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Introduction: Nurses are important resources in a community health system. Therefore, attention to mental health to this group seems to be essential. The aim of this research was to determine the effect of cognitive- behavior religious training on hopelessness, worthlessness and dissatisfaction on nurses’ life.

 

Materials and Methods: This study was quasi-experimental, in which 66 employed nurses in the  Shahid Hashemi Nejad hospital in Mashhad were selected and divided into two groups of experimental and control. The intervention was formed of 10 sessions of 90 minute long. Sessions were held three days a week for the experimental group. The instrument for collecting data was "Identity Crisis Questionnaire". Content validity was measured by 12 experts and reliability was determined by Cronbach's alpha (α=0.93). The questionnaires were completed before and after a month of intervention. The data was analyzed by SPSS/18 and use of descriptive and analytical statistics includes paired and independent and covariance.

 

Findings: Overall mean scores of hopelessness, worthlessness and dissatisfaction on nurses’ life was 44.12 ± 11.76 before intervention and 33.47 ± 14.18 one month after change of intervention (P<0.001). While control group did not have any significant change, but overall mean scores of one month before and after had a significant change (P<0.06).

 

Conclusion: Cognitive- behavior religious training is inexpensive, effective, essential and safe method to help mental health of nurses. It is recommended to enhance mental health of nurses and improve the quality of care, from this type of training is used.

 

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Introduction: Cancer and its treatments affect the quality of life of those who are suffered from breast cancer. This study aims to compare the quality of life in women survived with those suffered from breast cancer while under chemotherapy in 1394-1395.
Methods: In this descriptive-comparative study is conducted on 40 women survived breast cancer with the history of chemotherapy with 40 women who have cancer while under chemotherapy. Each of these cases was matched for age, sex, education, marital status and job. A sample of respondents is selected from Shohdaye Tajrish Hospital, Tehran through purposive sampling. The instruments consist “Depression, Anxiety, Stress Scales” (DASS)” and “The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ- C30)”. The validity and reliability are measured in previous study. Data is analyzed by SPSS. 22.
Results: Despite the significant difference and the relative increase of scores of functional components like physical performance, role-play and social performance in women survived breast cancer (P < 0.05). Important components like cognitive emotional performance and overall components of life quality shows no significant difference in signed components (P>0/05). Also the study shows that women survived breast cancer in dyspnea, constipation diarrhea, and the economy position are just like their matches under treatment (P > 0.05).
Conclusions: The quality of life in women survived and those suffered from breast cancer while under chemotherapy is low. Therefore, it is recommended that the quality of life of women survived and woman under chemotherapy can be improved by supportive and psychological approaches.

 

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Introduction: A Balanced Scorecard model is a performance evaluation methodology that provides a broad perspective on identifying the weaknesses and strengths of an organization's activities. The purpose of this study was to assess the performance of the hospital using a Balanced Scorecard Model and a Program Chain Pattern.
Methods: This descriptive study was conducted at Imam Khomeini Educational Center in Sari. The data collection instrument was a "Balanced Scorecard Questionnaire” and completed by census of all managers and head nurses. The specialized panel of "Balanced Scorecard" questionnaires was categorized in the form of a Program Chain Pattern into dimensions of Input, process, outcome, control and Context. The content and face and structure validity were performed using confirmatory factor analysis. Reliability was measured by Cronbach's alpha coefficient and composite stability. To analyze the data, SPSS. 21 was used.
Results: The hospital with the mean of internal processes (3.43 ± 0.42) scored the highest scores in the dimensions of the scorecard, and the financial dimension with the average (3.57 ± 0.56) and the client dimension the mean (2.97 ± 1.07) and learning with the mean (2.93 ± 0.89) had the lowest score. The highest distribution and scores in the Program Chain Pattern were in the process dimension (58.8%) and control dimension (3.62 ± 0.56), respectively. There was a significant difference between the dimensions of the Balanced Scorecard Model and the Program Chain Pattern (P value < 0.0001).
Conclusions: The most important aspect of the Balanced Scorecard is a process. Considering all the effective dimensions in performance, especially the dimensions of the Output, Input and context along with the process and control dimensions for assessing the performance of the hospitals is recommended.
 

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Introduction: Hospital performance measurement is an essential part for providing feedback on the efficacy and effectiveness of services. The purpose of this study was assessment and comparing of hospital performance using “Accreditation Pattern”, “Organizational Excellence Pattern “and Program Chain (IPOCC) Patterns.
 Methods: This descriptive-comparative study was conducted in 2019 in the educational and medical centers of Mazandaran University of Medical Sciences. The statistical population included 180 top, middle, and operational managers of five educational and medical centers covered by the university. Samples were selected in a census. Data collection instruments were obtained through; demographic questionnaire, " the "Iran Hospital Accreditation Questionnaire" of the Ministry of Health and Medical Education and the research instrument developed by the “Organizational Excellence Questionnaire” and the "Program Chain Pattern Questionnaire”. Face validity, content and its structure were performed using confirmatory factor analysis and its reliability by Cronbach's alpha coefficient method and composite reliability. Data was analyzed using SPSS. 21.
Results: In assessment the performance of the hospital with Accreditation Pattern, Organizational Excellence Pattern and Program Chain Pattern, respectively, the dimensions of para clinical services (4.12±0.5), processes (69.4±0.57) and control (3.21±0.65) were the highest scores and the dimensions of prevention and health (2.62±0.75), society results (56.36±0.62) and outcome (2.98±0.62) were the lowest scores. The results of one-way analysis of variance showed that there was a significant difference between the dimensions of hospital performance assessment patterns (P <0.001).
Conclusions: The highest score of the hospitals with the Patterns of accreditation, organizational excellence and program chain were in the dimensions of para clinical services, processes and control, respectively, and in the dimensions of results and Context, less attention was paid to the performance of the hospitals. Therefore, it is recommended to pay attention to the results of service delivery and Context standards such as teamwork and organizational culture along with process, Input and control standards to balance hospital performance assessment standards.