Factors affecting the quality of work-life of nurses: a correlational study

Background Quality of work-life is an important factor in the recruitment and retention of the nursing workforce and their work productivity. Aims This study aimed to identify factors that affect the quality of work-life of nurses. Methods In this correlational study, 239 nurses employed in a tertiary teaching hospital in Iran completed the study questionnaires, including the quality of work-life questionnaire. The associations between potential independent variables and quality of work-life were examined using multivariate regression analysis. Results Participants were mostly women (80.33%) and within the age range of 30–45 years (71.54%). Working in other hospitals, having a second job and health information-seeking behaviours were significant predictors of quality of work-life, explaining 28.68% of the total variance in quality of work-life of nurses. Conclusions Improving working standards may prevent nurses from working extra hours or in different occupations. This, along with facilitating the health information-seeking behaviours of nurses, may help improve their quality of work-life by maintaining a better work-life balance and acquiring knowledge and skills that can help with effective management of work and life commitments. </jats:sec

The Effects of Hope Promoting Interventions on Cancer Patients. A Case Study in Sanandaj, Iran, in 2007

Introduction & Objective: Cancer occurs when cells divide uncontrollably. These abnormal cells can invade nearby tissues or travel to distant sites by entering the bloodstream or the lymphatic system. Cancer Incidence rate in the last 50 years has been constantly increased. Hope is a significant factor and essential element in cancer disease treatment that has many effects on compatibility with conditions, especially in suffering and disappointing period's. Hope has a significant role in increasing the quality of life and effects different stages of the disease. The aim of this study was to increase and promote the hope factor in cancer patients. Materials & Methods: This is a controlled randomized trial study which was carried out at the chemotherapy section at Qods Hospital in Sanandaj, Iran, in 2007 on 50 cancer patients. The HHI questionnaire was used and completed both before and after the intervention on both the case and control groups (each group consisted of 25 patients). The Hope promoting intervention for patients in the case group was a face-to-face method and was individually conducted by the PBL method. Results: There was no significant difference between the case and control group before the hope intervention promotion (p=0.78). Significant difference was found after promoting the hope intervention in the mean score of both groups (p<0.008). Mean score of the case group increased by 4.32 after the intervention. Significant difference was found between the hope mean score in the case group, before and after the intervention (p< 0.000). Conclusion: The hope promoting interventions were effective in increasing hope in cancer patients. So, for cancer patients, increasing the quality of life, giving educational services, and hope promoting programs are needed, which should b accomplished by suitable methods, for instance, PBL or by patients active participation in the programming process

Determining the educational effectiveness on the women health volunteers’ empowerment and its influential factors of the West of Tehran Health Center- 1388

Background and aims     Considering the central role of staff empowerment on the health programs also importance of the health volunteers as a bridge between to community health care system; increasing of these volunteers competence in order to promote public health is more important. So, this research has on the aim of determining the educational effectiveness on the women health volunteers’ empowerment and its influential factors of the West of Tehran Health Center.     Material and Methods   This research was a qui-experimental case control study with pre-post test. The population of the study was all the women health volunteers in the West of Tehran Health Center on 20 10 . One hundred health volunteers as an experimental and control group were randomly selected. This one hundred was divided on two 50 as experimental and control group.   The information was gathered via the questionnaire including demographic information and women health volunteers’ empowerment questions, before and 1/5 month after of the educational intervention. (Via role playing, demonstration, discussion and lectures) SPSS was used for analysis of data and Mann-Whitney, correlation coefficient and chi square test were applied for analysis.   Results   The results indicated a significant correlation between age and self-confidence (r =0/259) and problem solving skills (r =0/269, p<0/01). Also after intervention a significant increasing was seen in self-confidence (p = 0/02), self-esteem and control (p = 0/003), self-efficiency (p = 0/014) and problem solving skills (p < 0/0001) indexes of the experimental group. Conclusion   Generally, the results of this study indicate that education is influence on empowerment of the population studied and considering the importance of empowerment on health promotion, it is recommended to pay more attention to empowerment.    

Effect of educational program based on PRECED model on quality of life in patients with typeII diabetes

Background and Objective: The Problems caused by diabetes have direct and indirect impacts on quality of life of diabetic patients. By increasing of these problems quality of life of patients will decrease. This study was done to assess the effect of the educational program based on PRECEED (predisposing reinforcing enabeling causes educational diagnosis evaluation) model in promoting quality of life of patients with typeII diabetes. Materials and Methods: This pre- and post-intervention quasi-experimental study was conducted on 78 patients with type 2 diabetes referred to diabetes clinic in Minoodasht located in Golestan province of Northern Iran. The educational program based on PRCEDE Model and patients educational needs was designed. The data were collected using two questionnaires. life-quality WHOQOL- BREF questionnaire and PRCEDE Model-based educational questionnaire. The subjects were followed for one month after intervention to identify the role of educational intervention on patients. The data was analyzed by using SPSS-16 and Paired t-test. Results: After the intervention, the mean score of quality of life increased from 80.39±11.35 to 81.35±8.31. No significant difference was existed in the total score of quality of life after intervention but there were significant differences in the physical health (P<0.05), self-evaluation of quality of life of patients (P<0.01) and self-assessment of health of patients after educational intervention. Conclusion: This study showed that the educational program based on PRECEDE model was effective in improving quality of life of patients with regard to physical health and self-assessment of their health status

The Study of Implement of HCS Program at Hazardous Chemicals Knowledge and Safety performance in Tehran refinery, s laboratory unit

Background and aims   The HCS standard includes listing of chemicals, labeling of chemical  containers, preparation of material safety data sheets, writing plan and employee training  programs. The aim of this study was to determine the influence of implemented program to enhance the knowledge and safety performance level of employees.   Methods  &nbsp;The knowledge level and unsafe act ratio were measured using both questionnaire  and behavior checklist (with safety sampling method) before and after enforcing this interface.   Results   In this study, the mean and standard deviation of the knowledge level of employees  related to chemical safety before enforcing the interface was 46% and 14%. However, after  enforcing the interface, mean and standard deviation was 88% and 12%. The paired-t-test result   in this parameter was significant (p-value <0.0001). The mean and standard deviation of  knowledge level of employees related to warning labels before to enforcing the interface was 29%  and 22%. After enforcing the interface, mean and standard deviation was 80% and 16%. The paired-t-test result in this parameter was significant (p-value <0.0001). The mean and standard  deviation of the knowledge level of employees related to hazard communication methods before enforcing the interface was 25% and 11%. After enforcing the interface, mean and standard deviation was 79% and 16%. The paired-t-test result in this parameter was significant (p-value   <0.001).   Conclusion   The obtained result revealed that enhancement of the knowledge related to chemical safety, hazard communication methods and warning labels was significant. Statistical paired-t-test and control chart methods was used to comparison between unsafe act ratio before  and after enforcing the interface. The mean and standard deviation of unsafe act ratio before implementation of HCS program was 23.6% and 5.49%. However, mean and standard deviation of unsafe act ratio after implementation of HCS program was 18.1% and 6.18%. Therefore, after  implementation of HCS program unsafe act ratio decreased (5.45%) significantly (p-value   <0.0001). This result implies that chemical safety performance of employees was increased

Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial

Fatemeh Estebsari,1 Maryam Dastoorpoor,2 Davoud Mostafaei,3 Narges Khanjani,4 Zahra Rahimi Khalifehkandi,5 Abbas Rahimi Foroushani,6 Hamidreza Aghababaeian,7 Mohammad Hossein Taghdisi8 1Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, 2Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, 3Department of Nursing Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, 4Neurology Research Center, Kerman University of Medical Sciences, Kerman, 5Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, 6Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, 7Nursing and Emergency Department, Dezful University of Medical Sciences, Dezful, 8Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran Background: Older adults are more vulnerable to health risks than younger people and may get exposed to various dangers, including elder abuse. This study aimed to design and implement an empowerment educational intervention to prevent elder abuse.Methods: This parallel randomized controlled trial was conducted in 2014&ndash;2016 for 18 months on 464 older adults aged above 60 years who visited health houses of 22 municipalities in Tehran. Data were collected using standard questionnaires, including the Elder Abuse-Knowledge Questionnaire, Health-Promoting Behavior Questionnaire, Health-Promoting Lifestyle Profile II, Barriers to Healthy Lifestyle, Perceived Social Support, Perceived Self-Efficacy, Loneliness Scale, Geriatric Depression Scale, Multidimensional Health Locus of Control Scale, and the SCARED (stress, coping, argument, resources, events, and dependence) tool. The intervention was done in twenty 45- to 60-minute training sessions over 6 months. Data analysis were performed using &chi;2 tests, multiple linear and logistic regression, and structural equation modeling (SEM).Results: The frequency of knowledge of elder abuse, self-efficacy, social support and health promoting lifestyle before the intervention was similar in the two groups. However, the frequency of high knowledge of elder abuse (94.8% in the intervention group and 46.6% in the control group), high self-efficacy (82.8% and 7.8%, respectively), high social support (97.0% and 10.3%, respectively) and high health promoting lifestyle (97.0% and 10.3%, respectively) was significantly higher (P&lt;0.001) and the frequency of elder abuse risk (28.0% and 49.6%, respectively) was significantly less in the intervention group after the intervention. SEM standardized beta (S&beta;) showed that the intervention had the highest impact on increase social support (S&beta;=0.80, &beta;=48.64, SE=1.70, P&lt;0.05), self-efficacy (S&beta;=0.76, &beta;=13.32, SE=0.52, P&lt;0.05) and health promoting behaviors (S&beta;=0.48, &beta;=33.08, SE=2.26, P&lt;0.05), respectively. The effect of the intervention on decrease of elder abuse risk was indirect and significant (S&beta;=-0.406, &beta;=-0.340, SE=0.03, P&lt;0.05), and through social support, self-efficacy, and health promoting behaviors.Conclusion: Educational interventions can be effective in preventing elder abuse. Keywords: elder abuse, self-efficacy, social support, health promotion, health educatio