مجله تحقیقات نظام سلامت حکیم
سال چهاردهم شماره 3 (پیاپی 54، پاییز 1390)

At first conference of health promotion in Ottawa in 1986, rearrangement of health providing services, especially hospitals, was introduced as a main strategy in health promotion. Health promoting hospitals project had been also proposed by the World Health Organization a decade before. According to the project, hospitals should have health promoting and disease preventing activities. In Iran, preventive services have not been defined as hospitals tasks and most efforts in hospitals are for medical treatment and rehabilitation. The purpose of this study was to recognize various components of clinical preventive services in Taleghani hospital in Tehran.

I n this qualitative study, 20 professionals and experts were interviewed using purposive sampling. Data were analyzed using content analysis.

Main themes extracted from the interviews consisted of: 1) challenges and barriers of clinical preventive services; 2) role of clinic of prevention in hospitals; 3) human recourses; 4) information recourses; 5) insurance system; 6) receiving and perusing patients; and 7) educating personnel.

P roviding preventive services is a perspective of future hospitals. Important necessities for implementation of these services in our country are description of the service packages, designing necessary structures, and training human recourses in this field.

Media act as the most significant tool in dissemination of health news. The Health Ministry’s guideline on public dissemination of results can be considered the first controlling policy in disseminating health news in the country. This study examines the level of awareness and perspectives of health journalists, researchers and health research managers on the aforementioned guideline.

The study was conducted through both qualitative and quantitative methods. In the qualitative section, opinions of 23 individuals including researchers, health journalists and research centers’ authorities were gathered through six in-depth interviews and four focus group discussions. The content of the interviews were analyzed through thematic analysis with Open code software. In the qualitative section, as a quick complementary study, the guideline’s publicizing was reviewed by questioning the medical universities’ public relations officers (41 universities) and researchers (24 individuals) whose research results had been disseminated in mass media in the past one month.

In the qualitative section, the guideline was examined for three domains of publicizing, content, and executive assurance. Most interviewees were unaware of the guideline. Concerning the content, not being comprehensive, and incompleteness of the guideline’s items, lack of clarity of the items, absence of specification of target audiences, and lack of executive assurance were mentioned. In the quantitative section, 28 (71.8%) medical universities’ public relations officers and 21 (87.5%) researchers were unaware of the guideline.

The importance of public dissemination of health research and innovation findings grows accordingly with the increased production of science in the country. Implementing research governance and existence of compulsory guidelines seems necessary in this respect. The current guideline’s content is defective, and this matter impedes its executive assurance. Therefore, we suggest revising it with the help of relevant stakeholders and experts (lawmakers, journalists, politicians, scientists, etc).

Mental health is an influencing factor in medical student's academic achievements and occupational performances. Mental health is affected by many factors. This study aimed to investigate the possible relationships between medical student's perceived self-efficacy, meta-cognition and critical thinking with their mental health.

In this descriptive-explanatory study, 357 students (196 females and 161 males) were selected using multi-stage cluster sampling method from Mashhad University of Medical Sciences during the academic year of 2010-2011. The students completed the Sherer 's General Self-efficacy Scale, Well's Metacognitive Beliefs Inventory, California Critical Thinking Skills Scale, and Goldberger's General Mental Health Questionnaire. Data were analyzed using Pearson correlation coefficient and path analysis.

The data analysis showed that there were significant differences between the student's self-efficacy and mental health (r= -0.74, p>0.001), their metacognition and mental health (r= -0.56, p> 0.001), and their critical thinking and mental health (r= -0.18, p>0.01). Path analysis indicated that the considered path model was fitted to the data (RSMEA=0/048, df=1, c 2=1/80, GFI=1/00, AGFI= 0/97). Direct paths from self-efficacy to the mental health (β= -0/52, Se= 0/03), and meta-cognition (β = 0/45, Se= 0/06); critical thinking to the meta-cognition (β= 0/29, Se= 1/57) and metacognition to the mental health (β= -0/25, Se=0/02) were all statistically significant.

The results indicated that medical student's self-efficacy, metacognition, and critical thinking were directly related to their mental health. The self-efficacy, by mediation of metacognition, indirectly affected mental health and had the greatest overall impact on mental health.