The Effect of Participatory Teaching of Positive Thinking Skills on Nurses Communication Skills in the Emergency Department of a Teaching Hospital

Background & Objectives: Correct relationship between nurses and patients will improve the therapeutic outcomes and improve the patient's recovery process. One of the most important items in improving communication skills, as an essential part of providing nursing services, is the attitude and feedback of nurse to various phenomena and to create the necessary internal preparation for making positive changes in cognitive domain. This study aimed to investigate the effect of participatory teaching of positive thinking skills on communication skills of nurses in the emergency department of a selected hospital in Kerman city. Methods: This analytical study was an interventional study and it was conducted on 60 nurses at the selected educational hospital divided into the two groups of experimental and Control. Queendom Communication Skills Questionnaire was used for data collection. The experimental group received positive thinking skills education during 9 sessions. Independent t-test, ANOVA and single-variable covariance analysis test were used for data analysis. Data were entered into SPSS version 22. Results: Mean of total score of communication skills increased in the experimental group. Based on the post-test results, there was a significant improvement in the mean scores of listening skills, the ability to receive and send messages, emotional control, connection with decisiveness and insight into the communication process of nurses based on their group (P <0.05). Conclusion: Considering the effectiveness of teaching positive thinking skills in increasing nurses' communication skills, it is recommended to provide training for these skills from the beginning of nursing students’ education. Key¬words: Participatory Education, Positive Thinking Skills, Communication Skills, Nurses, Emergency Department, Teaching Hospital Citation: Salehi S, Hashemi F, Avaznejad N, Karami Robati F. The Effect of Participatory Teaching of Positive Thinking Skills on Nurses Communication Skills in the Emergency Department of a Teaching Hospital. Journal of Health Based Research 2018; 4(1): 63-76

Medical Specialty Choice and Effective Factors: A Cross-Sectional Survey of Last-Year Medical Students

Background: Choosing a medical specialty is an important choice for medical students and the healthcare system.Objectives: This study aimed to investigate the interest of last-year medical students in choosing a future medical specialty and determine effective factors in it.Methods: A descriptive cross-sectional study of 201 medical students was performed in Iran in 2019. All medical students who completed the internship period by the end of September 2020 were selected by census method. A questionnaire was applied, the validity and reliability of which had already been registered in the Statistics Center of Afzalipour Hospital, Kerman, Iran. Data analysis was performed using descriptive methods, including frequency, percentage, mean, and standard deviation, and SPSS software (version 20). A significance level of P < 0.05 was considered statistically significant.Results: About 98% of students intended to choose a future medical specialty. The highest number of interested students were female (66%) and single (83.2%), with a mean age of 26.69 ± 12.22 years. The parents’ educational level of most students interested in continuing education was a bachelor’s degree or lower (52.3%). “Achieving a better economic position” (91.4%) was the most important factor for choosing a specialty. Most participants were interested in ophthalmology (18.2%). The factors “specific working hours” and “easy residency period” were indicated most frequently as effects on the preference for ophthalmology.Conclusion: The present findings provide significant insight into creating strategies to attract a number of medical students in other specialties based on the needs of the Iranian healthcare system

Evaluation of the Quality of Hospital Services from Patients' Perspective Based on SERVQUAL Model in a Selected Teaching Hospital in Kerman: A Case Study

Background & Objectives: Evaluation of the quality of hospitals services is very valuable. The results of evaluations can be useful to healthcare providers and patients by identifying the gap between the current and the desired status. SERVQUAL model is one of the methods for assessing the quality of health care services. This study aimed to evaluate the quality of services in a selected teaching hospital in Kerman city, from the perspective of patients. Methods: This descriptive-analytic study was conducted in a cross-sectional manner from October to March 2017 in a selected teaching hospital in Kerman. The study population included 83 patients with a history of hospitalization who were selected using convenience sampling. Data were collected using a SERVQUAL model. Data were analyzed using Pearson's correlation, independent t-test, and ANOVA by SPSS version 22. Results: The average age of patients was 43.78±12.43 years. The quality of hospital services was improved compared to previous years. The highest and the lowest mean were related to "Tangibles" (4.04±0.58) and "Empathy" (3.84±0.46), respectively. There was a significant relationship between service quality and gender (P=0.01) and educational level (P<0.001). Conclusion: Healthcare managers should use the results of such studies to plan and allocate optimal hospital resources and increase the quality of their services. Should improve the level of patients' satisfaction by directing resources towards areas affecting patients' perception and experience. Key¬words: Quality of services, Teaching Hospital, Patients, SERVQUAL questionnaire Citation: Hashemi F, Avaznejad N, Mehdipour M, Karami Robati F. Evaluation of the Quality of Hospital Services from Patients' Perspective Based on SERVQUAL Model in a Selected Teaching Hospital in Kerman: A Case Study. Journal of Health Based Research 2018; 4(2): 147-57. [In Persian

A comparison of neonatal outcomes after taking progesterone pills and progesterone intramuscular injections in preterm labor: An RCT

Abstract Background: Approximately two-thirds of infant mortality within the first year of life are caused by preterm labor (PL). Objective: This study aimed to investigate the effects of progesterone-based compounds to prevent PL. Materials and Methods: This randomized clinical trial study was conducted on 146 pregnant women admitted to Department of Obstetrics and Gynecology, Afzalipour hospital in Kerman University of Medical Sciences, Kerman, Iran in June 2019. The participants with PL received Tocolytic and 12 mg Betamethasone in 2 doses over 2 days to mature the fetus's lungs. Stopping PL was considered a 12-hr period without any contractions after finishing the Tocolytic. Following the successful cessation of PL, the participants were monitored for 48 hr. Subsequently, the participants were divided into 2 groups. Participants received 200 mg Lutogel capsules orally per day in group A while group B received a weekly dose of 250 mg Proluton in the form of intramuscular injection, respectively. Treatment in groups continued until the 36 th wk of delivery. The participants were followed-up weekly, and if any signs of PL were detected, an obstetrician carried out a vaginal examination. Results: The incidence of PL was the same in both groups. There was no significant difference in the latent phase, average birth weight, and the neonatal intensive care unit admission frequency (p = 0.07, 0.17, 0.58, respectively) between groups. Conclusion: No difference in the results obtained from theneonataloutcomes evaluated in groups. Both medications similarly led to recovering pregnancy and neonatal outcomes caused by PL. Applying the oral form with similar beneficial effects were pointed out in this study, which can be a solution to the issues caused by numerous injections that are inevitable in the injected administration of this medicine

Prevalence of psychological symptoms in low and high-risk pregnant women: A cross-sectional study

Background: Common psychological disorders during pregnancy can have obvious harmful effects on both mother and fetus. Objective: This study aimed to investigate the prevalence of psychological symptoms in low and high-risk pregnant women. Materials and Methods: This cross-sectional study was conducted on 400 low-risk and high-risk pregnant women in Afzalipour hospital, Kerman, Iran from December 2017–2018. Participants were selected by census method, and the data collection tool was a 90-item questionnaire named Symptom Checklist-90. Results: The mean age of pregnant women was 29.1 ± 6.8 yr. 7.6% had gestational diabetes mellitus, 5.9% had pregnancy hypertension, 6.6% had a history of in vitro fertilization, and 17.5% had a history of one miscarriage. 61.2 and 65.5% of high-risk women had depression and anxiety, respectively. A significant difference was observed between low-risk and high-risk women in terms of depression (p = 0.019), anxiety (p = 0.049), and aggression (p = 0.013), and the frequency of these variables was higher in high-risk women than in low-risk women. Conclusion: According to age, education, and gestational period, the differences between 2 groups (low-risk and high-risk) were significant. Compared with low-risk women, high-risk pregnant women reported a higher prevalence of psychological symptoms in 10 factors. High-risk pregnant women had a significantly higher prevalence of somatization symptoms, obsessive-compulsive symptoms, depression symptoms, anxiety symptoms, hostility symptoms, and paranoid ideation than low-risk women. Therefore, educational programs during pregnancy for high-risk women can be useful