مجله پژوهش پرستاری ایران
پیاپی 40 (فروردین و اردیبهشت 1395)

Patient safety is one of the important components in quality improvement of health services. This study aimed to evaluate aspects of patient safety culture and identification of intervention priority in the Seidolshohada Hospital.
The study was a cross – sectional on the community of nurses, midwives, and the staff in radiology and laboratory. Sampling method was census. Data collection was conducted using standard questionnaire of hospital survey on patient safety culture (HSOPSC). The data was analyzed descriptive statistics (frequency, percentage, mean) using software spss-16. According questionnaire guide in each aspects average at least 70 percent positive safety culture, safety culture medium 70-50, and 50 were considered poor safety culture.
In this study, the largest group participant was nurse / midwife (66.7%). Most participants work experience 5-1 years (46.7%) and 59-40 hours worked per week (46.7%). The interaction with the patients, 95% of participants in direct contact with patients and 5% indirect communication with patients. The dimension that received the highest score was "organizational learning and continuous improvement" (74.5%) and the dimension with the lowest scores was "Non-punitive response to error" (49.1%). The other aspects of safety culture was at a moderate level.
This study emphasizes the need to promote a culture of patient safety in terms of expectations and the Supervisor/ Manager to improve safety, communication and provide feedback on the errors, the frequency of reporting accidents, improve teamwork between the unit and the non-punitive response to error.

Thalassemia is the most common inherited disease in the world and Iran. Many physical, mental, psychological, economic and social problems in these patients affected their quality of life. This study aimed to compare the health-related quality of life in beta thalassemia major and healthy people in dezful in 2015.
In this descriptive-analytic study 112 patients with thalassemia major referred to thalassemia major clinic of dezful large hospital and 130 healthy people of the same age and sex were selected for comparison. The SF-36 was used to measure the quality of life. Data were analyzed using SPSS software version 18 and T-test and Pearson correlation coefficient.
There was no statistically significant difference between age average in two groups (p=0/027). Physical health scores were higher than mental health scores in patients. public health, emotional welfare, energy/fatigue, role disorder related to physical health, role disorder related to emotional health, social functioning, physical health, mental health and quality of life scores were significantly different between two groups(P According to the results seems thalassemia people knew developing to this disease equal to feelings of hopelessness and worse health status than other people that would reduce their general health and quality of life. Lower scores of the mental health of these patients and needing to better compliance with their disease demand psychological counseling services and psychosocial support.

Patients with ischemic heart disease always face to risk of another heart attack, so they must endure long term medical treatment. This kind of treatment is possible due to active cooperation of the patients themselve. to play an active role, the patients must be well prepared. The purpose of this research is the study of the effect of instruction and performance of self management program on therapeutic adherence in patient with ischemic heart disease.
The study is a randomized controlled trial(RCT) which contains 60 patients who are admitted in Critical Care Unit wards. Who enterd in the study very easily, then divided randomaly into two equal control and experimental groups. All samples were examined with pretest demographic and therapeutic adherence questionnaire at first and then in addition to receive the usual care, the experimental group will participate in the workshop of self management program, during the first week after discharging. Then, it was followed up by phone once a week for 8 weeks. Finally 4 weeks after the last call, the questionnaire of therapeutic adherence were fulfilled again be all samples and it was used statistical test Chi-square test, Fisher exact test, Independent t test and paired t test for analysis.
According to findings, there is no meaningful statistical difference due to demographic characteristic and therapeutic adherence between two groups of examination before interference. But after that, based on instructions of self management program, adherence of therapy increased in a meaningful way (p-value The result shows that the instruction of self management programs make better adherence of therapy in patients with ischemic heart disease.

senses of coherence, self-compassion and personal intelligence are the most effective factors on mental health and it can be basic role for the decrease of postpartum depression in women. This research was performed to investigate the relationship between senses of coherence, self compassion and personal intelligence with postpartum depression in women.
This research was a descriptive correlation study. Statistical sample of the present study includes 330 women who referred to urmia health centers in 2015. Samples were selected through cluster sampling in several phases. Antonovsky sense of coherence, Neff self-compassion, Mayer’s personal intelligence and Edinburgh postpartum depression questionnaires have been used for data collection. The data was analyzed by Pearson correlation coefficient and multiple regression analysis. P value less than 0.05 was considered significant.
Negative correlation was observed between women’ postpartum depression and self-compassion, comprehensibility subscale, meaningfulness subscale, manageability subscale, forming models subscale and guiding choices subscale. The results of multivariate correlation coefficient through Enter showed that the variable of self-compassion and subscales of senses of coherence and personal intelligence may partially (39.6%) explain women’ postpartum depression.
According to the negative correlation of postpartum depression with senses of coherence, self-compassion and personal intelligence, it seems that senses of coherence, self-compassion and personal intelligence causes an decrease in women’ postpartum depression.

Retirement is a major challenge in elderly stage. which can influence quality of life in elders. The aim of the present study was to investigate the quality of life and it’s correlation with individual, social, economic and healthy variables of retirees of Tabriz city.
The present research is a cross-sectional descriptive study in which 200 community dwelling elders, aged 60 to 84 years, participated. Using convenience sampling, data collected through SF-36 (short form) questionnaire in Retirement Center of Tabriz in 2012. Data analyzed using independent t-statistics, one -way variance analysis (ANOVA) and Tukey test. by SPSS 11.5 and considering p.value In present study, The Highest and lowest of quality of life score was in Social Performance (86.34) and general health (66.97) subscales, respectively. The data analysis showed a significant correlation between the eight subscales of SF-36 with gender, job, monthly income level, chronic disease, take of drug, number of drug, fear of falling, falling history in past year, and dependence in daily activity. (P The quality of life is correlated with the socio demographic variables which should be considered to improve their quality of life by health policy makers.

Operating room personnel face many hazards resulting from the nature of their work. These hazards can threaten their health; therefore, their familiarity with safety principles and preventive programs can reduce the injuries and hazards they face and sustain. The objective of this study was to determine the effectiveness of risk management education on the knowledge and performance of operating room personnel in 2013.
Sixty-one operating room personnel of hospitals affiliated with Tehran Medical Sciences Branch of the Islamic Azad University were selected using the sampling of the entire population to take part in this semi-empirical research. A training pamphlet on management of operating room hazards was prepared. The knowledge level and performance of these operating room personnel regarding management of operating room hazards were assessed prior and post training with the help of a questionnaire and a checklist. Wilcoxon test, gamma correlation coefficient and SPSS were used to analyze the data.
The median of the knowledge and performance of the personnel increased from 11.59 and 58.32 at pre-training to 16.11 and 66.21 at post- training, respectively. After the training, the level of knowledge and performance of the personnel in the study were (z=5.563, p=0.01) and (z= 6.410, p= 0.001), respectively, which showed a significant increase confidence interval.
Management training regarding operating room hazards increased the knowledge level and improved the performance of the operating room personnel. Management training regarding operating room hazards can lead to the reduction of injuries of the personnel, and it is better to be included in the hospital management programs.

Emotional Intelligence is a set of non-cognitive skills of a person's ability to cope with the demands and pressures affect the environment. It seems that nurses have a higher emotional intelligence can make better decisions and be more target in front of emotions and feelings. This study aimed to determine the relationship between emotional intelligence and coping styles of nurses in hospitals affiliated to Kermanshah University of Medical Sciences has been done.
The study is cross correlation. The study population was all nurses in hospitals are Kermanshah University of Medical Sciences. The samples included 350 male and female nurses working in hospitals Kermanshah University of Medical Sciences in Kermanshah city who were selected by quota. For data collection was used from questionnaire of emotional intelligence and coping styles. Data were analyzed using software SPSS version 21.
The results showed that the nurse's emotional intelligence stress coping style, there were no significant differences (P The results of this research, the development of emotional intelligence of nurses a priority in the planning of educational and clinical approaches to achieve effective coping styles.

Addiction is one of the phenomena of social evil, which not only has negative effects on the life of the addict, but the addict's family and relatives at risk of social phenomenon are multiple injuries, understanding emotions and expectations play an important role in guiding medical staff to care and support will be more effective. The purpose of this qualitative study, experience and the meaning of life from the wives of men addicted.
A qualitative research methods as phenomenological description is colaizzi. The method of collecting the data in this study, semi-structured interviews with 10 female participants experienced a year after addiction wife from districts 2 and 10 and 18 in Tehran, respectively. Interviews on the question central to your experience of life is dependent spouse.
The main concepts extracted from the experiences of the participants in such research was long-term involvement with the challenges, the need to get on the safety net, damaging isolation and shields against the vulnerability.
The families, especially the wives of men addicted are extremely vulnerability and entitled to silent victims, and so the community needs to understand and support broadly. This finding is a newA insight into the treatment for addict patients and families via understanding their real problems.

patient’s contextual factors can affect their health information seeking behaviors proper health information seeking behavior can lead to diseases prevention and its improvement. The aim of this study was to examine the effect of contextual factors on the health information seeking behavior of diabetic patients in Isfahan.
A survey method was used in this research. The statistical population consisted of 6426 diabetic patients of which 362 patients were selected by a no percentage stratified random sampling. Longo’s information seeking behavior questionnaire was used to collect data and SPSS 20 software were used for analyzing gathered data.
Pearson correlation index showed that by controlling age variable there was a direct relation between longevity of diagnosis and some information seeking factors (p0). One-way ANOVA test showed that the average score of some factors of diabetic patient’s information-seeking behavior during pregnancy are significantly higher than pre- diabetes and diabetes (p Some contextual factors such as longevity of diagnosis, type of the diabetes and family history of diabetes affect on the health information seeking behaviors of diabetic patients. Because of the importance of pre-diabetic patient’s and pregnant diabetic women’s health some arrangements should be set by health authorities in order to better transfer of health information to mentioned diabetic patients. By investigating factors that affect health information seeking behavior of patients with chronic disease their needed information could be transferred to them more effectively and it also can improve patient’s self- care and prevent disease complication.

Nurses are in a unique position to have a positive effect on an infant''s ventilation therapy and complications protection because they maintain a continuous presence at the infants’ bedside and perform related tasks. Thus this study was done aimed to determine the conformity rate of nursing cares regarding to respiratory system in neonates under mechanical ventilation in neonatal intensive units(NICU) with the standards.
In this cross-sectional descriptive study¡ 100 nursing care regarding to respiratory system were observed by time sampling and event sampling. Data collected using a checklist included standard cares regarding to respiratory care¡ which was developed according to existing standards. Content Validity Index (0.95) and inter rater coefficient reliability (ICC=0.98)¡ were calculated for checklist. Data collection method was observation and docomentation of checklist’s items which carried out in NICU of Mahdiyeh¡ Mofid and Emam Hosein hospitals affiliated to Shahid Beheshti University of Medical Science. Data were analyzed through descriptive statistics using SPSS software version 21.
Conformity rate of nursing cares regarding to respiratory system in neonates under mechanical ventilation in NICU with developed standards¡ was evaluated 59.27 percents and quality of nursing cares was moderate. The most of the conformity rate with standars (94%) conformiting of ventilator setting with doctors’ orders and documenting its’ amounts and the lowest (1%) correct adjusting of SPO2 alarm limit was evaluated.
According to Nursing cares regarding to repiratory system are the most common cares and results indicated moderate level in compare with standars thus Authorities should pay attention to causes of noncomformity with standard cares and eliminate them for increasing health of hospitalized neonates¡ decrease complications and followed it¡ decrease length of stay as well as costs.