نشریه مدیریت ارتقای سلامت
سال چهارم شماره 2 (پیاپی 14، بهار 1394)

Lifestyle is combination of behavioral patterns and habits which various factors affect lifestyle of obese people. The aim of this study was to determine the effectiveness of treatment based on “Choice Theory” on improving the lifestyle of women suffered from obesity. This study was a semi-experimental، which was conducted on 30 obese women of Ardakan through random sampling in 2014 and then these 30 women were randomly categorized into experimental and control groups. The “Lifestyle Questionnaire” (content validity and reliability by Cronbach’s alpha was measured) was used for pretest. in total، 7 Reality therapy sessions were held for the experimental group. In this period، the people who were in control group did not receive any treatment. After the completion of the sessions، “Lifestyle Questionnaire” as post-test was distributed between both groups. Then data were collected and analyzed by SPSS/21. In the experimental group، mean in pretest stage was 105/07 which after post-test increased to 135/73 Furthermore، the therapy based on “Choice Theory”، improved dimensions of physical health (P>0. 05)، nutrition and weight control (P>0. 01)، physical exercises and health (P>0. 01)، psychological health (P>0. 01) of life style of women who suffered from obesity. Treatment based on the “Choice Theory”، improved the lifestyle of women suffered from obesity. Hence it is recommended that organizations apply the “Choice Theory” to improve the lifestyle of the people suffered from obesity.

Life styles and health-promotion behaviours has been linked to quantity and quality of care. Nurses have a crucial role in promoting public and general health. This study aimed to determine the health-promoting behaviours in employed nurses in selected military hospitals. This study is a descriptive study. We used randomised cluster sampling method in order to select 400 nurses in CCU, ICU, surgery room, and emergency and surgical units in selected military hospitals. The Persian language version of “International Questionnaire of Health- Promoting Behaviours” (HPLP-II) questionnaire was used in this study. Data was analyzed by SPSS/22 software. The highest percentage of chronic disease (19.5%) was in musculoskeletal disorders, included backache and leg pain. Average score of health-promoting behaviours was 133.79±18.55. The highest mean score was obtained in spiritual growth (32.36±6.29) and the least average score was for physical activity (13.84±4.53). The health- promoting behaviours level of the participants were observed at an acceptable level, however they had low level of physical activities. With regard to findings, applying health education programs with an emphasis on physical activity among the nurses could improve their health condition.

Manpower is the most important input in any organization. Unfortunately, despite the importance of this issue in organizations such as hospitals, few studies have addressed this topic. The aim of this study was to determine the correlation between trust and organizational identification and characteristics of the nursing practice environment and their dimensions in Tehran City hospitals. In this descriptive-correlational study, 200 of nurses from nursing management categories according to Morgan table and simple random selection method were participated. Data were collected by "Trust and Closure Audit Questionnaire created by Learning Center" and “Measuring organizational traits of hospitals: The revised Nursing Work Index". The validity of the instruments were measured by content validity and reliability was assessed by Cronbach's alpha of 0.90. Data was analyzed by SPSS/20. The proportion of high-level (2.51) trust and organizational identification and characteristics of the nursing practice environment is at the lower level (2.30). Trust and organizational identification and characteristics of the nursing practice environment and all of its dimensions (P<0.05, r=0.474) except the employment relationship (P>0.05, r=-0.020) have a direct linear relationship. Moreover, characteristics of the nursing practice environment and trust and organizational identification and all of its dimensions (P<0/05, r=0.474) have a direct linear relationship. Trust and organizational identification and characteristics of the nursing practice environment, also characteristics of the nursing practice environment and trust and organizational identification and all of its dimensions have a direct correlation. The hospital managers can improve performance and ultimately a positive step in improving the quality of nursing care and safety, by the promotion of trust and organizational identification and characteristics of the nursing practice environment.

Pressure sore have been considered as a major health care problem. Nurse's knowledge about factors related to pressure ulcer can decrease pressure ulcer. The aim of this study was to determine factors associated with pressure sore in patients admitted to the orthopedic ward. In this descriptive study, 330 patients from four orthopedic units of Shahid Beheshti University of Medical Sciences were selected by convenience sampling method. The data was collected by using "Nursing Care Observation Form". The form was validated by content validity method and inter-rater agreement method was used for reliability (Correlation Coefficient=0.85). Data were analyzed by SPSS/15. Many factors such as; attendant, training in regard to prevention of pressure sore, massage, changing patient position, skeletal traction, moving aid, external objects in bed, trapeze and floating map had significant statistical correlation to pressure sore (P<0.05). In Logistic Regression Model "have no attendant" was the most important factor of pressure sore (P<0.01). Many factors can cause pressure sore in the hospitalized patients. Therefore, teaching of students and healthcare providers about pressure sore care related factors and the necessity of applying pressure sore prevention in at risk patients before the ulceration is very important.

Recording patient care is an important monitoring method to determine the correct registration and evaluation of treatment and care. Therefore, developments of a valid and reliable instrument to measure quality of nursing records are required. The aim of this study was development and psychometric measurement of “Assessing Quality of Nursing Records Checklist”. This research was a methodological study. First, studies were reviewed, “Assessing Quality of Nursing Records Checklist” with 57 items and 4 dimensions was developed. Content Validity Index (Waltz & Bausell) and face validity was measured using point of view of 20 nurses. Reliability was also determined by intraclass correlation (ICC) method. Data was analyzed by SPSS/19. For measuring content validity index of “Assessing Quality of Nursing Records Checklist”, items with more than 79% was retained, therefore, items in the final stage were reduced to 42 items. In addition, findings showed that there are 4 dimensions in the “Assessing Quality of Nursing Records Checklist”. Furthermore, it was indicated that value of ICC was 0.96. The “Assessing Quality of Nursing Records Checklist” was developed with 42 in 4 dimensions which was valid and reliable. Due to lack of valid and reliable checklist for measuring the quality of nursing records in Iran, use of the developed checklist can facilitate the evaluation process. Measuring other types of validity such as construct and concurrent validity is also suggested.

In today’s dynamic and vulnerable world, organizations should assure that managers and employees respect ethical matters and practice moral intelligence. The aim of this study was to determine the correlation between moral intelligence and organizational commitment of social welfare rehabilitation centers’ employees- Yazd city. This is a descriptive-correlational study and the sample consists of all 150 employees of welfare rehabilitation centers of Yazd. In order to collect data “Moral Intelligence Questionnaire” Lenik & Kiel and “Organizational Commitment Questionnaire” Allen & Meyer were used. The reliability of questionnaires are as follow: α = 0.82, α=0.78. Data was analyzed with SPSS/20. The mean score of organizational commitment's subscales are as follow: affective 26.74 (SD: 5.25), continues 28.52 (SD: 3.30) and normative 27.87 (SD: 2.50). Findings of the study showed that there was a correlation between moral intelligence and organizational commitment (r=0.428, P=0.010). A positive significant correlation between moral intelligence and organizational commitment of social welfare rehabilitation centers’ employee’s welfare and rehabilitation was observed. Hence, it is suggested to improve the component of moral intelligence and staff commitment through educational programs.

Indoor swimming pools are among the most common forms of leisure activities. However, lack of health considerations provides a suitable environment for the growth of germs ultimately putting the swimmer's health at risk. The aim of this study was to determine satisfaction of health and safety of swimming pools in Tabriz in year 2014 from swimmer's perspective. In this descriptive study, 313 swimmers were selected from all 1700 swimmers in one morning session of women (at 11 am) and one session of men in the afternoon (at 5 pm) on a Friday. This procedure was conducted in all 25 swimming pools in Tabriz through Morgan table and via convenience sampling method as the statistical population. The data were collected by “Health and Safety Pools Questionnaire”. Validity of the questionnaire was measured by content validity and its reliability by Alpha Cronbach (a=0.85). Among the distributed questionnaire, 288 of them were completed from which were scored and then analyzed by SPSS/21. Mean scores revealed that in a 1 to 5 Liker scale of satisfaction in pools of Tabriz, swimmer's satisfaction was 3.41 from water hygiene, 3.27 from clean environment, 3.45 from safety in the pool and 3.64 from the staff working in the pools. Nevertheless, the difference in the satisfaction levels of men and women was significant. Moreover, there was a significant difference in hygiene and safety of various swimming pools in Tabriz (P=0.01). Swimmers were generally satisfied with water hygiene, environment, safety and staff. Besides, women were more satisfied with water hygiene and swimming pool safety compared to men. It is recommended healthcare authorities offer educational and technical seminars and workshops for the staff members on hygiene and safety in swimming pools.

Measuring Activity of Daily Living is one of the best ways to evaluate conditions of patient, treatment and rehabilitation outcomes, quality of life, and progress of the disease in patients with chronic obstructive pulmonary disease (COPD). The aim of this systematic review was to evaluate psychometric properties of instruments measuring activities of daily living in patients with COPD. In this systematic review study, all papers published during 1980 till 2014 in both Persian and English language related to activities of daily living in patients with COPD were included. SID, Iran Medex, Irandoc, Magiran, CINAHL, Google Scholar, Web of Science, PubMed databases were searched using the keywords: activity of daily living, chronic obstructive pulmonary disease, questionnaire and instrument. “Consensus-based Standards for the selection of health Measurement Instruments" were used to assess and select the studies. Data Extraction Form which was developed by research team consists of 17 questions, was used to collect data. In this study 13 self-report instruments for assessing activities of daily living in patients with COPD was found. Study results indicated that, 4 of 13 known instruments measured the activities of daily living, while 9 instruments assess other criteria, like dyspnea and disability as ADL indicator. The instruments which measure ADL in patients with COPD have under studied the psychometric properties. Lack of explanation of ADL in COPD patients before instruments development as well as presenting a rigorous theoretical framework are other problems associated with these instruments. Therefore, researchers should use these instruments with cautious.