The relationship between hemodialysis patients’ treatment adherence, procrastination, and difficulty in emotion regulation: A cross-sectional study in southeast Iran

BackgroundEnd-stage renal disease is a life-threatening condition in which patients require dialysis or kidney transplant. These patients must adhere to the treatment regimen because treatment non-adherence affects their quality of life and health. We conducted this study to predict hemodialysis patients’ treatment adherence based on procrastination and difficulty in emotion regulation.Materials and methodsWe conducted this descriptive correlational study on 218 hemodialysis patients with chronic kidney disease. We used purposive sampling to select participants from six dialysis centers in Kerman, Sirjan, and Rafsanjan. The measuring tools included the end-stage renal disease adherence questionnaire, general procrastination scale, decisional procrastination scale, and difficulty in emotion regulation scale. We used the correlation coefficient, regression analysis, and SPSS18 to analyze data.ResultsOur study indicated that among the dimensions of treatment adherence, medication use had a significant, weak, and inverse relationship with general and decisional procrastination. We also found a significant, weak, and inverse relationship between attendance and general procrastination (p < 0.05 and p < 0.01). But there is no significant relationship between treatment adherence, general procrastination, and decisional procrastination (p > 0.05). Multivariate regression analysis revealed a relationship between age, the cause of kidney failure, and treatment adherence (p = 0.01 and p = 0.02).ConclusionTreatment non-adherence causes problems and complications in hemodialysis Patients, and disrupts their course of treatment. Therefore, it is necessary to identify the factors influencing non-adherence of patients undergoing hemodialysis and improve their treatment adherence, and thus their quality of life

Work-life balance in nurses working in hospital: a model with the mediating role of emotional intelligence

Background: The aim of this study was to investigate the balance of work and life with the role of mediation of emotional intelligence in nurses working in hospitals in Kerman University of Medical Sciences. Methods: This study was a descriptive and correlational research. The method of data collection was a combination of library and field studies and the tools of data collection were a review of documents, interviews and researcher-made questionnaires, including work-life balance factors and emotional intelligence questionnaire. The population included all 2740 nurses, who were working in hospitals of Kerman University of Medical Sciences. 508 people were selected by using a stratified sampling method, SPSS-23 and AMOS-24 software was used to analyze the data. Results: The research results showed a significant relationship between work-life balance factors and emotional intelligence. It showed that by improving the implementation of work-life balance factors, the conditions for increasing emotional intelligence are provided. Based on the coefficient of determination (R2), 51% of the changes in emotional intelligence were explained by factors related to work-life balance. The rate of direct effect was estimated to be 0.714 and the rate of indirect effect through emotional intelligence was estimated to be 0.333. Conclusion: The organization should help nurses to achieve the necessary capability and conditions, facilities, and welfare so that the nurses could work in an environment in which a balance between work and family responsibilities is established

Challenges and Strengths of Fourth-Generation Accreditation Standards from the Perspective of Nurses at Afzalipour Hospital in Kerman: A Qualitative Study

Background: Accreditation is a team effort to improve service quality. Nurses, as key members of the care team, play an important role in implementing accreditation standards. This study aimed to explain the challenges and strengths of the implementation of fourth-generation accreditation from the perspective of nurses. Methods: The present study was a qualitative one conducted using content analysis. The research population included nurses of Afzalipour hospital in Kerman, Iran. Using purposive and snowball sampling, 5 nurses, 5 head nurses, and 3 supervisors were selected for accreditation. The data were collected through semi-structured interviews. The interviews were transcribed, coded, categorized, and analyzed separately. Then, using content analysis, the data obtained from the interviews were reduced and given a structure and system. Data analysis was performed using MAXQDA software (version 10). Results: The most important challenges in this study were increasing nurses’ workload and working pressure and weakening nurses’ relationship with the patient. Moreover, there was no adequate infrastructure to implement accreditation. The strengths of implementing accreditation standards included increasing nurses’ awareness, improving reporting and documentation, increasing patient safety, and improving organizational processes. Conclusion: The results of this study emphasized the need to implement accreditation standards to integrate working methods and improve the quality of services and patient safety. Solving the existing challenges is a way to ensure the quality and continuous improvement of nursing services. In general, the results of this study provide useful information to policy makers and senior managers of the health system to reform the structure of hospital accreditation

Satisfaction of patients presenting to health insurance offices: using data mining method

Background: The quality of healthcare services can be determined by patient satisfaction as it affects the performance, sustainability, and durability of health services. The aim of this study was to analyze the satisfaction of patients presenting to health insurance offices by using the data mining method. Method: A cross-sectional study was conducted on those who referred to the offices of the Health Insurance Organization (e.g., Kerman, Sistan and Baluchestan, Hormozgan and Yazd provinces) who were selected by non-random cluster sampling. A researcher-made questionnaire consisting of 79 items was used for data collection. Face and content validity of 0.86% was obtained using the views of five academic experts. Cronbach's alpha coefficient of the questionnaire was 0.966. Data were analyzed by SPSS-18 software. Results: The studied variables regarding quality service indicators included speeding up the administration of affairs, non-discrimination between clients, empathy with clients, keeping clients' secrets, politeness and kindness, paying attention to the needs and wishes of clients. Access to information, raising awareness, payment of compensation, attention to the rights of the disabled, rule of law and clarification of matters and criticisms were in a favorable condition, and service quality is the only unfavorable indicator in health insurance offices. Conclusion: Governments are required to respect people's rights regardless of skin color, race, religion, gender, and in the present study, the satisfaction of clients with the performance of insurance service offices was evident

Mediating role of organizational partnership and hospital staff management in improving hospital performance and staff satisfaction

Background: The circumstances of employment are determined by a variety of elements in today's world. The present study investigated the mediating role of organizational partnership and hospital staff management in improving hospital performance and staff satisfaction. Methods: This study was applied, descriptive-correlation. The statistical population included all employees of hospitals in Bushehr province. Using stratified random sampling, 384 participants were chosen as the sample size based on Morgan's table. Organizational development was assessed using the 36-question questionnaire developed by Avolio, Gardner, and Valium, while organizational participation was assessed using the Hosseininoveh questionnaire. 30 elite individuals' opinions were sought after in order to verify and examine the face and content validity of the surveys. Over 0.70 indicates acceptable reliability, according to Cronbach's alpha coefficient. Data analysis tools included SPSS 23 and the Sobel test. Results: According to the findings, there is a link between organizational development in public organizations and internalized ethical perspective, idealized influence, and intellectual stimulation through organizational collaboration. Conclusion: Labor productivity is one of the most significant factors in economic policymaking. According to the studies and the trust of experts, one can expect productivity in other production factors when the factors affecting organizational development are first known.

The Effectiveness of the Training of Positivism on Increasing Happiness and Hardiness among the Blind Children's Mothers

The aim of this research was to survey the effectiveness of positivism group training program on in creasing happiness and hardiness among mothers of blind children. The research method was semi-experimental one, based on pretest - posttest with control group. Statistical population included all the mothers who had a blind childin the city of Tehran. These children were studying in blinds schools of Tehran. The sample included 30 mothers of fore mentioned population. These mothers were selected according topurposeful sampling method and they were randomly assigned into two groups (15 in experimental group and 15 in control group). The experimental group was taught positivism in 10 sessions. The subjects in experimental and control group were assessed in 2 stages (pretest and posttest) by happinessandhardiness questionnaire. The achieved data were analyzed by the covariance analytical statistic method. The research results showed that positivism group training program was effective on increasing happinessandhardiness among mothers who had a blind child (P≤0.05). The people with more hardiness have higher levels of happiness

angizesh

مدارس و معلمان نقشی فرهنگی در رشد و توسعه علمی دانش آموزان و کسب پیشرفت های آموزشی آن ها بر عهدهدارند. از آن جمله می توان به انگیزش اشاره کرد که به صورت تمایل ذاتی و درونی برای رفتار و یادگیری است و توسطمحیط پیرامون تشویق و حمایت م یشود و یا بالعکس بر اثر بی توجهی، تضعیف م یگردد در پی آن عملکرد یا علاقهبه ادامه یا ترک تحصیل رخ می دهد. از این رو هدف پژوهش حاضر بررسی نقش واسطه ای انگیزش خود تعیین گری وعملکرد تحصیلی در رابطه ارتباط معلم – دانش آموز و تصمیم به ادامه یا ترک تحصیل است. روش پژوهش حاضر از نوعهمبستگی و جامعه آماری شامل کلیه دانش آموزان دختر و پسر پایه ی سوم راهنمایی و اول دبیرستان مناطق شهریشهرستان شهرکرد بود که در سال تحصیلی 93 - 1392 مشغول به تحصیل بودند. نمونه این پژوهش 400 نفر بودند کهبه روش خوشه ای چند مرحله ای انتخاب شدند.ابزار پژوهش عبارت بود از پرسشنامه خود تنظیمی تحصیلی ) ،)ASRQمقیاس سنجش عملکرد تحصیلی مورد انتظار) AP (، پرسشنامه) QTI (، مقیاس ترک تحصیل الرند و همکاران) 1997 ( وپرسش نامه خود گزارشی از ترک تحصیل. یافته های پژوهش نشان داد که انگیزش خود تعیین گری و عملکرد تحصیلیمی تواند در رابطه بین ارتباط معلم – دانش آموز و تصمیم به ادامه و ترک تحصیل نقش واسطه ای داشته باشد) 01/0   نتایج نشان داد که با بهبود روابط معلم دانش آموز ضمن افزایش انگیزش و بهبود عملکرد دانش آموز می توان تصمیم بهترک تحصیل را در دان شآموزان کاهش داد

Developing management principles in health centers based on citizenship rights

Background: Given the importance of citizenship rights and the emphasis of Islamic culture on values of special interest, the purpose of this study is to develop management principles in health centers based on citizenship rights. Methods: The research was descriptive-correlative. The statistical population consisted of all clients presenting to the Health Insurance Organization southeast of Iran in 2020 as the sample size was 384 people using Cochran's formula with the samples selected via random clustering method. Tools to collect data included a 174-item inventory on citizenship rights and development of Islamic culture-based management principles in health centers, suggesting the validity of 0.915 and reliability of 0.967, respectively. Structural equation modeling was used to analyze the data using AMOS22 software. Results: The components of the right (life, dignity, equality, security and freedom) had a good and significant load factor of less than 0.05. Considering the values of the fit indices of the final model and the limit of acceptable values mentioned, it can be said that the model presented in this research was acceptable. The regression coefficients of the model showed that the mentioned variables well explain the citizenship rights in the service organizations according to the Islamic culture in the health insurance organization. Conclusion: Freedom of expression allows citizens to have the right to access their thoughts and ideas in a variety of ways. Freedom of the press, media, speech, and association are examples of citizenship rights