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Volume 7, Issue 1 (8-2010)
Abstract

Background and Objective: Nurses and nursing students, as a member of psychiatric team, have not enough incentive for caring mental disorders. Because of some negative stereotypic beliefs and anxiety, they neglect some aspects of psychiatric care. We decided to study on nursing students’ anxiety in facing with mentally ill patients. Material and Methods: In this descriptive study, 64 nursing students of Golestan University of Medical Sciences were selected via convenience sampling. The instruments were demographic information data sheet and interpersonal anxiety scale. We used Descriptive statistics, Spearman correlation coefficient, Mann-Whitney and Kruskal-Wallis tests to analyze the data (spss 16). Results: The students aged 43.20±5.1 were female (56.8%) and male (43.20%). Anxiety level in 17.9% of participants were severe and in 48.1% of them moderate (P<0.05). There is significant difference between male and female’s anxiety. Students with clinical experience of being in psychiatric ward have the lower level of anxiety (P<0.05). Conclusion: The Student’s anxiety in facing with mentally ill patients is considerable and we should alleviate this anxiety by some programmed actions such as frequently presenting in psychiatric wards and by special education.
Mr Hossein Rahmani, Dr Gholamreza Mahmodi, Mr Ghanbar Rouhi, Mr Hossein Nasiri, Mis Horolnesa Sheikh, Mr Behzad Taghvakish,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective : Neurologic patients' care givers are faced with many challenges and stresses, affecting on their health if they cope with an inappropriate style. The awareness of the care givers about coping strategies is necessary to prevent from their psychological problems, therefore the present study was conducted to determine the coping strategies of men and women care givers of Neurologic patients at home.

  Material and Methods : This descriptive-Analytical study was conducted on 200 subjects selected by convenience sampling method. The instrument was Jawiloice coping strategy scale­ having two dimensions of problem-focused­ part (15 ­questions) and
emotion-focused (24 questions). The data analysis was performed using estimates of central tendency, Chi-Square, Kruskal-Wallis, Mann-Whitney test and Anova (P<0.05) by spss 16.

  Results: The participants were men (N=120) and women (N=80). The problem-focused subscale in men is 51.86 ± 6.3 and in women 52.86 ± 7.63, whereas in emotional-focused the result is 72.86 ± 13.89 in men and 69.68 ± 11.65 in women. In latter dimension, the difference is not statistically significant. ­In problem-focused between men and women, the difference is significant (p≤0.05). Considering coping levels to low, moderate, and high, there is no meaningful difference between males and females. Duration of involvement with patients is significantly correlated with emotional-focused (p≤ 0.05) and income status with problem-focused (p≤ 0.03).

  Conclusion: According to the findings, the care givers must be educated about effective coping strategies skills to decrease stresses due to care of the patients and to improve mental health.


Mr Ghanbar Rouhi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Ali Akbar Abdollahi,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective : Human resources are the most valuable sources of an organization. Nurses, because of special nature of their job, are influenced by various stressors affecting on their job satisfaction and organizational commitment. The aim of this study was to compare Nurses’ job satisfaction and their organizational commitment in intensive care and general wards of Golestan University of medical sciences.

  Material and Methods: In this descriptive & analytical study, 389 Nurses were selected via census sampling in 1387. The instrument were job satisfaction questionnaire reliabled by alpha chronbach and meyer organizational commitment scale.To analyze the data, we used Pearson correlation coefficient, independent test, regression and one way anova in spss 16 soft ware environment.

  Results: Participants were between 22-55 years. Their mean age was 32.6 ± 7.4 and most of them (72.7%) were female. Intensive care and emergency wards’ Nurses had the lowest organizational commitment and job satisfaction, respectively. There was a significant relationship between job satisfaction and organizational commitment in studied wards (P<0.05).

Conclusion : Whereas job satisfaction can predict organizational commitment of Nurses, it is essential for administrators to consider factors such as salary, participation in decision making, job security, and job enrichment and so on to promote quality of services
Mr Ali Abbasi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Alireza Shariati, Mr Seyyed Abedin Hosseini, Mr Ghanbar Rouhi, Mr Einollah Molaie,
Volume 8, Issue 1 (10-2011)
Abstract

  Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.

  Material and Methods: ­ In this descriptive and analytical study, 120 Caregivers of chronic renal failure­ patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).

  Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities ­­(p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).

  Conclusion:­ According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .


Hossein Rahmani Anaraki, Dr Gholam Reza Mahmoodi, Ghanbar Rouhi, Hamid Asayesh, Hossein Nasiri, Hossein Rakhshani,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and Objective: Chronic neurologic diseases due to associated disabilities and high cost of ­their medical services are considered as a crisis for patients and family. The stress caused by these problems can jeopardize the health of the caregivers. Thus, the aim of this study was to determine the general health status of neurologic patients’ caregivers and the related factors.

  Material and Methods: In this cross-sectional study conducted in 2009, the caregivers of the patients with neurological disorders (n=200) were selected via convenience sampling.­ The data was gathered by a demographic checklist and general health questionnaire (GHQ-28) completed by caregivers and analyzed by descriptive statistic­, Pearson correlation coefficient and chi square, using SPSS-16.

  Results: The mean age is 31.78±9.94 and 59.5% of the subjects are males. The caregivers (72.5%) general health is disturbed (Score more than 23 based on GHQ-28 cut of point). General health of male and female caregivers is significantly different (P<0.05). Between the subscales of GHQ-28, female caregivers compared to males have higher depression score, which is significant (P<0.05).­ ­The caregivers’ general health are correlated with (P<0.05) the patient’s care dependency and the income of family. ­There is no significant relationship between general health and demographic variables such as marital status, history of the disease and educational level.

  Conclusion: Based on the results, significant percent of caregivers of the patients with neurological disorders suffer from disrupted general health. Thus, the presence of supportive resources and effective coping skills can be effective in improving the health.


Dr Abdolrahman Charkazi, Mohammad Taghi Badeleh, Seyyed Abedin Hosseini, Ghanbar Rouhi, Dr Akram Sanagoo, Seyyed Yaghoob Jafari,
Volume 9, Issue 2 (1-2013)
Abstract

 Background and Objective : ­ Teachers’ evaluation is considered one of the important strategies for education quality enhancement in universities. The objective of the current study was to investigate the students’ viewpoints about the evaluation criteria of teacher’s performance in theoretical courses in Golestan University of Medical Sciences.

  Material and Methods: This cross- sectional study was conducted, in 2008, on 330 students of various disciplines. They were recruited via stratified random sampling and asked to fill out a valid and reliable questionnaire including 63 closed questions, which are related to individual, scientific and professional fields. ­Using SPSS software, we analyzed the data by descriptive statistics, independent t­-test, and Anova and Pearson correlation.

 Results: Seventy-three-point-three (n=242) are females and 26.7% (n=88) males. ­The most important factors in teacher's evaluation are Professional characteristics (4.22±0.42).­­Their scientific ability (4.14) and individual characteristics (3.86%), respectively, are the other factors. In professional characteristics, ­“The verbal skills and teaching methods " with the mean of 4.64 in scientific ability, "the knowledge and scientific power" with the mean of 4.65 and in individual issue, “patience and good humor" with the mean of 4.61 are the most important issues. Sixty-two-point-four percent of students believe that they are honest about their evaluation and 59.4% of them claim that their evaluation is reliable.

  Conclusion : In spite of the importance of the scientific abilities, the verbal skills and teaching methods are considered the most prominent ones. ­The Students’ viewpoints can be used as an important part of teachers' evaluation for recognizing and eliminating the shortcomings.


Ghanbar Rouhi, Seyyed Abedin Hosseini, Hossein Rahmani Anaraki, Einollah Mollaie, Hossein Nasiri,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and Objective: ­ With the development of human societies,­ the needs for different types of health services are increasing. Because of limitations and shortage of national resources, the awareness of health administrators about appropriate allocation of resources leads to efficient use of assets. The aim of this study was to measure the workload and efficacy of nursing staff in internal ward.

  Material and Methods: ­ This descriptive and cross sectional study was conducted on, via census sampling, all nursing activities performed by 10 nurses for 94 patients in Panje-Azar Hospital of Gorgan. ­To determine the efficacy, we asked the subjects to fill out a researcher made, validated questionnaire and measured the time of their presence in the ward. Data analysis was performed by analysis variance, using SPSS-16 software.

  Results: Of ­­total time of presence,­ ­20.3% is spent for documentary activities whereas only 0.49% for patient education. Overall, the spent time for direct and indirect nursing activities is 46.46% and 53.54%, respectively. The efficacy of nursing staff is 62%, ­the highest (66.6­ %) for morning shift and the lowest for night shift (58.34­ %). There is no significant difference, using analysis variance, in efficacy rates of work shifts­ (morning, evening and night).

  Conclusion : In spit of efficacy of over 50 percent in different shifts, the educational programs related to time management, human resource development and electronic nursing are necessary to increase the efficacy.



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