Introduction: Integration in the health system has many benefits for patients, providers, and the... more Introduction: Integration in the health system has many benefits for patients, providers, and the system itself. This research was conducted to determine the functional and informational variables affecting the integration of Iranian health system in period of years 2017-18. Methods: The present exploratory study was conducted in two phases. In the first phase, factors affecting health system integration were extracted from the literature as well as from interviews with experts in healthcare administration. In the second phase, data from the first phase were integrated, and a model of health system integration was designed resulting in a researcher-made questionnaire. The model was validated through qualitative (i.e., expert opinion), and quantitative (i.e., exploratory and confirmatory factor analysis) approaches. The data were collected from 506 specialists in hospitals in 5 provinces of Iran. Exploratory and confirmatory factor analysis was used to analyze the data. Results: Acco...
Background & Aims: Child illness and hospitalization is considered as one of the main sources of ... more Background & Aims: Child illness and hospitalization is considered as one of the main sources of stress and anxiety for family. Parents should have the peace of spirit to provide adequate care and protection of children. This study investigates the fears and needs of mothers during their child hospitalization and their received nursing support. Material & Methods: It was a descriptive, cross-sectional study. One hundred of mothers of children who were hospitalized at least for 24 hours in a pediatric ward in Mahabad city were recruited by random sampling. The mothers’ fears were assessed by a researchermade questionnaire. parental needs were assessed by “parents’ needs of hospitalized children” questionnaire. Data related to nursing support of mothers were collected by the Nurse Parent Support Tool (NPST). SPSS-PC (v.11.5) was used for data analysis. Results: Environmental factors and lack of pre-hospitalization programs were ranked as the most and least stress provoking factors by ...
زمینه و هدف: خودمراقبتی یکی از مهمترین ارکان زندگی و موفقیت در درمان بیماران مبتلابه نارسایی قلب... more زمینه و هدف: خودمراقبتی یکی از مهمترین ارکان زندگی و موفقیت در درمان بیماران مبتلابه نارسایی قلبی محسوب میگردد، از سوی دیگر، اولین گام و مؤثرترین عامل بر خودمراقبتی، سواد سلامت میباشد بنابراین هدف از تحقیق حاضر، بررسی رابطه و سطح سواد سلامت با توان خودمراقبتی در بیماران مبتلابه نارسایی قلبی میباشد. مواد و روشها: پژوهش حاضر با رویکردی توصیفی-همبستگی در بین 105 بیمار مبتلابه نارسایی قلبی مراجعهکننده به بیمارستان امام مهاباد در سال ۹۵-۱۳۹۴ که بهصورت تصادفی ساده انتخاب شدند، انجام گردید. دادهها بهوسیله دو پرسشنامه استاندارد خودمراقبتی در بیماران نارسایی قلبی (SCHFI V6.2) و سواد سلامت ایرانیان (HELIA) گردآوری شدند. اطلاعات بهوسیله نرمافزار SPSS و آزمونهای پیرسون، رگرسیون خطی، Chi square تجزیهوتحلیل شدند. یافتهها: میانگین سنی شرکتکنندگان 12/81±60/74 سال بود. سطوح سواد سلامت با توجه به پرسشنامه HELIA، 61/9درصد در سطح متوسط، 28/6درصد ناکافی و 6/5درصد مطلوب بود. در حیطه خودمراقبتی به ترتیب، زیرمقیاس حفظ خودمراقبتی با میانگین 5/24±21/37، اعتماد به خود در زمینه خودمراقبتی با 3/7...
Journal of Gorgan University of Medical Sciences, 2009
Bayaneh Seidamini (MSc) *, Azar Moradi (MSc) 2 Ayyoub Malek (MD) , Mehrangiz Ebrahimi Mamaghani (... more Bayaneh Seidamini (MSc) *, Azar Moradi (MSc) 2 Ayyoub Malek (MD) , Mehrangiz Ebrahimi Mamaghani (PhD) 4 Academic Instructor, Nursing Group, Islamic Azad University, Mahabad branch, Mahabad, Iran. Academic Instructor, Depatment of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences. Tabriz, Iran. Associate Professor, Depatment of Psychiatry, Tabriz University of Medical Sciences, Tabriz, Iran. Assistant Professor, Department of Nutrition, Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. ___________________________________________________________________________ Abstract
Evidence Based Health Policy, Management and Economics, 2019
Introduction and aim: To improve the individuals' health, reforms should be made in the healt... more Introduction and aim: To improve the individuals' health, reforms should be made in the health systems. As a result, assessing the impacts of reforms is a way to evaluate the effectiveness of the health system. The aim of this study was to study the relationship between the kind of delivery and the five indexes of mother and baby's health before and after implementing the health reform plan in selected hospitals of Azarbaijan Sharghi, Iran. Issues and methods: This descriptive-analytical study was conducted in 2017. The study was conducted among eight educational, medical, and private hospitals. Before and after the program, 800 files were selected using simple random sampling method. The researcher made a check list with confirmed validity to extract the data. The data were analyzed using descriptive statistics and T-tests by SPSS-22. Results: The average age of mothers in the two intervals was 27 years. Most participants did not deliver before and their education was dipl...
Introduction: Integration in the health system can improve the coordination and continuity of car... more Introduction: Integration in the health system can improve the coordination and continuity of care for the patient. Clinical integration can facilitate the continuous, comprehensive, and coordinated provision of services at the individual level. This study was conducted to determine the effect of clinical variables on the integration of Iran's health system in 2017–2018. Methodology: This is an applied research which has been used in different stages of review, comparative, and quantitative methods in terms of necessity. In the first stage, various patterns of the theory and practice of integration of the health system were studied through library studies. Then, the common and noncommon dimensions of these patterns were set in a comparative table. After determining the variables of various patterns of integration, a questionnaire was developed, and its validity and reliability were confirmed. At the field stage, a survey of 506 experts and management experts of hospitals, data were collected, and exploratory and confirmatory factor analysis was performed. Results: Based on the results of the exploratory factor analysis in the clinical field, “the development of multifaceted care plans and team meetings” with the highest score of 0.649 was the most important. Regarding the standard coefficients of correlation analysis, the effect of the clinical factor on integration was 0.91. Furthermore, “case management,” “providing continuous care,” and “using protocols and clinical guidelines” with 0.79 factor load are the most important factors in the clinical integration of the health system. Conclusion: The health system can increase the quality of care through the development of multifaceted care plans and multiple team meetings, the development of coordination and continuity of care, focusing on the needs of patients, and step up the development of integration in the health system.
Obesity and overweight have shown an increasing trend in most developing countries. Childhood obe... more Obesity and overweight have shown an increasing trend in most developing countries. Childhood obesity would impose numerous health-related problems. This study was conducted to determine the correlation of obesity and overweight with emotional-behavioral problems in primary school age girls. In a cross-sectional study, 300 primary school girls (aged 7-11 years) were selected using a multi-staged sampling method, including randomized cluster and stratified method. For all students body mass index was measured and then based on BMI for age and sex, from each grade (1-5), 20 students were selected for each group of normal weight, overweight and obese. The emotional-behavioral problems were evaluated using child behavior checklist that consists of 113 items for childhood behavioral problems. Total behavioral problems were seen in 17%, 27%, and 2% in obese, overweight, and normal weight children, respectively. Internalizing problems (including Anxious/Depressed, Withdrawn, and Somatic Co...
Aims: High prevalence of musculoskeletal disorders owing to the work is one of the popular discom... more Aims: High prevalence of musculoskeletal disorders owing to the work is one of the popular discomforts between nursing staff. High level of workload is considered as a serious problem and identified as a stressor in the nursing. This study intends to recognize the relationship between musculoskeletal disorders and mental workload in nursing personnel reside at southern part of West Azerbaijan province Iran in 2017. Materials and Methods: In this analytical-descriptive study, 100 nurses working in West Azerbaijan hospitals have been randomly selected. Nordic and National Aeronautics and Space Administration-Task Load Index workload questionnaires have been simultaneously utilized as data collection tools. Data analysis has also carried out using SPSS, variance analysis tests, multiple linear regression, and Pearson's correlation coefficient. Results: Results suggest that the most frequent complaints of musculoskeletal problems are associated to the back area. Investigation on sextet scales of mental workload indicates that each of the six scales of workload was at the high-risk level and the average of total workload was 72.45 ± 19.45 which confirms a high-risk level. Pearson's correlation coefficient also indicates mental workload elements have a significant relationship with musculoskeletal disorders (P < 0.05). Conclusion: The results suggest there is a relationship between musculoskeletal disorders and mental workload and the majority of personnel had mental workload with high-risk level. The best way of management planning to mitigate the risk of musculoskeletal disorders arising of mental workload is, therefore, managing-controlling approach such as staff training, job rotation, and time management.
Background: Improving the quality of clinical nursing education requires continuous review of the... more Background: Improving the quality of clinical nursing education requires continuous review of the current situation to address weaknesses. Students are the best sources to identify clinical education problems. Objectives: This study aimed to extend our knowledge about students’ views on the problems related to effective clinical education. Methods: Following a qualitative approach, the current study was conducted on nursing students in selected teaching hospitals in Mahabad, Iran, in 2019. Twenty students were selected using purposive sampling. Data were collected through in-depth interviews based on the real experiences of nursing students of learning in a clinical education environment with answers to nine open-ended questions. The qualitative content analysis method was used to analyze the data. Results: All interviews were transcribed to identify conceptual codes. Four general concepts and sub-concepts were identified, which included factors related to the clinical education env...
Introduction: Integration in the health system can improve the coordination and continuity of car... more Introduction: Integration in the health system can improve the coordination and continuity of care for the patient. Clinical integration can facilitate the continuous, comprehensive, and coordinated provision of services at the individual level. This study was conducted to determine the effect of clinical variables on the integration of Iran’s health system in 2017–2018. Methodology: This is an applied research which has been used in different stages of review, comparative, and quantitative methods in terms of necessity. In the first stage, various patterns of the theory and practice of integration of the health system were studied through library studies. Then, the common and noncommon dimensions of these patterns were set in a comparative table. After determining the variables of various patterns of integration, a questionnaire was developed, and its validity and reliability were confirmed. At the field stage, a survey of 506 experts and management experts of hospitals, data were collected, and exploratory and confirmatory factor analysis was performed. Results: Based on the results of the exploratory factor analysis in the clinical field, “the development of multifaceted care plans and team meetings” with the highest score of 0.649 was the most important. Regarding the standard coefficients of correlation analysis, the effect of the clinical factor on integration was 0.91. Furthermore, “case management,” “providing continuous care,” and “using protocols and clinical guidelines” with 0.79 factor load are the most important factors in the clinical integration of the health system. Conclusion: The health system can increase the quality of care through the development of multifaceted care plans and multiple team meetings, the development of coordination and continuity of care, focusing on the needs of patients, and step up the development of integration in the health system.
Introduction: Integration in the health system has many benefits for patients, providers, and the... more Introduction: Integration in the health system has many benefits for patients, providers, and the system itself. This research was conducted to determine the functional and informational variables affecting the integration of Iranian health system in period of years 2017-18. Methods: The present exploratory study was conducted in two phases. In the first phase, factors affecting health system integration were extracted from the literature as well as from interviews with experts in healthcare administration. In the second phase, data from the first phase were integrated, and a model of health system integration was designed resulting in a researcher-made questionnaire. The model was validated through qualitative (i.e., expert opinion), and quantitative (i.e., exploratory and confirmatory factor analysis) approaches. The data were collected from 506 specialists in hospitals in 5 provinces of Iran. Exploratory and confirmatory factor analysis was used to analyze the data. Results: Acco...
Background & Aims: Child illness and hospitalization is considered as one of the main sources of ... more Background & Aims: Child illness and hospitalization is considered as one of the main sources of stress and anxiety for family. Parents should have the peace of spirit to provide adequate care and protection of children. This study investigates the fears and needs of mothers during their child hospitalization and their received nursing support. Material & Methods: It was a descriptive, cross-sectional study. One hundred of mothers of children who were hospitalized at least for 24 hours in a pediatric ward in Mahabad city were recruited by random sampling. The mothers’ fears were assessed by a researchermade questionnaire. parental needs were assessed by “parents’ needs of hospitalized children” questionnaire. Data related to nursing support of mothers were collected by the Nurse Parent Support Tool (NPST). SPSS-PC (v.11.5) was used for data analysis. Results: Environmental factors and lack of pre-hospitalization programs were ranked as the most and least stress provoking factors by ...
زمینه و هدف: خودمراقبتی یکی از مهمترین ارکان زندگی و موفقیت در درمان بیماران مبتلابه نارسایی قلب... more زمینه و هدف: خودمراقبتی یکی از مهمترین ارکان زندگی و موفقیت در درمان بیماران مبتلابه نارسایی قلبی محسوب میگردد، از سوی دیگر، اولین گام و مؤثرترین عامل بر خودمراقبتی، سواد سلامت میباشد بنابراین هدف از تحقیق حاضر، بررسی رابطه و سطح سواد سلامت با توان خودمراقبتی در بیماران مبتلابه نارسایی قلبی میباشد. مواد و روشها: پژوهش حاضر با رویکردی توصیفی-همبستگی در بین 105 بیمار مبتلابه نارسایی قلبی مراجعهکننده به بیمارستان امام مهاباد در سال ۹۵-۱۳۹۴ که بهصورت تصادفی ساده انتخاب شدند، انجام گردید. دادهها بهوسیله دو پرسشنامه استاندارد خودمراقبتی در بیماران نارسایی قلبی (SCHFI V6.2) و سواد سلامت ایرانیان (HELIA) گردآوری شدند. اطلاعات بهوسیله نرمافزار SPSS و آزمونهای پیرسون، رگرسیون خطی، Chi square تجزیهوتحلیل شدند. یافتهها: میانگین سنی شرکتکنندگان 12/81±60/74 سال بود. سطوح سواد سلامت با توجه به پرسشنامه HELIA، 61/9درصد در سطح متوسط، 28/6درصد ناکافی و 6/5درصد مطلوب بود. در حیطه خودمراقبتی به ترتیب، زیرمقیاس حفظ خودمراقبتی با میانگین 5/24±21/37، اعتماد به خود در زمینه خودمراقبتی با 3/7...
Journal of Gorgan University of Medical Sciences, 2009
Bayaneh Seidamini (MSc) *, Azar Moradi (MSc) 2 Ayyoub Malek (MD) , Mehrangiz Ebrahimi Mamaghani (... more Bayaneh Seidamini (MSc) *, Azar Moradi (MSc) 2 Ayyoub Malek (MD) , Mehrangiz Ebrahimi Mamaghani (PhD) 4 Academic Instructor, Nursing Group, Islamic Azad University, Mahabad branch, Mahabad, Iran. Academic Instructor, Depatment of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences. Tabriz, Iran. Associate Professor, Depatment of Psychiatry, Tabriz University of Medical Sciences, Tabriz, Iran. Assistant Professor, Department of Nutrition, Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. ___________________________________________________________________________ Abstract
Evidence Based Health Policy, Management and Economics, 2019
Introduction and aim: To improve the individuals' health, reforms should be made in the healt... more Introduction and aim: To improve the individuals' health, reforms should be made in the health systems. As a result, assessing the impacts of reforms is a way to evaluate the effectiveness of the health system. The aim of this study was to study the relationship between the kind of delivery and the five indexes of mother and baby's health before and after implementing the health reform plan in selected hospitals of Azarbaijan Sharghi, Iran. Issues and methods: This descriptive-analytical study was conducted in 2017. The study was conducted among eight educational, medical, and private hospitals. Before and after the program, 800 files were selected using simple random sampling method. The researcher made a check list with confirmed validity to extract the data. The data were analyzed using descriptive statistics and T-tests by SPSS-22. Results: The average age of mothers in the two intervals was 27 years. Most participants did not deliver before and their education was dipl...
Introduction: Integration in the health system can improve the coordination and continuity of car... more Introduction: Integration in the health system can improve the coordination and continuity of care for the patient. Clinical integration can facilitate the continuous, comprehensive, and coordinated provision of services at the individual level. This study was conducted to determine the effect of clinical variables on the integration of Iran's health system in 2017–2018. Methodology: This is an applied research which has been used in different stages of review, comparative, and quantitative methods in terms of necessity. In the first stage, various patterns of the theory and practice of integration of the health system were studied through library studies. Then, the common and noncommon dimensions of these patterns were set in a comparative table. After determining the variables of various patterns of integration, a questionnaire was developed, and its validity and reliability were confirmed. At the field stage, a survey of 506 experts and management experts of hospitals, data were collected, and exploratory and confirmatory factor analysis was performed. Results: Based on the results of the exploratory factor analysis in the clinical field, “the development of multifaceted care plans and team meetings” with the highest score of 0.649 was the most important. Regarding the standard coefficients of correlation analysis, the effect of the clinical factor on integration was 0.91. Furthermore, “case management,” “providing continuous care,” and “using protocols and clinical guidelines” with 0.79 factor load are the most important factors in the clinical integration of the health system. Conclusion: The health system can increase the quality of care through the development of multifaceted care plans and multiple team meetings, the development of coordination and continuity of care, focusing on the needs of patients, and step up the development of integration in the health system.
Obesity and overweight have shown an increasing trend in most developing countries. Childhood obe... more Obesity and overweight have shown an increasing trend in most developing countries. Childhood obesity would impose numerous health-related problems. This study was conducted to determine the correlation of obesity and overweight with emotional-behavioral problems in primary school age girls. In a cross-sectional study, 300 primary school girls (aged 7-11 years) were selected using a multi-staged sampling method, including randomized cluster and stratified method. For all students body mass index was measured and then based on BMI for age and sex, from each grade (1-5), 20 students were selected for each group of normal weight, overweight and obese. The emotional-behavioral problems were evaluated using child behavior checklist that consists of 113 items for childhood behavioral problems. Total behavioral problems were seen in 17%, 27%, and 2% in obese, overweight, and normal weight children, respectively. Internalizing problems (including Anxious/Depressed, Withdrawn, and Somatic Co...
Aims: High prevalence of musculoskeletal disorders owing to the work is one of the popular discom... more Aims: High prevalence of musculoskeletal disorders owing to the work is one of the popular discomforts between nursing staff. High level of workload is considered as a serious problem and identified as a stressor in the nursing. This study intends to recognize the relationship between musculoskeletal disorders and mental workload in nursing personnel reside at southern part of West Azerbaijan province Iran in 2017. Materials and Methods: In this analytical-descriptive study, 100 nurses working in West Azerbaijan hospitals have been randomly selected. Nordic and National Aeronautics and Space Administration-Task Load Index workload questionnaires have been simultaneously utilized as data collection tools. Data analysis has also carried out using SPSS, variance analysis tests, multiple linear regression, and Pearson's correlation coefficient. Results: Results suggest that the most frequent complaints of musculoskeletal problems are associated to the back area. Investigation on sextet scales of mental workload indicates that each of the six scales of workload was at the high-risk level and the average of total workload was 72.45 ± 19.45 which confirms a high-risk level. Pearson's correlation coefficient also indicates mental workload elements have a significant relationship with musculoskeletal disorders (P < 0.05). Conclusion: The results suggest there is a relationship between musculoskeletal disorders and mental workload and the majority of personnel had mental workload with high-risk level. The best way of management planning to mitigate the risk of musculoskeletal disorders arising of mental workload is, therefore, managing-controlling approach such as staff training, job rotation, and time management.
Background: Improving the quality of clinical nursing education requires continuous review of the... more Background: Improving the quality of clinical nursing education requires continuous review of the current situation to address weaknesses. Students are the best sources to identify clinical education problems. Objectives: This study aimed to extend our knowledge about students’ views on the problems related to effective clinical education. Methods: Following a qualitative approach, the current study was conducted on nursing students in selected teaching hospitals in Mahabad, Iran, in 2019. Twenty students were selected using purposive sampling. Data were collected through in-depth interviews based on the real experiences of nursing students of learning in a clinical education environment with answers to nine open-ended questions. The qualitative content analysis method was used to analyze the data. Results: All interviews were transcribed to identify conceptual codes. Four general concepts and sub-concepts were identified, which included factors related to the clinical education env...
Introduction: Integration in the health system can improve the coordination and continuity of car... more Introduction: Integration in the health system can improve the coordination and continuity of care for the patient. Clinical integration can facilitate the continuous, comprehensive, and coordinated provision of services at the individual level. This study was conducted to determine the effect of clinical variables on the integration of Iran’s health system in 2017–2018. Methodology: This is an applied research which has been used in different stages of review, comparative, and quantitative methods in terms of necessity. In the first stage, various patterns of the theory and practice of integration of the health system were studied through library studies. Then, the common and noncommon dimensions of these patterns were set in a comparative table. After determining the variables of various patterns of integration, a questionnaire was developed, and its validity and reliability were confirmed. At the field stage, a survey of 506 experts and management experts of hospitals, data were collected, and exploratory and confirmatory factor analysis was performed. Results: Based on the results of the exploratory factor analysis in the clinical field, “the development of multifaceted care plans and team meetings” with the highest score of 0.649 was the most important. Regarding the standard coefficients of correlation analysis, the effect of the clinical factor on integration was 0.91. Furthermore, “case management,” “providing continuous care,” and “using protocols and clinical guidelines” with 0.79 factor load are the most important factors in the clinical integration of the health system. Conclusion: The health system can increase the quality of care through the development of multifaceted care plans and multiple team meetings, the development of coordination and continuity of care, focusing on the needs of patients, and step up the development of integration in the health system.
Uploads
Papers by bayaneh seyedamini
of review, comparative, and quantitative methods in terms of necessity. In the first stage, various patterns of the theory and practice of integration of the health system were studied through library studies. Then, the common and noncommon dimensions of these patterns were set in a comparative table. After determining the variables of various patterns of integration, a questionnaire was developed, and its validity and reliability were confirmed. At the field stage, a survey of 506 experts and management experts of hospitals, data were collected, and exploratory and confirmatory factor analysis was performed. Results: Based on the results of the exploratory factor analysis in the clinical field, “the development of multifaceted care plans and team meetings” with the highest score of 0.649 was the most important. Regarding the standard coefficients of correlation analysis, the effect of the clinical factor on integration was 0.91. Furthermore, “case management,” “providing continuous care,” and “using protocols and clinical
guidelines” with 0.79 factor load are the most important factors in the clinical integration of the health system. Conclusion: The health system can increase the quality of care through the development of multifaceted care plans and multiple team meetings, the development of coordination and continuity of care, focusing on the needs of patients, and step up the development of integration in the health system.
of review, comparative, and quantitative methods in terms of necessity. In the first stage, various patterns of the theory and practice of integration of the health system were studied through library studies. Then, the common and noncommon dimensions of these patterns were set in a comparative table. After determining the variables of various patterns of integration, a questionnaire was developed, and its validity and reliability were confirmed. At the field stage, a survey of 506 experts and management experts of hospitals, data were collected, and exploratory and confirmatory factor analysis was performed. Results: Based on the results of the exploratory factor analysis in the clinical field, “the development of multifaceted care plans and team meetings” with the highest score of 0.649 was the most important. Regarding the standard coefficients of correlation analysis, the effect of the clinical factor on integration was 0.91. Furthermore, “case management,” “providing continuous care,” and “using protocols and clinical
guidelines” with 0.79 factor load are the most important factors in the clinical integration of the health system. Conclusion: The health system can increase the quality of care through the development of multifaceted care plans and multiple team meetings, the development of coordination and continuity of care, focusing on the needs of patients, and step up the development of integration in the health system.