Modern Care Journal
Volume:2 Issue: 1, 2005

Nursing staffs have important role in health and treatment in medical system. In order to increase the quality of nursing care, we need to be aware of the problems of nursing and social pathology of nursing. in the this descriptive study, we used a questionnaires about demographic information and attitude about work environment. After determining its scientific validity and reliability, the questionnaires were distributed among the nurseto be completed. After completion, the date was statistically analyzed. 64.3% of nurses had negative attitude about work condition, 2.86% positive attitude and 28.8% had moderate level of attitude. The main problems of nursing were compact shift, emotional and working exhaustion, nurse-physician relationship. Improvement in nurse’s work environ must in hospital have important role on job satisfaction and improvement in their works.

depressive disorder is a common psychological disorder and one of the health disaster in society in the point of view W.H.O in 21’th century. Determination of depression prevalence among Nursing student’s and correlation of demographic variable with depression violet. this research is a descriptive Analytic study (cross-sectional) study 300 Nursing students were studied with non-randomized method. Datagathering instrument is questionnaire that consist 18 questions about demographicdata and depression violet after collecting the data were analyzed with SPSS underwindows software. the finding indicated that 50.15 percent of samples had degree of depression. %12.22 was borderline depression, %2.08 was mid depression and in the same ratio sever depression and finally %7.77 was more sever depression. The results alsoshowed that there were not statistically difference between variable of age, Gender,Marriage, education level and depression violet. (P=0.07, P=0.25, P=0.37) butbetween family well faring and depression significant difference (P=0.04) wasobserved. we conclude that one half of samples had degree some of depression and health organization and Academic institute must attention to Nursing student’spsychological aspect and support them.

Introduction and goal: Pay reward is one of the effective methods to create motivation among staff and is done within a context of different systems and methods forpayment. The most effective and established pay reward is called “payment based onperformance” in this method the individual will receive different Levels of rewardsbased on the levels of performance that measured through different scales. Theamount of money that these individuals will receive is directly related to theirperformance level. This study was conducted to evaluate nurses’ attitude toward feefor-service and professional satisfaction.In a descriptive cross-sectional study, 255 nurses and 52 nursing managers holding associate degree certificate and higher MSc with at least one-year clinical experience in hospitals are studied in Tehran city. Variables of job satisfaction included increased positive tendency to employment and continues in nursing, on time working. The questionnaire was used for collecting data. The validation of these tools wasdetermined based on content Validity, after studying textbooks and articles and uponratification by nursing specialists and by members of faculty of Tehran universitiesand reliability of these tools were determined by test-retest. Explanation and analysisof data was carried out by using SPSS statistical software and by employingdescriptive and analytic statistical methods. The result showed that 52/5% of nurses and 44/2% of nursing managers believed that current implementation of fee- for- service scheme had no effect on job satisfaction, 51/1% of nurses and 49/2% nursing managers believed had no effect feefor- service on increase working interesting in nurses. This study showed that implementation of fee-for- service scheme with current method had not effect on job satisfaction of nurses in viewpoint optimismonly that causes reinstated at organization and most of the case study units weredissatisfied with current calculation of fee for nurses. Thus it is proposed that thedesigners of fee-for-service scheme should reconsider of this scheme by nursingideas.

The present time should be considered as an intermixture ofinformation and communication. Today with access to modern information and communication technology and advancement of rapid communication, quick exchange of information has become possible more than in previous times. Utilization of computer sciences in medical professions including nursing due to high sensitivity and ease of action and of care…has a special position. Therefore nurses must, in order to better perform their duties and standard professional activities, become familiar with informationtechnology. Present research performs to compare of patient care with traditional and his method at Shahrekord hospitals. In this descriptive- analytic reaserch, 150 samples amongst nursing staff of two hospitals namely Hajar and Ayatollah kashani were selected by convenience sampling. Questionnaire was used as data gathering tool. Questionnairesof this research were distributed and gathered after completion. To achieve objectives,descriptive and inference statistics were used. To determine statistical relation 2 andSPSS software was used. at Hajar hospital majority of samples were women in 30-39 years old (49%), 65% had less than 10 years record of service and were nurses(70%).82 % ofindividuals had passed computer courses and 25% had P.C.S At Ayatollah kashani hospital majority (52%) of women were in the age group of 30- 39 (38%) with BA past service record of 10-20 years (51%) and nursing profession (52%).88% of samples had passed computer courses and 20% had P.S.C Findings showed that between the His method and traditional methods with satisfaction of patients (P<0.05) decrease of human errors (p<0.05) increased job time sparing, and increased productivity there was a significant statistical relationship.However, between HIS method, increased satisfaction of patients, decrease human errors, increased job time sparing, and increased productivity, facilities should be provided that all hospitals become equipped with HIS system.

Adolescence period is one of the criminal periods in every one's life and the teenager pass the childhood and enter into a new level of life. Entering into this level, the teenager will face plenty of problems. This research has been done with goal of comparing some sociobiology characters and its relation with the criminal teenager characteristic pattern with control group in Mazandaran province in 1383. This research is a case control 30 study. Participants include 15-18 years old male teenager who were criminal in mazandaran province and stayed in correctional center in Neca and other thirty 15-18 years old male teenager who were students in some selective high school in mazandaran province. Which selected by randomize sampling. The instrument for gathering data was a three part self-report questionnaire. The first part, gathered demographic data, second part was 71 items MMPI scale and in the third questionnaires, the eysenk criteria includes of 57 questions consist of introversion. extroversion, neurotic and psychological has been evaluated. Data has been analyzed by software: SPSS 11.5 Findings shows the age of male criminal teenager was 15-18 years old and the prevalent crimes were rubbery (54%), quarrelling (25%), smuggling (0/8%) and unlawful relation. In the family variables pattern re- marriage and unemployment of the father and narcotic abuse by father had significant relationship with criminal. Pervious record of running from home 1.8% increase the criminal risk and also narcotic abuse in teenager has been increased criminal. Finding shows neurotic and medial characteristics have the most frequency in case and control group. Examining the MMPI test shows paranoid pisorder and anxiety are the most prevalent disorders. This study showed that the most prevalent criminal relatively was: rubbery, quarrelling, smuggling. unlawful relations. Criminal, in a social view not only treats the health of the people but also they make some crisis in society.

Introduction and Nosocomial infection is one of the most problems in allhospitals, waste time and energy and at last cause dead. This study conducted to etermine knowledge and practice of nurses about nosocomial infection in Vali- Asr ospital of Birjand. This descriptive- analytic study was done in Vali- Asr hospital and consists of all degree of nursing staff. Instrument was a questionnaire with tree parts:demographic data, 30 questions for knowledge, 30 questions for practice and staffscompleted them during shift. Data were analyzed with T-Test, one way on Nova andPearson correlation by SPSS. Finding showed that 142 samples participant in this study 9.9% male and 90.1% female, 29.6%, 70.4% nurse mean age of samples were 32.4 ± 7.5 years. Mean record of service 9.7 ±0.9 years. 2.2% of them had poor, 62.7% moderate and 35.1% good knowledge. 0.8% had poor practice, 34.7%moderate and 64.5% good practice.There wasnt significant relationship between sex and knowledge and practice, butsignificant relationship between knowledge and practice with degree of education. Most of samples had acceptable knowledge and practice. Educational rogram can improve and reinforce their knowledge and practice.

Pressure ulcer is one of the most common problems in careing and treatmental centers. Its incidence reported 3/5% to 11% and 32% iri patients which. did not receive preventive measures. Expense for treatment estimate between 1575 to 5850 uro for each ulcer. With attention to expanding and importance of skin evaluation in all bedridden patients and recognizing at risk patients, this study conducted to determined incidence of pressure ulcer in more than 5 days bedridden patients in educational hospitals of Birjand Medical Cnhersity. In this descriptive study all patients \vhich bedridden for more than 5 days in wards of educational hospitals of Birjand Medical University (except pediatric and psychiatric wards) March - July 2004 assess for pressure ulcer. Instruments for gathering data were 1: questionnaire which has two parts A) demographic data and B) questions about post medical history, present illness, nutritional status, movement, bathing, restricted instmmem, bed sheets and.... 2: physical examination of skin and pressure points. 3: scale for staging pressure ulcer to four stages. For gathering data in all wards each patients which stay more than 5 days, after giving consent were assessed. First questionnaire. was completed.,. then pressure. ulcer sires were examined and if ulcer present, determined its stage. All patients assessed every other day till discharge. Data were analyzed with SPSS soft ware. From 549 patients which have study 46/8% were women and 53/2% men. 44 samples (8%) had pressure ulcer during study (4.55% women and 3/45% men) mean age of affected women was 65/12 years ± 16/5 and men 62/3 years ±17/2. 30/4% of samples were in 71-80 years old group. mean days of bedridden was 8/98 days. After the first visit the most frequency of ulcer according to stage was 52/2% first stage, 29/5% second stage, 9% third stage. The most region of ulcer was 50% sacral. 56/8% have not any other disease but in 22/7% accompanying by hypertension. Present illnesses in 27/3% were neurologic probkms such as brain tumor, CVA, leg paresthesia.. ... and 15/9% had cardiologic problems such as ischimia, MI and. ... According to increasing problems such as diabetes mellitus, obesity and. .. which increasing disposed of pressure ulcer. expense of treatment and problem of ulcer for affected person, planning for prevention and education for all bedridden patients specially with high risk is unavoidable nessecity.

Telecommunication and information technology provide clinical care at distance. This technology was recently developed to support the life style, home care, health promotion and prevention disease. In this paper we assessed researches about mobile health application, and suggested a model for pre hospital emergency in Iran.Method & material: Mobile health and telemedicine entering the field of nursing care, home care, management of chronic disease, telemonitoring and emergency situation. security and confidentiality of information is an important cause foracceptance mobile health care. The tree big areas of security are confidentiality,integrity and availability. in attention to result of researches, mobile health is practical feasible, acceptable for patient, cause of quality of care and decrease of treatment costs, and considering useful applying of this technology in many health center of the world, wesuggested a model according to Iran condition which can be a base for otherresearches.

In attention to development of quality service and client entering in healthy care services through continues feed back of patients and continuesimprovement of services we can determine weakness and strange portion and amend quality care. So this study conducted to determine level of patient satisfaction who admitted in Birjand Vali-Asr hospital of nursing, medical and convenience services.Method &material: This is a cross sectional descriptive study. 82 people who hospitalized more than two days selected through random sampling and were interviewed. Instrument for gathering data was questionnaire that consists four parts,demographic, satisfaction level of nursing care, physician care, and hoteling assessed with Likert scale with five choices (excellent =4 good=3 middle=2 weak=1 no idea=0). Than average of score classified as fallowed (3.20 -4= complete satisfaction, 2.40- 3.19= good satisfaction, 1.60 – 2.39= middle satisfaction, 0.8 – 1.59=weak satisfaction less than 0.79= none satisfied). Data were analyzed with non-parametricaltests (Choriscal-Valis and Manvitny). finding showed most of the patients were female (57.3%), illiterate or non educated (76.9%) and mean age was 44.5 years old. Satisfaction of all nursing care (2.94) and medical care (2.66) were in good level and hoteling (3.40) was excellent level. There were significant association between satisfaction of nursing care and medical care with education and marital status. There was significant association between satisfactions of hoteling with education and dwelling. satisfaction level of patients about various services in this center wasgood to excellent that indicated struggle of worker in this hospital. Continues periodic evaluation and instruction hospital personnel especially communication quality with patient and more time spending by physicians and nurses can be increased quality of services and eliminate probably defect and reach good services.

Introducation and In recent years, cases of professional neglect, in whichphysicains and nurses have been taken as defendants, have increased considerably. Itis caused by rise in costs and more attention of patients to their own rights in hospitals. Therefore, the present study was conducted to determine the obsevance of the patient’s right as viewed by hospitalized patients in educational hospitals of birjand. In this descripive-analyzied study 250 hospitalized patients in two hospitals of Birjand, ValiAsr and ImamReza, were selected by randomize sampling includingpatients hospitalized for more than three days and discharged during the period of thestudy (three months). Two hours before discharging, the ten-article chartere of patient’s right was read for the patients and then they were interviewed and complited questionnaire. The questions about the obsevance of each single article of the charterwere measured by likert three-point scale (high, moderate and low) and the score,after rating, were analyzied by using descriptive statistics tests. most of patients were between 21 and 30 years old, married, illiteratehousewives and resident in urban areas. 41.6% of them have previous hospitalization record observance of the charter at the rate of high, moderate and low that had themost frequence were as follows: for article one (76%), for article 5(40%) and for article 4(45%). For all the articles of the charter, 36% of the patients belived that rate of observance was low, 56.4% moderate, and 40% high. The rates of observance of each article of patient’s rights are presented in the main context of the pater. There was a significant relationship between observance of the charter of patient’s rights andvariables of age, gender and previous hospitalization record. Implementing and ansuring the charter of patient’s rights require comprehensive and integrated activities of personnel, In addition, approving exact laws and regulations, proper sanction, promoting health worker’s knowledge about extent of law support must be regarded too.

Professional security is very important matter and staffs have different physical, psychological, social-environmental and economical needs. Appropriate social placement and professional independence are priorities. Attention to professional hazards in nursing is necessary for staff health in order to giving service to patients. The purpose of present study is determining nurse's attitude toward professional security in physical, social and psychological dimensions. This cross sectional descriptive study was performed on 93 nurses in Tehran educational hospitals by convenience sampling. Questionnaires consist of questions about social¬ economical and professional security. 81.8 percent of study population were women, and most of them were between range of 30 – 37 years old 45.4% had more than 10 years record of service. 54% of them havent professional security and only 4.5 percent feel security in their professional environment. 72.2% belived that their physical security was very low. Regarding psychosocial security 63.6% were dissatisfied. Professional vulnerability associated with nursing is due to socio-cultural, economic and familial factors and needs anention and planning to decrease them.