فصلنامه پژوهش های سلامت محور
سال سوم شماره 1 (پیاپی 8، بهار 1396)

Since it is not possible to accurately predict the time of earthquake, knowledge and preparedness of hospitals in relation to earthquake and strategies of facing earthquake are of a particular importance. The aim of this study was to evaluate the rate of earthquake preparedness in hospitals affiliated to Yazd University of Medical Sciences.
This was a cross-sectional descriptive-analytic study performed in four hospitals affiliated to Yazd University of Medical Sciences in 2015. A checklist including123 questions evaluating the safety of hospitals in facing earthquake in eight dimensions were used Data analysis was performed using descriptive statistics and Pearson correlation and through SPSS16 statistical software package.
The hospitals’ preparedness against earthquake disaster was 58.87%. The highest rate of preparedness was found for dimension of disaster management plans and the lowest rate of preparedness was related to the dimension of hospital training plans (89.08% vs. 25%). The highest correlation was between the number of hospital beds and the dimension of safety of hospital equipments (r=.987) and the lowest correlation was between the number of hospital beds and the training plans (r=.271).
Generally, hospitals preparedness against earthquake was at a moderate level and since the lowest level of preparedness against earthquake was in the dimension of educational planning, implementation of training courses should be considered as a priority.

The use of opioid has a long history in Iran. In recent years, with the changing pattern of drug use from traditional to industrial, have increased the use of stimulants, especially methamphetamine. The purpose of this study was to compare the demographic characteristics of methamphetamine users with opioids in the selected addiction treatment center in Zahedan city.
This research was a descriptive-analytic study that was done in the period from April to March 2015 on the record of all users of methamphetamine or opioids who were referred to the selected addiction treatment center in Zahedan, numbering 156 people. The required information was collected from patient's records. Data analysis was done using chi-square and logistic regression through SPSS software (version 21).
Most of the participants were male (89.7%), less than 35 years (50.6%), married (59%), employed (60.3%) and primary or non-elementary education (35.9%). In terms of age, methamphetamine users were significantly younger than opioid users (P = 0.004). The two groups did not have a significant difference in terms of gender (P = 0.15), education level (P = 0.6) and marital status (P = 0.94). In addition, In terms of job, the most methamphetamine users unlike opioid users were unemployed (P = 0.01).
The findings of this study showed that the use of methamphetamine versus opioid has more prevalent in younger and unemployed people, therefore it can be prevented by promoting cultural and educational fields and creating an engagement for young people of the occurrence of such abnormalities in society.

Fair distribution of healthcare personnel improves the society healthcare indicators. The aim of this study was to investigate the geographical distribution of medical specialists, based on their field of specialty, in Iran.
The present research was a descriptive and cross- sectional study. Data related to the country population and the number of medical specialists working in hospitals affiliated to the Ministry of Health and Medical Education in each province were gathered from the reports of 2011 national census population and housing performed by Iran national statistics center. Data was analyzed through Excel software. Lorenz curve was drawn and Gini index was calculated.
There were 21.45 medical specialists per 100,000 population in Iran in 2011. Semnan had the highest (40.23) and North Khorasan had the lowest (11.7) medical specialists in the country. Gini index for medical specialists was calculated as 0.043. The greatest Gini index was observed for Neuropsychologists (0.080) and the smallest was seen for dermatologists (0.001).
Although the ratio of medical specialists to the population differed in provinces of Iran, medical specialists were distributed fairly among provinces. It is recommended that in addition to distribution equity, policy makers pay more attention to the population medical needs in each region.

Effective communication can be considered as the foundation of modern organizations and effective organizational communication can provide an appropriate context for organizational entrepreneurship. This study investigated the relationship between organizational communications network and organizational entrepreneurship in Vice-Chancellor for Health Affairs in Ahvaz University of Medical Sciences.
This descriptive-analytical and cross-sectional study was conducted in 2015. Statistical population of the research was all staff of Vice-Chancellor for Health Affairs in Ahvaz University of Medical Sciences (n=106), of whom, 90 ones returned their questionnaires. Data gathering was done using the questionnaire of organizational communication network including 14 questions and the questionnaire for organizational entrepreneurship including 31 questions. Scoring was done using 5-item Likert scale. Data analysis was performed through SPSS16 and using t-test, ANOVA and correlation coefficient.
Mean score of communication network was 3.28 and mean score of organizational entrepreneurship was 3.13. The results showed a significant direct relationship between organizational communications network and entrepreneurship (P According to the results of the present study, having an efficient communications network in organization makes the organization potentially entrepreneur. Therefore, organizations should try to create friendly and collaborative relationships among all staff through holding educational programs.

Internet addiction is one of the problems associated with the advancement of technology that affects people's mental health. The aim of this study was to investigate the relationship between addiction to the Internet and insomnia, anxiety, depression and stress in nursing and midwifery students of Bojnourd Islamic Azad University in 2017.
This descriptive-analytical study was conducted on 250 nursing and midwifery students of Bojnourd Islamic Azad University selected through stratified random sampling. Data collection was done using demographic information, Young's Internet addiction, Insomnia (ISI), and Depression, Anxiety and Stress Questionnaire (DASS21). Data were analyzed using statistical test of one-way ANOVA and through SPSS-16 software.
In whole, 76% of students were female and 53.2% were nursing students. Mean score of Internet addiction was 31.14 and 6.7% of students had Internet addiction. Also, mean scores of anxiety, stress, depression and insomnia were respectively 12.54, 23.37, 17.12 and 14.56. Addiction to the Internet showed a significant relationship with anxiety, stress, depression and insomnia (P˂0.001).
Because of the obtained prevalence rate for Internet addiction among students, and its significant relationship with depression, anxiety, stress and insomnia in them, adequate planning for preventing this health problem is highly recommended.

Due to the importance of organizational learning and social capital in increasing efficiency and productivity in organizations, this study aimed to determine the relationship between social capital and organizational learning in two hospitals of Zabol County.
This cross-sectional and descriptive-analytic study carried out on 290 staff of two hospitals in Zabol County. Data collection tools were Gomez organizational learning questionnaire and Nahapiet social capital questionnaire. Data were analyzed through SPSS23 and using t-test, ANOVA and Pearson correlation coefficient.
Mean age of subjects was 30.47±7.01years. Most of them were male (56%), had a bachelor's degree (60%), and were contractual personnel (47%). There was a significant positive relationship between social capital and organizational learning and between age and social capital (P=0.029). Also, organizational learning capacity showed significant relationship with age (P=0.017) and educational level (P=0.04).
The status of social capital and organizational learning was estimated at a moderate level. In this context, by creating work teams, delegating more authority to employees, creating good work relationships among employees and job enrichment, the growth of social capital and the development of organizational learning in hospitals can be facilitated.

Breast cancer is still the most common malignancy leading to women mortality worldwide and late diagnosis of breast cancer is still one of the main causes of death in affected women. One of the ways of early detection of breast cancer is breast self – examination. The aim of this study was to determine predicting factors of breast self - examination in female active health volunteers of Zarand/ Iran based on Precede model.
In this descriptive- analytical study, all participants of active heath volunteer program in health centers of zarand (110 women) were recruited. Data were collected using a researcher – made questionnaire consisted of two sections of demographic information and constructs of Precede model. Data were analyzed through SPSS22 and by using descriptive statistics (distribution and central tendency, frequency and percent) and analytic statistics (logistic regression).
Mean age of participants was 37.76 ± 9.75 years and 81.8 % of them were married. Among Precede constructs, predisposing factors (self-efficacy: OR=1.46 and knowledge: OR=1.30) had the highest predicting role. Performing breast self - examination showed significant relationship with level of education (OR=0.01), family history of breast cancer (OR=0.02) and marital status (OR=0.04).
Since predisposing factors were the most important predicting factors for breast - self-examination, in planning health education programs, more attention should be paid to improving women's self - efficacy and increasing their awareness about breast self – examination.

Organizational commitment, cultural intelligence and job satisfaction are important factors in nursing profession. Improvement of these factors leads to the improvement of organizational productivity and the quality of health care services. The aim of this research was to investigate the role of cultural intelligence and job satisfaction in predicting organizational commitment among hospital staff.
This descriptive- analytical study was performed on 214 nurses in a selected hospital. Subjects were selected through randomized sampling. Data collection tools were Organizational Commitment Questionnaire (9 Questions), Cultural Intelligence Questionnaire (20 Questions), and Job Satisfaction Questionnaire (3 Questions). Data were analyzed through SPSS20 and using descriptive and inferential statistics (Pearson correlation coefficient and regression analysis).
From all, 83.2% of the nurses were female and 68.2% of them had less than 1o years work experience. Cultural intelligence and job satisfaction showed significant relationship with organizational commitment (P According to the results of the study, it is necessary to pay attention to this issue in educational and management planning to improve the quality of health care services and increase the satisfaction of staff and patients.