فهرست مطالب

Journal of Education and Health Promotion
Volume:3 Issue: 10, Oct 2013

  • تاریخ انتشار: 1392/11/20
  • تعداد عناوین: 7
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  • Sayed Mehdi Hejazi, Sima Sarmadi Page 56
    Background

    The main objective of creating a portal is to make information service available for users who need them for performance of duties and responsibilities regardless of the sources. This article is attempted to consider the parameters that can evaluate these sites since these criteria can be effective in designing and implementing such portals. On the other hand, portal sites in health systems of every country make it possible for leaders, policy makers, and directors to system education as a tool for new learning technologies. One of the main decisions each manager has to make is precise selection of appropriate portal sites.

    Materials and Methods

    This is a descriptive and qualitative study. The research sample was 53 computer professional working in the area of computer programming and design. In the first part of the study a questionnaire was send to the participants and in the second part of the study based on their response to the questionnaire the participant was interviewed and the main themes of the studies were formulated. The validity and the reliability of the questionnaire were confirmed.

    Results

    The study results were summarized in 10 themes and 50 sub-categories. The main themes included were portal requirements, security, management, and efficiency, user friendliness, built-in applications, portal flexibility, interoperability, and support systems.

    Conclusion

    Portal sites in any education systems make it possible for health system leaders and policy makers to manage their organization information system efficiently and effectively. One of the major decisions each manager has to make is precise selection of an appropriate portal sites design and development. The themes and sub-categories of this study could help health system managers and policy makers and information technology professionals to make appropriate decisions regarding portal design and development.

    Keywords: Distance education, educational activities, education, information, portal website
  • Mitra Moodi, Nosrat Zamanipour, Golam-Reza Sharifirad, Hossein Shahnazi Page 57
    Background

    Puberty is one of the most critical periods in a female adolescents' life. This intervening study aimed to evaluate the effect of educational program for puberty health on improving intermediate and high school female students' knowledge in Birjand, Iran.

    Materials and Methods

    In this quasi-experimental study, 325 female intermediate and high school students were selected through randomized cluster sampling during several stages. Then, researcher-made questionnaire including 20 questions, each having one point regarding puberty health, was distributed. After completion of the questionnaires were gathered. Following this, under a systemic educational plan all intermediate and high school selected students were given the same instruction by trained instructors. Instruction time for each meeting was estimated 1.5 hours. One month after the educational program and handing out the pamphlets in schools, the previous questionnaires were again distributed among the students to fill out. At the end, 302 students who had filled out the questionnaires before and after intervention were studied.

    Results

    Out of 302 students, 151 were intermediate and 151 high school students. Knowledge level among intermediate students was 5.03 ± 3.7 before intervention and was 10.8 ± 4.8 after intervention. Among high school students, the scores were 4.1 ± 2.3 and 8.7 ± 3.8, respectively. There was a significant difference between pre and post intervention stages in both groups (P < 0.001). Furthermore, mean knowledge grade in all the students increased from 4.6 ± 3.1 before intervention to 9.7 ± 4.4 after intervention (P < 0.001).

    Conclusion

    Performing educational programs during puberty has a crucial role in young girls' knowledge increase. Since young girls often do not share their problems with their parents and their peers during the period, instructional classes in schools provide a good opportunity for them to present their problems and finding solutions.

    Keywords: Evaluation, female students, health, instruction program, knowledge, puberty
  • Ensiyeh Norozi, Firoozeh Mostafavi, Akbar Hasanzadeh, Mitra Moodi, Gholamreza Sharifirad Page 58

    Context:

    Various studies have shown that quality of life in women after menopause undergoes radical changes. Several factors such as psycho-social factors are associated with the quality of life during menopausal period.

    Aims

    The present study surveyed the factors associated with quality of life of postmenopausal women in Isfahan, based on Behavioral Analysis Phase of PRECEDE model. Settings and Design: This cross-sectional study was conducted through stratified random sampling among 200 healthy postmenopausal women in Isfahan in 2011. Subjects and

    Methods

    Data were collected by two valid and reliable questionnaires (one to assess the quality of life and the other to survey the factors associated with the Behavioral Analysis Phase of PRECEDE model). Data analysis was performed using SPSS software (version 18) and analytical and descriptive statistics.

    Results

    Pearson correlation indicated a positive and significant correlation between the quality of life and attitude toward menopause, perceived self-efficacy, and enabling and reinforcing factors, but there was no significant relationship between the quality of life and knowledge about menopause. Also, the quality of life in postmenopausal women had significant correlation with their age, education level, marital status, and employment status.

    Conclusion

    Based on the present study, attitude, perceived self-efficacy, perceived social support, and enabling factors are associated with the quality of life in postmenopausal women. So, attention to these issues is essential for better health planning of women.

    Keywords: Behavioral analysis, menopause, PRECEDE model, quality of life
  • Nahid Tavakoli, Arash Shahin, Maryam Jahanbakhsh, Habibollah Mokhtari, Maryam Rafiei Page 59
    Introduction

    Simultaneous with the rapid changes in the technology and information systems, hospitals interest in using them. One of the most common systems in hospitals is electronic medical record (EMR) whose one of uses is providing better health care quality via health information technology. Prior to its use, attempts should be put to identifying factors affecting the acceptance, attitude and utilizing of this technology. The current article aimed to study the effective factors of EMR acceptance by technology acceptance model (TAM) at central polyclinic of Oil Industry in Isfahan.

    Materials and Methods

    This was a practical, descriptive and regression study. The population research were all EMR users at polyclinic of Oil Industry in 2012 and its sampling was simple random with 62 users. The tool of data collection was a research-made questionnaire based on TAM. The validity of questionnaire has been assigned through the strategy of content validity and health information technology experts' views and its reliability by test-retest.

    Findings

    The system users have positive attitude toward using EMR (56.6%). Also, users are not very satisfied with effective external (38.14%) and behavioral factors (47.8%) upon using the system. Perceived ease-of-use (PEU) and perceived usefulness (PU) were at a good level.

    Conclusion

    Lack of relative satisfaction with using of EMR derives from factors such as appearance, screen, data and information quality and terminology. In this study, it is suggested to improve the system and the efficiency of the users through software' external factors development. So that PEU and users' attitude to be changed and moved in positive manner.

    Keywords: Electronic medical record, polyclinic, technology acceptance model
  • Mohammad Reza Akhlaghi, Vajiheh Vafamehr, Mohammad Dadgostarnia, Alireza Dehghani Page 60
    Introduction

    In this study, by using a problem-oriented approach in the needs assessment, identifying the defects and deficiencies in emergency health training centers has been determined as the basis for the requirements. The main objective of the study was the implementation of surgical emergencies integration of the five surgical groups (general surgery, urology, orthopedics, neurosurgery, and ENT) to meet the needs and determining its efficacy.

    Materials and Methods

    This interventional study was conducted in three phases: (1) Phase I (design and planning): Needs assessment, recognition of implementation barriers and providing the objectives and training program for integrated emergencies. (2) Phase II (implementation): Justification of the main stakeholders of the project, preparation of students' duties in the emergency department, preparation of on-duty plans, supervising the implementation of the program, and reviewing the plan in parallel with the implementation based on the problems. (3) Phase III (evaluation): Reviewing the evidences based on the amount of efficiency of the plan and justification for its continuation. In the first and the second phase, the data were collected through holding focus group meetings and interviews. In the third phase, the opened-reply and closed-reply researcher-made questionnaires were used. The questionnaire face and content validity were confirmed by experts and the reliability was assessed by calculating the Cronbach's alpha.

    Results

    According to the views of the interns, assistants, teachers, and emergency personnel, the positive features of the plan included the following: Increasing the patients' satisfaction, reducing the patients' stay in the Emergency Department, increasing the speed of handling the patients, balancing the workloads of the interns, direct training of interns by young teachers of emergency medicine, giving the direct responsibility of the patient to the intern, practical and operational training of emergency issues, increasing the teamwork, facing a variety of patients, practicing the role of general practitioners, role-playing on a real patient's bedside, having a multilateral approach to the patient, reducing the wasting time on minor wards, balancing the work and rest schedules of the interns, and better learning and satisfaction of the interns. Over 60% of the participants believed the program has the following benefits: More attention on the training plan, improving the learning of patient management, being more responsive for the training of interns, increasing operational approach to emergency patients, being more aware of the performed actions, and increasing the quality and speed of services provided to patients. The mean score assigned to the whole questionnaire of investigating the viewpoints was 37.5 out of 50. The mean score of the interns' questionnaire was significantly more than the mean score of the assistants.

    Discussion

    The results obtained indicated that the greatest existing consensus about this plan was the positive impact on the learning of interns in the emergency setting. Thus, it will not only increase the number of patients who the interns are managing during the internship course, but also increases the balance of their workload and they can learn and manage the emergency patients with more leisure.

    Keywords: Emergency medicine, internship, surgical emergency
  • Tahereh Changiz, Fariba Haghani, Nasim Nowroozi Page 61
    Introduction

    Appropriate instructional design plays a crucial role in e-learning success, and analyzing learners is the cornerstone for instructional design process. Students' readiness for e-learning was assessed in the present study as an example of learner analysis for a distance course in medical education master program.

    Materials and Methods

    A census sample of 23 students applied for distance master program on medical education, completed the "Students' E-Learning Readiness Scale" developed by Watkins, via email. The reliability and validity of the scale has been confirmed before. Average scores in total and 6 subscales were calculated. The score range was 1-5 and scores above 3 indicated good readiness. Data was interpreted using descriptive and non-parametric tests (Mann-Whitney U and Kruskal-Wallis).

    Results

    Response rate was 100%. The students' readiness scores in total and all subscales ("technology access", "online skills and relationships", "motivation", "online audio/video", "readiness for online discussions", and "importance of e-learning to your success") were above 3. Comparing different subscales, students' mean scores in "motivation" and "internet discussion" subscales were less than others, although the difference was not significant. There were no significant gender differences in the readiness scores. Students who were academic staff had significantly higher scores than others in total and in "motivation" and "online skills and relationship" subscales.

    Conclusion

    Good learners' readiness, observed in the present study, may imply that the instructional designer can rely on e-learning strategies and build the course upon them. However, according to the slightly lower scores in "motivation" and "online discussion" subscales, it is recommended to stress more on strategies that improve these two components. To generalize the results, it is needed to test students' readiness in more different degree programs.

    Keywords: E-learning, Instructional design, learner analysis, learner readiness
  • Ghalmreza Sharfi Rad, Leila Azad Bakht, Avat Feizi, Siamak Mohebi Page 62
    Background and Objectives

    Diabetes is one of the major concerns in the third millennium, affecting more people every day. The prevalence of this disease in Iran is reported to be high (about 7.7%). The most important method to control this disease and prevent its complications is self-care. According to various studies, this method has not found its proper place among patients with diabetes due to several reasons. The present study was aimed at determining the relationship between social support, especially family support, and self-care behavior of diabetes patients.

    Materials and Methods

    This study was a narrative review in which the relevant papers of cross-sectional, cohort, clinical trial, and systematic review designs were selected using databases and scientific search engines such as PubMed, ProQuest, SCOPUS, and Elsevier, with the keywords diabetes, social support, and self-care. Moreover, Persian papers were selected from MEDLAB and IRANMEDEX databases and through searching the websites of original research papers published in Iran. All the papers published from 1990 to 2011 were reviewed.

    Results

    The results of the study indicated that the status of self-care and social support in patients with diabetes was not favorable. All the studied papers showed that there was a positive relationship between social support and self-care behavior. Also, some studies pointed to the positive effect of social support, especially family support and more specifically support from the spouse, on controlling blood sugar level and HbA1c.

    Conclusion

    As social support can predict the health promoting behavior, this concept is also capable of predicting self-care behavior of patients with diabetes. Therefore, getting the family members, especially the spouse, involved in self-care behavior can be of significant importance in providing health care to patients with diabetes.

    Keywords: Diabetes, self-care, social support