women.

This study was performed using a meta-analysis from March 21, 1999 to July 21, 2020. All scientific articles on depression in Iranian pregnant women were searched in six databases as well as Google Scholar search engine and evaluated qualitatively. The heterogeneity of the studies was checked using I2 index, the possibility of publication bias was evaluated by Egger test, and meta-regression model was used to assess variables suspected of heterogeneity at significance level of 0.05. Finally, 33 studies were analysed using CMA.

Based on the random model, the prevalence of depression in Iranian pregnant women was 10.9% (95% confidence interval: 8.2% - 14.54%). The highest prevalence was in Bonab in 2015 as 44.8% (95% confidence interval: 36.3%-53.6%) and the lowest prevalence was in Tehran in 2001 as 0.7% (95% confidence interval: 0.4%-1.3%). There was a significant relationship between year, sample size, mean age, and the prevalence of depression in Iranian pregnant women (P <0.05).

According to the results of this study, depression affects approximately one-tenth of pregnant women. Therefore, it is necessary to take actions such as exercise and psychotherapy to reduce depression in this group. 

The performance of the emergency department as one of the most dangerous treatment areas has a great impact on the performance of other hospital departments. This study investigated the effect of specialist residency program in the health system reform plan on the performance indicators of the emergency departments in hospitals affiliated to Tehran University of Medical Sciences.

The present study was a descriptive-analytical cross-sectional one that was performed in 2019 in the emergency departments of all hospitals affiliated to Tehran University of Medical Sciences. Six emergency performance indicators were collected on an average monthly basis in two time periods, 26 months before and 46 months after the implementation of the program, by referring to the hospital units. The data were analyzed using interrupted time series model with Eviews 10 and SPSS 24.

The implementation of the program did not have a significant effect on the level and trend of the percentage of some indicators including patients decided upon within 6 hours, patients discharged from the emergency department within 12 hours, unsuccessful cardiopulmonary resuscitation, and mean triage time (level 2). However, it had a significant effect on the level and trend of the percentage of discharge against medical advice. Implementation of the program did not have a significant effect on the trend of the mean triage time (level one), but had a significant effect on the level of the said indicator.

Although some of the performance indicators of the emergency departments improved after the implementation of the program, still certain infrastructure such as human resources supply and holding well-organized and efficient training courses are needed for the proper implementation of this program.

Creating and developing health-promoting behaviors in middle-aged women has a potential impact on promoting their health and quality of life. Therefore, it is necessary to design appropriate educational interventions in this group. The objective of this study was to determine the effect of education based on health belief model on health-promotion behaviors in middle-aged women.

This descriptive-analytical study was performed as an intervention in 2019 on 64 middle-aged women referring to two comprehensive health services centers in Mashhad. Data collection tools were a standard questionnaire of health-promotion behaviors and a researcher-made questionnaire based on the health belief model that was completed before and after training in two intervention and control groups. Independent t-test, paired t-test and Mann-Whitney U test were used.

Before the intervention, the two control and intervention groups were identical in terms of the mean overall score of health-promotion behaviors, however, one month after the intervention, the mean overall score of health-promotion behaviors and its dimensions in the intervention group was significantly higher than that in the control group.

Education based on the health belief model can improve health-promotion behaviors. Thus, it is necessary for health care providers in health centers to be trained on using models of behavior change.

Health promotion in schools remains a priority for the health system; in this regard, paying attention to the sanitary facilities and observing the standards is a determining requirement. The objective of this study was to investigate the status of the sanitary facilities of primary schools in Tabriz, educational districts 2 and 5.

The present study was a descriptive-analytical cross-sectional one conducted in 2017 in the primary schools of two educational districts in Tabriz, which were selected using proportionate stratified random sampling. The data were collected using a researcher-made checklist based on school health regulations. The data were analyzed using exploratory factor analysis via SPSS software version 22.

Data analysis categorized school health problems into eight main factors including lack of toilet siphons, lack of room and basic sanitary facilities, poor sanitary condition of the toilet, lack of secondary sanitary facilities, poor condition of drinking fountains, inappropriate sanitary condition of the toilets, lack of facilities for inspection and cleaning, and the unsuitability of the drinking fountains with an eigenvalue higher than 1. In total, 67% variance explained the problems related to the sanitary facilities.

It is necessary to pay attention to promoting environmental health in sanitary facilities and provide the necessary facilities in accordance with the standards, as well as the necessary equipment and space to provide health services in schools.