پیمان پرویزراد

Hospitals are seeking for maximum patient satisfaction, especially in the Pediatric Wards. This study investigated whether employees’ satisfaction correlated with maternal satisfaction, quality of services, and recovery process of children in a Pediatric Ward of a hospital.  

This cross-sectional, descriptive-analytical study included 16 employees and 30 mothers of hospitalized children in the Pediatric Ward of a hospital located in a deprived area in Iran with no sampling. The data were collected using two researcher-made questionnaires (i.e., employees’ and mothers’ questionnaires) with reliability values of  0.712 and 0.926, respectively, using Cronbach’s alpha. Moreover, the reliability of the questionnaires was confirmed by a group of professors who were experts in the health sciences. The data were analyzed in SPSS software (version 19) through the Chi-square and Fischer’s exact tests.

The results of this study showed that maternal satisfaction correlated significantly with imaging services (P=0.004), medical services (P=0.003), clinical staff views about the process of recovery (P=0.005), and the reception services as well as employees’ satisfaction (P=0.009). However, maternal satisfaction had no correlation with education (P=0.891), type of insurance (P=0.817), laboratory services (P=0.164), and patient services (P=0.064). Furthermore, employees’ satisfaction correlated significantly with the type of occupation (P=0.005), job benefits (P=0.015), and nutrition (P=0.029). Additionally, there was not a relationship between employees’ satisfaction and nurse supervisors or department heads’ attention (P=0.897). 

According to the results of this study, mothers had a moderate level of satisfaction with the services provided by physicians, nurses, and welfare services. It should be noted that more attention to the childcare by the clinical staff led to a higher level of maternal satisfaction. It is worth mentioning that timely and increased payment of salaries, as well as job benefits, can be effective in increasing staffs’ satisfaction and improving their performance.

Marriage causes family, proliferation and survival of generations. The aim of this study was to determine the state of health services provided to individuals on the verge of marriage.
This was a mixed-method study that in quantitative part, with cross-sectional method 170 clients of Sari Health Center which had inclusion criteria, and were randomly selected, were evaluated by a questionnaire based on the Likert scale. At qualitative section, content analysis method, inferential type has been done through semi-structured interviews with health service providers.
Expectations of 28.4% of participants in marriage counseling were at excellent level, 42.6% good, 23.1% moderate and 9.5% too low. Significant relationship has been found between clients’ scores to different aspects of premarital counseling class with education, occupation and living place. 93% of them were very satisfied with Thalassemia counseling. 56.9% said excellent about the quality of pre-marriage testing. In the qualitative part, from interviews with providers in 3 divisions, 13 key themes were obtained totally, about the status of these services, inadequacies and their suggestions.
need of couples for further learning in social-emotional relationships, family planning and correct sexual relations, and mandatory HBS Ag, HIV tests, genetic testing of families’ couples, non-addictive ten test and HCV seem essential in premarital health services. So it is suggested to revise deeply pre-marriage screening plans.

Osteoporosis is a multi-factorial chronic disease which is considered as a major health problem, yet preventable one. So assessment of knowledge, attitude and practice of the female students was the aim of this research.
This study is a cross-sectional descriptive-analytical one at 2014, where the population was female students of Mazandaran University of Medical Science in six affiliated schools whom were selected with randomized sampling. The data gathering tool was researchers-made one with proven reliability of Cronbach's alpha significant level (0.73) and validated with health science specialists and dietitians. The data were analyzed using SPSS Statistics V.18 software, Pearson & simple linear regression tests.
300 students were examined, with the average age of 23.5. The mean score of knowledge was 78.5 ± 0.9, and the mean score of attitude was 70.6 ± 11. About the relationship between knowledge and attitude, Pearson Correlation Coefficient equal to 0.5 was significant (P value Female students had "high" level of knowledge yet "rather good" attitude about osteoporosis. Nevertheless, for the most vital dimension (( "practice"), improper food habits plus poor physical activities are of the most significant challenges which to be considered in the related policy-making, planning and actions.

Public health graduates are experts who together with other health workforce will be responsible for provision، maintenance and promotion of community health. To do this important job، the students must gain the necessary knowledge and skills principally at clerkship period. This research was done with the purpose of examining the public health clerkship course by knowing about the viewpoints of the related faculty members and students at Mazandaran University of Medical Sciences. In this qualitative study، a purposive sampling was used to select the subjects from the population of trainees، graduates and the faculty members of public health. Semi-structured interviews were conducted. The results of the interviews led us to select the next sample، until no fresh ideas were gained. After gathering data from 11 persons، the results of the study were investigated by means of content analysis methodology. By analyzing research data، five key themes were identified including clerkship curriculum، expectations from clerkship، motivation of students for clerkship involvement، training of non-technical skills، and clerkship planning and management. The results of this study demonstrated that lack of integrated planning is the most significant issue causing major setbacks for students'' clerkship. So it is indispensable for officials to improve the quality of clerkship through more incorporated plans.

Background and The importance of studying mental health at universities is precious، because of expressed linkage to the students'' educational progress. The main goal of the current research has been the study of effects of mental health on educational progress among students of Mazandaran University of Medical Sciences، in the year 2012. This research is a descriptive-comparative cross-sectional study. The subjects included 334 students، 153 males and 181 females of Mazandaran University of Medical Sciences which were selected through stratified random sampling. In order to gather the research data، the Goldberg''s General Health Questionnaire (GHQ-28) was used. %45. 8 of students had good mental health status، while %54. 2 of them was suspected to have mental health disorders. Between age، gender، faculty، birth order، parental status، university entrance semester، and mental health of students، there were not significant differences (P≥ 0. 05)، but the variable «marital status» (P=0. 034)، the variable «average monthly earnings» (P≤0. 001)، and average grade points of students (P≤0. 001) were related to their mental health. Another finding of the research showed that most of students had some degree of disorders linked to the four dimensions of questionnaires'' queries، most disorders were social function. Considering the results of this study، including the mutual correlation between mental health and academic performance، the high rate of mental problems and suspect cases of mental disorders among the students، the serious attention to this issue is of high importance to resolve the mental health problems of students and activating Students Consultancy Centers. Hence، the assistance of consultants، professors and specialists، comprehensive planning، and interventions towards the promotion of mental health to prevent and treat psychological disorders، will be effective for students'' educational progress.

To study hospital infection control system (organization and operations) at hospitals affiliated with Shiraz University of Medical Sciences and to provide guidlines.

The study was descriptive - analytical and cross-sectional in nature. Hospital managers, nurses, control committee staff of the Central Infection Control Commission of Fars province comprised the subjects of the study. Data was collected by questionnaires, interviews, and observations.

A low percentage of nurses (15.38%) were in charge of infection control and the rest (84.62%) were involved with other activities. Nurses scored the highest (61.53) in terms of their roles in infection control, and hospital managers ranked the second (53.84). 

Considering the crucial role hospital infection control plays, necessary workforce, including enviornment health experts and epidemiologists should be employed.

Before considering facts and statistics related to the health systems, what is more important is to be aware of some holistic and principal realities. These realities are effective and applicable in health maintenance and promotion, diseases' prevention and control and service provision. Providing and keeping healthcare should be an objective for us and we must keep our eyes on health care as a human right. However, there are some contributing matters. Health has turned into a mirage and there are some restrictions to the quality and quantity of health care that can be provided. Moreover, there are some limitations in how we can measure the health, lack of health, disease, or even the causes of death. However it is very important that the main directions be determined for any decision making in order to make it possible to apply for priorities, assess the improvements and determine the shortages and deficiencies.