Journal of Health Promotion Management
Year:2015 | Volume:4 | Issue:1 (13)|Papers Count:8

Introduction: Productivity is an intellectual point of view it always trying to improve something that already exists. Different factors affect the productivity of hospital nurses constitute the major part of the population. The aim of this study was to determine the correlation of job satisfaction and productivity of nurses working in hospitals in Kerman University of Medical Sciences.Material & Methods: This study was descriptive-correctional one. This study was conducted on 266 nurses of Kerman University of Medical Sciences through classified random sampling. The participants of the study were all of nurses who working in different wards of hospitals of Kerman University of Medical Sciences in 2012. For data collection the “Job Satisfaction” and “Productivity of Nurses” questionnaires were used after content validity and test retest reliability were measured. For analyzing data the SPSS/16 was used.Findings: There was a significant positive correlation between job satisfaction of nurses and productivity (P=0.0001, r=0.94). Also, over 72% of the nurses' had complained about pay, working hours and the shortage of nurses.Conclusion: Considering the relationship between job satisfaction and nurse’s productivity, promoting and improving of job satisfaction by nursing and hospitals managers can increase productivity. It is suggested that hospital managers constantly trying to improve productivity.

Introduction: Atherosclerosis is the most common cardiac progressive disease that begin in childhood and in the middle age it shows clinical demonstration that many factors has a role in constructing it. In this study using latent variable model to determine simultaneous effect of factors associated with blood glucose and cholesterol is done in heart patients of khorramabad.Materials & Methods: In this cross-sectional study, 251 patients who admitted in Specialize ward of cardiovascular in Shahid Madani hospital of Khorramabad in 2011 were used. Information from medical records, history and arrival tests were recorded. For identification of simultaneous risk factors associated with total cholesterol and fasting blood glucose of patients, the latent variable model with dichotomous and continuous responses was used. To analyze the data SAS software, version 9 was used.Finding: Results showed that factors effecting total cholesterol are systolic blood pressure (P=0.026), diastolic blood pressure (P=0.001), triglycerides (P=0.001), CRP (C - reactive protein) (P=0.015) and ESR (Erythrocyte Sedimentation Rate) (P=0.033). Also factors affecting blood glucose are age (P=0.001), smoking (P=0.031) and triglyceride (P=0.003).Conclusions: Results from this study show that controlling factors such as triglycerides, blood pressure and smoking can prevent the progression of atherosclerosis. Considering the importance of cardiovascular disease and its associated risk factors, it is essential that further studies will be carry out.

Introduction: The assessment of personal and occupational factors and the association with job stress in the work environment is one of the main strategies for improving occupational health of nursing staff. This study aims to determine the correlation of workload and work ability with job stress in nursing staff.Materials & Methods: This descriptive- correlational study was carried out on190 nursing staff in an educational hospital in Qom city, using stratified sampling among three levels of nursing staff including registered nurses, operating room technicians and auxiliary nurses. The data related to variables; workload, workability and job stress were collected by three instruments “National Aeronautics and Space Administration Task Load Index” (NASA Task Load), “Work Ability Index”, and “Osipow Job Stress”, respectively. Then the completed questionnaires were analyzed using SPSS/19.Findings: There was a significant difference between job stress and workload and workability with employment status (P>0.05). Most of nursing staff reported a high workload (54.2%), good workability (52.6%), and normal job stress (84%). There was not significant relationship between workload and job stress but a negative significant statistics relationship between workability and job stress was observed (P<0.01) (r=-0.507).Conclusion: The results showed that in spite of the high workload, the participant reported normal job stress level which might has been decreased by their good work ability. Therefore, to improve nursing job situation, assessment and enhancement of work ability and personal characteristics of nursing staff is recommended.

Introduction: Needle stick is the most dangerous occupational injury that threats health care worker especially nurses. The aim of this study was to determine needle stick injuries, risk factors, reporting status and vaccination in previous studies.Materials & Methods: In this systematic review, all Persian and English full text papers published (since January 2000-2014) related to needle stick in nurses and health care workers were considered. These studies were obtained from SID, Magiran, Nindex and IranMedex, Science Direct, CINAHL, Proquset Nursing, Scopus, PubMed, Google Scholar by using these terms: nurse, needle stick, sharp injury, percutaneous injury, exposure and occupational injury. Finally, 72 papers were included in this study.Findings: From 72 articles reviewed, 46 papers were published in international journals (63.8%) and 26 in domestic journals (36.2%). In 25 articles (34.7% of articles) needle was the most common cause of injury. Most injuries were reported in hands. Injury reporting status was the most important finding that was referred in 31 articles (43% of articles). 34 articles (47.2% of articles) were referred to vaccination coverage in population under study.Conclusion: Although needle stick injuries in nurses and other health-care providers are common; most of them are reluctant to injuries report and vaccination. The combination of two factors: the under-reporting and incomplete vaccination will lead to aggravation of injuries. Therefore, it is recommended to prevent needle stick, which will be considered as safety to the environment, completion to the vaccination coverage and establishment of reporting system.

Introduction: Surgical complications are leading cause of death and disability in the worldwide. Considering the importance of patient safety and related audit criteria, this study aimed to audit standards of surgery in the operating room of selected hospital of Shahid Beheshti University of Medical Sciences in 2014.Methods: In this descriptive study, research environment was public and heart-plastic surgery room in selected hospital of Shahid Beheshti University of Medical Sciences. The study samples consisted of 100 randomly selected surgical. Data was collected with WHO surgical safety checklist in the operating room. Validity and reliability of study tool determined with content and face validity and Inter- rater coefficient respectively. Data analyzed with SPSS/16.Result: 73.6% of the standards of safe surgical will be respected in the operating room of selected hospital of Shahid Beheshti University of Medical Sciences. 74.72% of surgical safety standards in before anesthesia, 64.81% after unconscious and before the incision and 73.6% after the wound closure until the patient out of the operating room will be respected.Conclusion: Since the criteria of safe surgery is below the standards suggested by World Health Organization, hospital managers, supervisors, and operation room heads are supposed to patient safety as a serious issue that must be improved.

Introduction: Nurses are a key component of the health care systems and have the ability to provide creative solutions to improve quality and safety of patients while improving workplace conditions. This study aimed to explore nurses’ creativity consequences in clinical settings.Material & Methods: This qualitative study was conducted by qualitative conventional content analysis approach. Data collected through semi- structured interviews with 16 nurses who selected by purposive sampling and were provided novel and useful ideas in educational hospitals affiliated to Tehran and Jahrom universities of medical sciences. All the interviews were tape-recorded, transcribed verbatim, and finally analyzed by qualitative content analysis method. Rigor was approved by member check and external control.Findings: Five categories emerged from the data analysis, including: (a) work simplification, (b) quality improvement, (c) organizational development, and (d)creativity rewards, and (e) reducing financial burden.Conclusion: The results indicated that nurses’ creativity and innovation in clinical settings leads to simplification of nursing care increase the quality of care in patients, nurses and other health care team members, promotion of health agencies, positive emotions and reducing the financial burden. Accordingly, nurse managers and policy makers need to create nurturing climate as well as supporting innovative and creative behaviors of employees.

Introduction: Leadership style can effect on nurses’ retention, job stress, job satisfaction and quality of work life. However, studies have shown different findings. This study aimed to determine the correlation of head nurses’ leadership style from nurses’ perspective and nurses’ job stress.Materials and Method: This method of this study was descriptive-correlational. In this study, 120 nurses working in hospitals affiliated with Alborz University of Medical Sciences by random sampling were selected. For data collection the “Multifactor Leadership Questionnaire”, and “Health and Safety Executive Questionnaire” were used. Later face and content validity and internal reliability were measured. Data were analyzed by SPSS/20.Findings: Dominant head nurses’ leadership style from 52% nurses’ perspective was transactional leadership style and job stress of 73% nurses was low. The results showed that nurses’ job stress in transformational and transactional leadership style from nurses’ perspective was low. Transformational leadership style with job stress (r=-0.35, P<0.001) and transactional leadership style with job stress had a significant negative correlation (r=-0.32, P<0.001).Conclusion: Concerning the negative relationship between transactional and transformational leadership style with job stress, appropriate leadership styles of nurse managers could result in reduction of stress. It is recommended that nurse managers use transformational and transactional leadership styles. Managers also need to reduce stress-causing situations.

Introduction: Nurses more than other occupational groups are exposed to violence in the workplace. Their attitude to manage their exposure to violence in the workplace violence is effective. This study aimed to determine the effect of workplace violence prevention program on attitudes of nurses towards the management of violence and aggression in patients and their families.Materials & Methods: This study is a quasi-experimental pre-posttest one group study carried out on 65 nurses working in emergency department of Edalatian Imam Reza hospital in Mashhad. Intervention contain three-day seminar for continuing education. Data was collected by "Prevention of Violence in Emergency Department" (MAVAS) where lower scores indicating a positive attitude. Validity of the study scale measured with content validity and reliability with alpha coefficient was confirmed. Data analyzed with SPSS/16.Findings: The average scores of attitude to the management of violence was 30.69±4.41 before the intervention and increased to 29.00±4.41 after the intervention (P=0.021). But of external factors, internal, position, these changes were not significant.Conclusion: Education can improve Attitude to violence in the management dimensions. Further studies are needed to implement educational interventions with different content and methods, the effectiveness of educational programs in this regard to consider.