نشریه توسعه پرستاری در سلامت
سال دهم شماره 28 (پاییز و زمستان 1398)

 As a major member of the health care team, nurses and midwives play key and an increasingly important role in the improvement and promotion of community health. Considering the role of job motivation in improving the presentation and quality of nursing and midwifery services, Therefore, this study was conducted to determine the job motivation of nursing and midwifery staff and its relation with some of their personal characteristics.

This descriptive-cross sectional study was performed on 259 nurses and midwives working in educational treatment centers of Hamedan University of Medical Sciences. The data were collected using Herzberg's motivation-hygiene factors questionnaire, which contained 11 dimensions and 40 items that were based on a Likert scale. The data were analyzed using SPSS 16.0 via independent t-test, ANOVA, Pearson correlation test and regression at a significant level (p< 0.05).

The results of this study showed that the highest percentage (95.1%) of the nurses and midwives who participated in the research had a good job motivation and (4.9%) had a modest job motivation.

According to the obtained findings, we can improve the quality of care by reinforcing motivational factors in nursing and midwifery staff, thereby increasing the service to patients.

Regional territory of the health care system in the field of the country provides the opportunity to the participation in the programs of the Ministry of Health based on the advantages and talents of the region and enables the programs to be improved further. The purpose of this study is to explain the reform of territorial planning, transformation and innovation in higher level of education in Iran.

Using keywords from the articles’ title or abstract in books prepared by the Educational Deputy of the Health Ministry and from the databases like Magiran, SID, Iranmedex, Google Scholar for studies in Persian from 1380 to 1395. English articles with Keywords” Territorial planning, Transformation in medical science education, Innovation in medical science education” were searched in PubMed, Science direct, Google Scholar between 2000 and 2016.

This search initially found 1790 articles, in which there were only 22 articles, and 7 books having inclusion criteria. Nine of them were English and the rest were Persian.The results showed that universities from every metropolitan area interacting with each other, conducted Health Ministry policies.The Comprehensive Education Program contained 12 general policies and orientations. In order to conduct it, 11 packages for developing and innovating in medical education along with a monitoring program were developed. In other countries with the implementation of a targeted inter-university interaction program, transformation and innovation arose in the environment of  academic places.

Regional territory reform leads to Transformation and innovation in medical education and also providing resources, expanding educational opportunities and attracting faculty members’ contribution will make the program be successful.

OA is one of the most common articular diseases worldwide, due to its chronic, painful and debilitating nature, it has a profound effect on the quality of life of individuals. This study aimed to assess the relationship between lifestyle and neck arthritis complaints In nurses working in Khorramabad educational hospitals.

In this descriptive study, 150 nurses working in the selected educational hospitals of Khorramabad city were selected by random method. Data were collected using a questionnaire whose validity and its reliability were confirmed by using the test-retest method and content validity. , Was collected.

The results of the study showed that there was a significant correlation between the number of arthritis symptoms in nurses and patterns of health care and nutritional behaviors. Accordingly, there was a significant correlation between the number of symptoms of irritation in nurses and their nutritional behaviors (r = 0/266, p <0.05), and there was a direct and significant correlation between the number of symptoms of arthritis and health care model (05 / 0> p, 296/0 = r).

The results of this study showed that with increasing the age and work experience of nurses, the number of symptoms of arthrosis and the more nursing behaviors were more inferior.

Nursing education is essential for proper and efficient nursing and health care system. Nursing courses around the world are expanding. Comparing different educational systems will improve the quality of educational programs. The purpose of this study is to compare the system of Iranian nursing education with the nursing school of the University of Washington DC, USA.

study was conducted in 2018. In order to compare, the required information was collected and analyzed from the main elements of the nursing baccalaureate program in Iran and the nursing school of the University of Washington, USA. After reviewing and comparing, practical suggestions were made to improve the nursing program. The method used in this study was a Beredy model that includes description, interpretation, neighborhood, and comparison.

The nursing education of Iran and USA has major disagreements. The nursing education in Iran's undergraduate degree is four years, and applicants are selected from among the students in the experimental group of experimental sciences and through the national examination. In all universities across the country, there is a nursing unit's coriclovium that is being developed by the Ministry of Health and Medical Education. While nursing in the United States is a two-year program, the student admission criteria are independently established by each university.

In order to improve the quality of nursing education in Iran, reforms should be made in the areas of philosophy and goals, methods of student selection, teaching methods and evaluation strategies of learners.

 Chronic renal failure is a progressive disease in which kidney function is impaired, so that the body can not metabolize and maintain fluid balance and electrolytes. thus,recent study evaluated the effect of  8 weeks aerobic training on some electrolytic indices in dialysis patients.

The subjects of this study were Imam Jafar Sadegh Hospital of  dialysis patients who were randomly divided into two control group (n=10) and training group(n=13). The exercise group performed the training program 3 days a week for 8 weeks. After eight weeks electrolyte indices including calcium, phosphorus, potassium and sodium were measured.

The findings showed that aerobic training led to a significant reduction in plasma sodium(p=0.001), potassium(p=0.000) and phosphorus(p=0.001) levels, but  plasma calcium(p=0.068) did not change significantly in the training group.

It seems that aerobic training can be effective treatment in In improving electrolytic indices dialysis patients.

Chronic renal failure is a progressive disease in which kidney function is impaired, so that the body can not metabolize and maintain fluid balance and electrolytes. Therefore, the present study investigated changes in serum creatinine and urea nitrogen in hemodialysis patients in response to exercise.

The subjects of this study were dialysis patients who were randomly divided into two control group (n=10) and training group(n=13). The exercise group performed the training program 3 days a week for 8 weeks with intensity of 50-60% of maximum heart rate.
After eight functional indicators include  blood creatinine and urea nitrogen .

The findings showed that aerobic training led to a significant reduction in plasma creatinine (p=0.001), urea nitrogen (p=0.01)

It seems that aerobic training can be effective treatment in dialysis patients.

Nowadays, mobile phone and Internet usage, along with all the advantages. Negative consequences such as cellphone addiction that disrupt students' social skills and lifestyle. The purpose of this study was to investigate the relationship between mobile phone dependency and social skills of students in Gonbad Kavous city in 1397.

This descriptive correlational study was performed on 400 female students of Gonbadkavus city using cluster sampling method. The data collection tool was the standard questionnaire of mobile dependency (COS) and social control questionnaire (TISS). Data analysis was done by Spearman correlation coefficient and Kruskal-Wallis test.

The rate of social dependency on mobile phone was 61.69 +13.49 social skills 139.55 +19 19.49. Statistical analysis showed a significant difference between these two variables(P<0/01, r=-0/26) With the increasing dependence on mobile phones has reduced social skills.

The results of this study showed that social skills decrease with increasing dependence on mobile phones. Therefore, educational managers and planners should invest in filling leisure time and educating students and enhancing life skills, taking advantage of new technologies and opportunities.

one of the most effective methods for quality assurance, continuous quality improvement process in the education system are essential preconditions aim of this study was to compare the self-assessment evaluation by the coach in the gynecology  clerkship Course  for midwifery students of Islamic Azad University of Semnan.

This study is a cross-sectional study on 70 students of the seventh semester Midwifery in Semnan Azad University is the training of women think the coach was carried out under the data collection tool clerkship women that consists of two parts Basic skills and specific evaluation by the scientific Board of Midwifery curriculum was developed by students at the end of each semester and for assessment used by the players themselves students was completed at the end of the results by SPSS software.

The total mean and standard deviation of self-evaluation and training instructor scores in especial skills was 1.2±0.625 and 1.37±0.31 and in general skills 2.09 ±0.32 and 1.56 ± 0.32. Therefore, total mean scores of student self-evaluation was higher than evaluation by training instructor in especial skills (p=0.07) and in general skills (p=0.015).

Result of this study show that student can judge clinical activity, therefore to promote training instructors instruction performance, student self-evaluation have been recommended.