نشریه مدیریت ارتقای سلامت
سال هشتم شماره 3 (پیاپی 37، خرداد و تیر 1398)

Pre-hospital emergency center, is the first line of care and treatment in the health care system. The purpose of this research is to prioritizing related factors in the implementation of pre-hospital emergency medicine using Analytical Network Process (ANP) method. This research is descriptive. First, library studies and semi-structured questions were gathered in interviews with experts in this field and comparative study on five countries in the world. Then, 57 sub-criteria related to the Implementation of pre-hospital emergency were designed, with 30 criteria approved by the experts in the area of medical emergency management and emergency management in Iran. A “Pairwise Comparison Questionnaire” was used to rank the criteria and sub-criteria. The content validity of the questionnaire was approved by 10 experts and its reliability was confirmed by acceptable incompatibility less than 10% for each single sub-criterion. To analyze the data and prioritize the criteria and sub-criteria, Analytical Network Process (ANP) was used. After completing the paired comparison matrix by 10 experts in this area, the weight of each of the sub-criteria was determined. Finally, the ranking was performed by Super Decision software. 22. 30 sub-criteria were identified in the form of 5 main criteria for implementing Pre-hospital emergency. In 5 main criteria, the planning with the weight of 0.295 ranked first, the speed of service with the weight of 0/244 second rank, the communication and information with a weight of 0.181 third rank, human forces with weight 0.157 rank 4 and organization of weight 0.122 ranked fifth. Implementing of pre-hospital emergency bases depends on several factors, such as human resources, the communication and information system, organization, planning and service speed. It is suggested that special attention should be paid to the establishment of pre-hospital emergency centers for planning, human resources, service speed, communication and information system and organizing special attention.

Infertility and the therapeutic course of therapies have devastating effects on the mental and physical health of some infertile people, especially women. Supportive-psychological interventions will promote the health of infertile women. The purpose of this study was to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT) therapy on self-efficacy, quality of relationships and meaning of life in infertile women. This study was a semi-experimental design with pretest-posttest design with control group. The statistical population consisted of infertile women referred to the Mehr private infertility treatment clinic in summer of 2017 in Rasht. A total of 45 people were selected through purposive sampling method and then randomly assigned to three groups. Data were collected from the “Infertility Self-Efficacy Scale”, “Quality of Relationship Inventory” and the “Meaning in Life Questionnaire”. The validity of the instruments was reviewed and approved in previous studies. In the present study, reliability of the instruments was confirmed by Cronbach's alpha. One of the experimental groups received training on the basis of “Acceptance and Commitment Therapy during the eight sessions, and the other group received training based on “Compassion Focused Therapy” for eight sessions. The control group did not receive any training. Data analysis was performed using SPSS.21. Two effective treatments are self-efficacy, improving the quality of relationships, and promoting the meaning of life in infertile women. Therefore, education based on both therapeutic methods as an effective intervention method is recommended for empowerment and promotion of infertile women's health. There was a significant difference between the mean of self-efficacy, the quality of relationships and its sub-scales, and the meaning of life and its dimensions in the experimental and control groups in the post-test (P≤0.01). However, there was no significant difference between the two experimental groups. Two effective treatments are self-efficacy, improving the quality of relationships, and promoting the meaning of life in infertile women. Therefore, education based on both therapeutic methods as an effective intervention method is recommended for empowerment and promotion of infertile women's health.

Social well-being and general health play an important role in preventing social harm. The purpose of this study was determine the Effectiveness of Life Skills Training on Social Wellbeing and General Health Students Teachers of Farhang University in Kurdistan Province. This research was experimental with pretest-posttest design with control group. The statistical population of this study was all male students of Farhangian University of Kurdistan province during the academic year 2018-2019. Among them, 30 students were selected by random sampling method and randomly assigned to two groups of intervention (15 people) and control (15 people). The intervention group was trained in 12 sessions of 90 minutes of life skills. Data were collected by “General Health Questionnaire” and “Social Well Being Questionnaire Keyes”. Validity and reliability of questionnaires have been proved in previous studies. Both groups completed questionnaires in pretest and post-test. The data was generated using SPSS.24. The mean score of the pretest test in both intervention and control groups was not general health (70.34, 11. 98) and social well- being (68.25, 11.12) respectively and there was no significant difference between them. Also, there was a significant difference in the level of post-test between intervention and control groups in general health (F = 149.73, P < 0.01), social well-being (F = 128.445, P < 0.01). Lifestyle group training can be effective in increasing social well-being and general health of students. Therefore, counselors and therapists, along with other methods, can use this method to increase social well-being and general health.

Human resources are one of the important sources of organizations that, in the event of proper management and management, will provide a sustainable competitive advantage to the organization. The purpose of this study was to determine the correlation between spiritual leadership, job motivation and organizational trust of nurses and employees of the Dr Heshmat Hospital in Rasht. The research method is descriptive-correlational. The statistical population is 540 nurses and staff of Dr. Heshmat Hospital in 2017. Of these, 224 were selected by random sampling method. Data were collected using three questionnaires including the "Spiritual Leadership Questionnaire", the "Job Motivation Questionnaire", and the "Organizational Trust Questionnaire".The content validity and of the instruments were confirmed by 5 lectures from the Payam Noor University and the reliability was measured through the Cronbach alpha coefficient. Data analysis was performed with software based on version 19. Spiritual leadership and job motivation (r= 0.769), and spiritual leadership and organizational trust (r = 0.709) are correlated. Also, organizational trust and job motivation (r = 0.976) are correlated. Spiritual leadership and job engagement and organizational trust have a positive and significant correlation. It is suggested that hospital managers increase their staffing levels in the hospital, taking into account their spiritual leadership, job engagement, and organizational trust.

Hyperactivity of children can cause problems for couples and threaten their mental health. The aim of this study was to determine the effectiveness of emotionally focused-meta cognitive couple therapy and mindfulness-based cognitive therapy on psychological capital among couples with hyperactive children. The research method was semi-experimental, and research design was three groups with two stages (pre-test and post-test). Among couples with hyperactive children in primary school in Isfahan, in the summer and autumn of 2018, 45 couples were selected purposefully and divided into three groups (two experimental and one control group) and each group was 15 pairs. "Psychological Capital Questionnaire" was used in the pre-test and post-test phases to measure the dependent variable. The emotionally focused-meta cognitive couple therapy group for 15 sessions and mindfulness-based cognitive therapy for 10 sessions was treated and the control group did not receive any treatment. In the post-test, after eliminating the effect of pre-test, there was a significant difference between the emotionally focused-meta cognitive couple therapy, and mindfulness-based cognitive therapy group with the control group in all four components of self-efficacy, hope, resilience and optimism (P<0.01). However, there was no significant difference between the effectiveness of two groups of therapy” in improving self-efficacy, hope, resiliency and optimism (P<0.05). Two interventions emotionally focused-meta cognitive couple therapy and mindfulness-based cognitive therapy group on the improvement of all four components of self-efficacy, hope, vitality and optimism in couples with over-active children have enduring effects. Therefore, it is recommended to organize workshops to provide two interventions for couples with hyperactive children.

The amount of time allocated to each day activities among students can have an effective role in their health and quality of life. The purpose of this study was to determine the correlation of time Use with health-related quality of life in dormitory students of Hamedan University of Medical Sciences. In this descriptive-correlational study, 178 dormitory girl students from Hamedan University of Medical Sciences were selected by convenience sampling method. The participants the “Time-Use Diary”, whose validity was confirmed by the teaching staff of the occupational therapy group, and reliability was measured using Cronbach's alpha, and the "Short form of the Health-Related Quality of Life Questionnaire Form (SF-36)), whose validity and reliability were confirmed in previous studies, for a normal day and one day off completed. Data were analyzed in SPSS. 16. There is significant correlation activities of daily living and physical health problems, (P = 0.030), social function (P = 0.009), energy / fatigue (P = 0.015) and emotional well-being (P = 0.002). Also, there is a significant correlation between instrumental activities of daily living and physical health problems (P = 0.035). In addition, there is a significant correlation between education with pain domains (P = 0.038) and energy / fatigue (P = 0/050). There is a significant correlation between leisure time and general health (P = 0.043) and emotional well-being (P = 0.005), and also between sleep and rest and the emotional well-being domain (P = 0.004). There is no time allocation between different areas of daily work in students. This can have a negative impact on some aspects of the health and quality of life of these people. Therefore, it is suggested that by educating the students, it is possible to increase the work-related areas and the quality of life associated with the health of students.

A Balanced Scorecard model is a performance evaluation methodology that provides a broad perspective on identifying the weaknesses and strengths of an organization's activities. The purpose of this study was to assess the performance of the hospital using a Balanced Scorecard Model and a Program Chain Pattern. This descriptive study was conducted at Imam Khomeini Educational Center in Sari. The data collection instrument was a "Balanced Scorecard Questionnaire” and completed by census of all managers and head nurses. The specialized panel of "Balanced Scorecard" questionnaires was categorized in the form of a Program Chain Pattern into dimensions of Input, process, outcome, control and Context. The content and face and structure validity were performed using confirmatory factor analysis. Reliability was measured by Cronbach's alpha coefficient and composite stability. To analyze the data, SPSS. 21 was used. The hospital with the mean of internal processes (3.43 ± 0.42) scored the highest scores in the dimensions of the scorecard, and the financial dimension with the average (3.57 ± 0.56) and the client dimension the mean (2.97 ± 1.07) and learning with the mean (2.93 ± 0.89) had the lowest score. The highest distribution and scores in the Program Chain Pattern were in the process dimension (58.8%) and control dimension (3.62 ± 0.56), respectively. There was a significant difference between the dimensions of the Balanced Scorecard Model and the Program Chain Pattern (P value < 0.0001). The most important aspect of the Balanced Scorecard is a process. Considering all the effective dimensions in performance, especially the dimensions of the Output, Input and context along with the process and control dimensions for assessing the performance of the hospitals is recommended.