Journal of Holistic Nursing and Midwifery
Volume:20 Issue: 2, 2011

Job satisfaction is a positive feeling and attitude towards one's job.Identification of effective factors on job satisfaction is important because it plays vital role on organizational outcome and even on one's personal life. It aims to determine effective factors on nurses’ job satisfaction This is a cross sectional descriptive study which used War etal questionnaire on job satisfaction. Sample consisted of all nurses working in educational hospitals in Rasht. Data was analyzed by T test, ANOVA and Pearson in SPSS. Job satisfaction’s mean score was 54.43±10.54. Most with high job satisfaction were older than 41 years of age (29.5%), married (19.8%), annual contract employed (24.5%) and in supervising positions (75%). Most had moderate job satisfaction (62.9%). According to study results if these nurses in attention to their age and sex were assigned to their favorite wards and also get management responsibility, would have higher job satisfaction.

Coronary artery disease is one of the most prevalent cardiovascular diseases in developed countries. Following a healthy diet and lifestyle decline emergence of the disease complication and readmission rate due to unstable angina and myocardial infarction.Promotion of self-efficacy after a cardiovascular event is the outcome that plays a vital role in increasing rehabilitation skills to modify healthy behaviors. This study aims to determine the predictors of diet self-efficacy in coronary artery disease patients.Methods and Materials: In this cross-sectional study, 195 coronary artery disease patients who referred to Dr.Heshmat clinic of educational -medical center in Rasht, through simple sampling via completing a questionnaire. Chi-square, multiple logistic regression tests were used to, analyze the relation between dependent and independent variables and predictors of diet self-efficacy were determined in coronary artery disease patients. Findings of this study revealed that most samples (86.2%) had desirable diet selfefficacy.There was a significant correlation between illness perception and diet self-efficacy (p<0.05). Regarding diet self-efficacy predictors, multiple logistic regression test indicated that if the other variables were fixed, per 1 unit illness perception, diet self-efficacy increase 1.05 times(p<0.0001). According to results, illness perception was the important predictor in tendency of patients to follow cardiac diet program and patients with desired illness perception had higher confidence to control emerging changes in diet after cardiac event. Designing clinical educational programs and nursing interventions on the detection of predictors of diet selfefficacy could be effective in promotion of cardiac patients, self-efficacy in following health programs.

One of the most important functions of nurses is preserving lives of clients in emergency cases, thus it is necessary that nurses be aware of triage procedure, so that upon which they can provide quick and correct nursing interventions to those injured by on time identification of needs in critical conditions. This study aims to determine the effect of triage education on knowledge, attitude and practice on nurses employed in Poursina Educational and Therapeutic Emergency center in Rasht. This is a semi-experimental study and data gathering tool included questionnaire (consisted of three sections of personal characteristics, determination of knowledge and attitude) and check list to assess practice. Content validity was used to determine the tool validity. Test- retest, Cronbach Alpha, inter-rater methods and simultaneous observation of two observers were used to determine scientific reliability of questionnaire and checklist respectively. Questionnaire and check list were completed by emergency nurses and researcher before instruction and two weeks after last instructional session respectively.Instructional program was presented in group by lecture and discussion method using instructional booklet and complementary equipments in three sessions each lasting for 60 minutes. Samples were selected by method of sampling based on target and 40 nurses employed in emergency center were selected. Ultimately, data analysis was performed using descriptive and analytical statistics by SPSS version 16. Average score of triage knowledge from 16.25 before instruction to 30.75 after instruction, average score of triage attitude from 126.75 before instruction to 154.95 after instruction, and average score of triage performance from 39.77 before instruction to 55.85 after instruction were significantly increased (P=0.0001). Other results showed a significant relation between marital status work shift and mean average of score progression in knowledge domain (P< 0.05). Findings showed that triage instruction was effective on rate of nowledge,attitude and practice of nurses employed in emergency wards. In attention to study results and importance of triage, development of theoretical and practical instruction periods is recommended for nursing personnel.

In case of road accidents, Iran with mortality rate of 30 in 100000 has the highest rank and is on the top of list in the world. Injured of traffic accidents are not able to return to normal condition and social activities due to phisical problem and impaired function. So it's necessary to identify risk factors. The goal of this study is to determine demographic and psycho–social characteristics of those injured in driving accidents. This is a descriptive study. Study participants were selected from orthopedic and traumatic units of Poursina Hospital in Rasht city. Data were collected using a questionnaire including personal and psycho–social characteristics through structured interview and questions regarding return to work or school were collected by phone six weeks later. Overall 88 injured people were eligible for this study and the majority were male and motorcycle driver and mostly happened in day light. Majority were younger than 30,married, employed and lived with their families. Majority (94%) had not insurance to compensate for accident damage. Most of them had no history of hospitalization and did not mention " seeing death scene or seeing one suffer". In 69.7% of cases return to work or school did not happen six weeks after accident. Mean and standard deviation of length of period taken to return to work or school in those who did so was 20.04 ±3.4 days. According to documents obtained in this study, a considerable percent of injured consisted of young men, less experienced, motorcycle drivers, head of household and concerned about compensating financial damages and almost two-third of samples did not return to work after six weeks. In attention to study results, it is needed to notice common risk factors and take preventive measures.

Pain is a common phenomenon after all surgical operation. Acute and unrelieved pain can cause physical and mental complications, delayed recovery and prolonged hospitalization. Although using analgesia is usual to relieve pain, its complication, unavailability, necessity of taking less drug, especially analgesia, and also ineffectiveness of using analgesia alone, to relieve pain has focused today's nursing system on complementary treatments and non-pharmacological interventions such as foot reflexology. This study was conducted to investigate the effect of foot reflexology on pain in cesarean section patients. This clinical trial study was carried out on 62 women who referred to for cesarean section Alzahra Hospital (Rasht city). They were randomly divided into two groups of case and control. The reflexology group received a 30-minute foot massage in two sessions, with 24-hours interval. Data gathering tool included a demographic form, step-visual analogue scale and pain score form. Data were analyzed with descriptive and analytic statistic tests using SPSS version 15. There was no demographical difference between two groups and they were matched completely. In case group, severity of pain after first stage of foot reflexology was significantly lower than before reflexology session and also in control group respectively(p<0.001, p<0.0001). The severity of pain after second stage was significantly reduced in case group a compared with control group. In general, foot reflexology appears to be a useful method for reducing postoperative pain.

Thalassemia is the most prevalent genetic abnormality in Iran and editerranean area. Increased incidence of Thalassemia with moderate or severe clinical symptoms could lead to decreased economic and human ability of society. The study aimed to survey pre-university and high school students’ level of knowledge on Thalassemia in Guilan. In this descriptive study, a statistical society was chosen from girls and boys studying in pre- university and high school level in educational year 2007-2008. They were randomly chosen from different cities of Guilan province. Data was collected through a questionnaire on Thalassemia. Answers valued a total of 20 and were based on 0-20 numbering system and after coding, they were analyzed using SPSS software version 14. In this study, the overall knowledge score of most students (66%) was 9.73 on natures of Thalassemia and 24.8% of them had knowledge score less than 10 on Thalassemia transmission. On the other hand, the knowledge score of statistical society was very low on clinical symptoms of Thalassemia, as 74.3% of students received a score of 8.58 but their knowledge was higher on prevention of Thalassemia and only 28.4% obtained a score less than 10. The overall average of students’ knowledge was calculated 11.07 from 20 on Thalassemia disorder. The obtained results showed that the knowledge level of Guilan province high school students about Thalassemia disorder was low (11.07 from 20) and this is very undesirable for Guillan province that has high incidence of Thalassemia.

Insufficient depression treatment follow-up is the major cause of disease recurrence and decreased function of patients and is a recent challenge of health management. This study aims to determine the relationship between knowledge and attitude of families with major depression regarding treatment follow up. This descriptive-cross sectional study was conducted on 150 families who had the inclusion criteria were chosen through convenience sampling method from outpatient clinic of Shafa Psychiatric Hospital. Data were collected by self reported method through a three part questionnaire which included demographic, knowledge and attitude of families regarding depression treatment follow up. Data were analyzed by statistics tests using SPSS software version 16.5. Findings revealed that majority of samples (56%) had good knowledge with significant relationship with age (p< 0.004) and educational level (p<0.002). Attitude of majority of samples (84.7%) also was positive that showed significant relation only with educational level (p<0.004). Finally despite the fact that the majority (86.9) had good knowledge and attitude regarding treatment follow up, but there was no significant relation between knowledge and attitude of families and treatment follow up. This research indicated no significant relationship between the two major variables. Thus more studies are needed with larger sample size or even standard scales of surveying knowledge and attitude regarding treatment follow up.

Since hospital is responsible for patients’ health referring to them, and the quality of hospital services is evaluated according to patients’ needs and satisfaction,evaluation according to patients’ point of views and their satisfaction of the hospital services has become more and more popular due to hospital competition for more patient receptions. It can be said that one of the intricate difficulties due to lack of patients’ satisfaction is discharge by own desire consequently, this will cause stagnation and unsuitable financial conditions and loses which can not be compensated. This study aims to determine effective factors on patient discharge with ownagreement. This is a cross sectional study conducted in fall of 2009 in order to survey causes of patient discharge with their own desire in Ghazvin Shahid Rajaei. The study sample consisted of all 330 patients who were released upon their own desire. A check list was used to gather data and SPSS software and descriptive statistical methods were used for data analysis. Among all hospital wards, C.C.U. with 59.3 percent and Emergency with 23.3 percent had the highest discharge with own desire. Twelve percent of the patients declared that they had a relatively complete recovery in time of releasing from hospital. The discharge with own agreement of most patients (76%) was in evening or night. From the viewpoint of the patients, the most important reasons in the matter of releasing with their own desire are as follows: Lack of satisfaction with hospital services (33%) Doctors’ purpose (27.5%) Lack of satisfaction with hospital equipments (12.7%) Results indicated most important reasons are prioritized as lack of satisfaction with the doctor, doctors referring patients to private sectors and lack of proper equipments in the hospital. It can be said that the hospital managers’ effort to obtain patients satisfaction, can provide the bases for rising the standards and qualities of hospital services and with the accompanying therapeutic personnel improve the quality of the services.