per
AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
1
10
article
Effectiveness of Motivational Interview on Improving Physical and Mental Health in Patients with Multiple Sclerosis
Fateme Moeeni
F.r.moeeni86@gmail.com
1
Nasrin Sepehrnia
almasepehrnia10@gmail.com
2
Tina Karbasi
karbarit2017@gmail.com
3
Ehsan Taheri
Ps.ehsantaheri72@gmail.com
4
Sohrab Saghafi Khadem
5
Mohsen Nazemi
Mohsennazemi66@yahoo.com
6
Department of Clinical Psychology, Faculty of Medical, AJA University of Medical Sciences, Tehran, Iran
Department of Clinical Psychology, Islamic Azad University, Medical Sciences Branch of Tehran, Tehran, Iran
Department of Clinical Psychology, Ferdowsi University of Mashhad, Mashhad, Iran
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Department of Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran
Department of Psychology, Islamic Azad University, Birjand Branch, South Khorasan, Iran
Introduction: Multiple sclerosis is a chronic inflammatory, debilitating and progressive disease that has wide physical and psychological dimensions. The aim of this study was to determine the effectiveness of motivational interview on improving the physical and mental health of this disease.
Methods and Materials: For this purpose, 24 patients with MS referred to Ghaem and Imam Reza (AS) hospitals in Mashhad were selected voluntarily and they divided into experimental and control groups randomly (12 patients in each group). The experimental group received group motivational interview in 5 sessions and the control group did not receive any intervention. Dependent variables were measured in pre-test and post-test. The quality of life scale of MS patients was used to measure the variable.
Results: Data analysis using multivariate analysis of covariance showed that by controlling the effects of pre-test, group motivational interview had a significant effect on improving the physical and mental health of the disease.
Discussion and Conclusion: The present study shows that group motivational interview based on principles such as empathy and support the personal effectiveness of clients improve the physical and psychological symptoms of MS.
http://jps.ajaums.ac.ir/article-1-251-en.pdf
Motivational interview
Physical health
Mental health
Multiple sclerosis.
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AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
11
19
article
Comparative Study of Level of Knowledge, Attitude and Performance of Radiologists, Medical Physicist and Radiographer Regarding Quality Control of Magnetic Resonance Imaging
Sadegh Shurche
sadegh.shurche@yahoo.com
1
Farzaneh Esna-Ashari
esna_f@yahoo.com
2
Safoora Nikzad
s.nikzad@umsha.ac.ir
3
Department of Medical Physics, Faculty of Medicine, Tarbiat Modares University, Tehran, Iran
Department of Social Medicine, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Medical Physics, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Introduction: The aim of this study was to investigate the level of knowledge, attitude and practice of technicians and Radiologists, Medical Physicists and Radiographers in quality control of MRI devices.
Methods and Material: 78 radiologists, medical physicists, and radiographers in seven medical centers of Hamadan were included in this study. Each member duties were determined based on the latest changes in the MRI quality control booklet designed by ACR. Moreover, three questionnaires for each group and one questionnaire related to the specifications of the device were prepared and completed by the relevant personnel. Data were analyzed using SPSS software version 16.
Results: The results of Spearman correlation test show that there is a weak relationship between knowledge and performance (r= -0.005), knowledge with attitude (r= -0.032) and performance with attitude (r = 0.111) in radiographers. There is a weak relationship between knowledge and performance (r= 0.3), knowledge with attitude (r= 0.246) and performance with attitude (r = -0.109) in radiologists. In addition, there is a weak relationship between knowledge and performance (r= -0.177) in Medical physicists. Although there was a strong relationship between the level of knowledge with attitude (r= 0.559) and performance with attitude (r=-0.109) in medical physicists, this relationship was not statistically significant.
Discussion and Conclusion: Factors including the presence of a complete quality control group, knowledge of performance, attitude of the group, appropriate and continuous training during service, availability of appropriate tools, mandatory rules for QA and the appropriateness of the number of patients to staff are the most important factors in control the quality of MRI.
http://jps.ajaums.ac.ir/article-1-245-en.pdf
Level of knowledge
Quality Control
Magnetic Resonance Imaging
per
AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
20
27
article
Survey on non-Conformities Reported in Public and Private Medical Laboratories of Hamadan Province
Seyed Mohammadreza Seyedi
Smr.seyedi1997@yahoo.com
1
Mohammad Afshari
Mohamad98afshari.@gmail.com
2
Fatemeh Amiri
Amirif2012@gmail.com
3
Fahimeh Daneshyar
fa.daneshyar70@gmail.com
4
Mohaddese Biglari
mohaddee3e.biglari@gmail.com
5
Hannane Jambozorg
hannane_jambozorg@yahoo.com
6
Student Research Committee, Hamadan University of Medical Science, Hamadan, Iran
Student Research Committee, Hamadan University of Medical Science, Hamadan, Iran
Department of Laboratory Sciences, Faculty of Paramedicine, Hamadan University of Medical Science, Hamadan, Iran
Department of Pediatrics, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
Student Research Committee, Hamadan University of Medical Science, Hamadan, Iran
Student Research Committee, Hamadan University of Medical Science, Hamadan, Iran
Introduction: Clinical laboratory is a workplace where a variety of diagnostic tests are performed and it plays an important role in the diagnosis, treatment and prevention of diseases. Non-conformity does not meet the predetermined requirements. Laboratory nonconformities influence laboratory test results. Addressing of non-conformities is essential for laboratory improvement. The aim of this study was to survey the reported non-conformities in public and private medical laboratories of Hamadan province.
Methods and Materials: It was cross- sectional retrospective study. All date from the completed medical laboratory quality system assessment check lists for 184 medical laboratories, 117 private and 67 public, were interred to SPSS version16 software. The information was presented using mean standard deviation and nonparametric equation of Kruskal-Wallis test and significance level by Pvalue<0.05 was used to analysis.
Results: By assaying the indexes of mentioned checklist, the highest non-conformities with an average of 71% (PValue=0.010) belonged to the index of testing process and the lowest non-conformities belonged to the index of staff with an average of 14.39%. Public laboratories with an average of 13.01% (PValue=0.010) and private laboratories with an average of 14.64% (PValue=0.001) had significant difference compared to all laboratories, but there was not significant difference between public and private laboratory nonconformities.
Discussion and Conclusion: The average percentage of reported non-conformities in the laboratories of Hamadan province has decreased from 2016 to2020. More supervision and staff training could be helpful to reduce non-conformity rate.
http://jps.ajaums.ac.ir/article-1-243-en.pdf
Medical Laboratory
Non-conformity
Testing process
Staff.
per
AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
28
36
article
Effect of Improvement of Surgical Safety Checklist on Surgical Technologists’s Attitude and Satisfaction
mosleh.sorour@gmail.com
1
aboutalebi@nm.mui.ac.ir
2
Department of Operating Room, Faculty of Nursing and Midwifery, Isfahan university of Medical Sciences, Isfahan, Iran
Department of critical care, Faculty of Nursing and Midwifery, Isfahan university of Medical Sciences, Isfahan, Iran
Introduction: One of the primary duties that circulating and scrub nurses fulfill is to record instruments and procedures adopted during a surgical operation. The present research was performed to explore operating room personnel’s perspectives on both the existing and
improved checklist the one that was produced on the basis of evidence and guidelines.
Methods and Materials: This non-randomized descriptive study was performed on 28 operating room personnel on both the existing surgical safety checklist and the improved one. The researcher made checklist was provided on the basis of books, results of studies, and qualified specialists’ attitudes. The data were analyzed using SPSS software version 19 as well as descriptive and analytical statistical tests.
Results: Data revealed that 25% (7 persons) and 75% (21 persons) of respondents were men and women respectively. There was statistically significant difference between personnel’s perspectives on the improved checklist and present checklist (24% compared with 77%). Moreover the present checklist is more comprehensive than the previous one (65% compared with 23%). That is to say the improved checklist is a more comprehensive guide than the existing checklist in recording procedure (p<0.05).
Discussion and Conclusions: It is essential to keep a complete and comprehensive checklist of procedures implemented and instruments used during a surgical operation. Therefore, it is essential to improve and complete the Surgical Safety Checklist on the basis of existing evidence and the results.
http://jps.ajaums.ac.ir/article-1-247-en.pdf
Surgical Safety
Checklist
Improvement
operating room
per
AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
37
42
article
Investigating the Effect of Professional Ethics in Empowering the Official Staff of the Central Organization of Mashhad University of Medical Sciences
Samaneh Mahmoudzadeh
samanehmahmoudzs2@gmail.com
1
Mohammad Rafati
2
Department of Public Administration, Islamic Azad University, Mashhad Branch, Mashhad, Iran
Department of Public Administration, Islamic Azad University, Mashhad Branch, Mashhad, Iran
Introduction: Professional ethics has become a common feature of human capital. It is the most significant variable in the success of organization. Professional ethics has a great impact on employee empowerment and it increases the productivity of human resources. The aim of this study was to investigate the effect of professional ethics in empowering the official staff of the Central Organization of Mashhad University of Medical Sciences.
Methods and Materials: This descriptive-survey study includes 150 official employees of the Central Organization of Mashhad University of Medical Sciences that were selected by simple random sampling technique. Data were collected using demographic characteristics
tools, professional ethics and staff empowerment. Data were analyzed using descriptiveinferential statistics.
Results: Professional ethics and employee empowerment are desirable whit the significant level of 0.061 and 0.072 respectively (T>0.05). The other findings indicate that there is a positive relationship among employee’s social responsibility (3.067), self-efficacy (3.217), and scientific responsibility to others (2.122). However, there is a negative significant relationship in belonging to scientific community.
Discussion and Conclusion: Since there is a positive relationship between professional ethics and the majority of areas of employee empowerment, managers should pay attention to employee empowerment that is affected by professional ethics.
http://jps.ajaums.ac.ir/article-1-237-en.pdf
Professional ethics
Empowerment
Medical staff
per
AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
43
49
article
Evaluation of Barriers and Facilitators Affecting the Implementation of Electronic Health Records in Iran
Leila Gholamhosseini
1
Nahid Mehrabi
2
Ali Rezazadeh
3
Farshad kabodian
4
Department of Health Information Technology, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran
Department of Health Information Technology, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran
Department of Health Information Technology, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran
Department of Health Information Technology, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran
Introduction: Despite the development of information technology in the field of health, the process of creating and using electronic health records is still difficult. Therefore, identifying the implementation barriers of this system contribute to eliminate them and adopt effective implementation strategies.
Methods and Materials: The present study is a review article and the research population included documents related to barriers and facilitators affecting the implementation of electronic health records. Databases were searched in SID, Iran Medex, Magiran and Google Scholar search engine. Only 14 sources were reviewed among the 152 recovered sources. For this purpose, the draft data collection form was designed in Excel software. The validity of the final form was approved after receiving the opinions of experts and making the necessary corrections. Then, the selected sources were entered based on the objectives of the study in the data collection form. After that, the narrative analysis was performed.
Results: The most important implementation barriers in performing the EHR are the attitudinal and behavioral limitations of individuals and organizational changes. Thus, paying attention to education and the health care providers participation in implementing is essential to ensure that they have the right attitude. If system users know about the features, objectives, benefits and positive impact of the EHR on their work and they consider the standards related to data confidentiality as well as the ability to exchange messages, their resistance to the changes will decrease and their interest and readiness to accept the EHR increases.
Discussion and Conclusion: Findings indicate that employing a team of experts in different areas, implementing essential education technical provision for performing EHR along with allocating financial resources can help overcome barriers to the adoption of EHR.
http://jps.ajaums.ac.ir/article-1-234-en.pdf
 Electronic Health Record
Implementation
Barriers
Facilitators
Health Information Technology
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AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
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63
article
Hospital Waste Management
Amirhossein Esmaeilizadeh
esmaeilizadehamirhossein@gmail.com
1
Eftekhari
mahdieheftekhari582@gmail.com
2
Reza Akbari
akbari.r@umsu.ac.ir
3
Urmia University of Medical Sciences
Urmia University of Medical Sciences
Urmia University of Medical Sciences
Introduction: Currently, the production of hospital waste is increased by growing the population and expansion of the cities. Moreover, it has been changed to a great challenge. If this growing is not controlled it will be turned into an environmental disaster. Various waste disposal methods are proposed for disposing of hospital waste. This study aimed to acquaint with the hospital wastes and theire disposal methods.
Methods and Materials: In this review study, the essential information is collected from the last three years published articles by searching them in various databases such as Pubmed, Scopus, SID, and some library references. The exclusive and combinations keywords such as waste, infectious, waste management, waste disposal methods, infectious waste, and infectious medical waste are used to search relevant articles.
Results: Hospital waste is categorized into various groups. Various methods such as dry heat, wet temperature, chemical disinfectant, burying waste into the ground and Super Critical Fluid Carbon Dioxide are used to dispose the hospital waste. Some advantages and disadvantages are described for each of these methods. Out of all, the Super Critical Fluid Carbon Dioxide has a potent activity on microorganisms. In addition, it has a low cost interms
of extraction.
Discussion and Conclusion: Diverse methods are proposed to dispose hospital waste. Selection of an effective way depends on the type and amount of the waste and social and economical condition of the country. This posing hospital waste could be managed with regular planning, proper management, use of appropriate method fit to waste type, and enough training of people and hospital officials. Further researches need to find an appropriate waste disposal method that is compatible with environmental, economical, and social cindittions of the country
http://jps.ajaums.ac.ir/article-1-239-en.pdf
Waste Management
Hospital Waste
Infectious Waste
per
AJA university of medical sciences
Paramedical Sciences and Military Health
2423-7507
2538-3086
2020-03
15
4
64
71
article
Investigating the Rate of Nosocomial Infections and Providing Solutions to Prevent and Control it
samane.ghasemi91@gmail.com
1
Sohrab.nosrati71@yahoo.com
2
mahmud43_fakhri@yahoo.com
3
sohrabnosrati1990@gmail.com
4
Department of Operation Room, Faculty of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
Department of Operation Room, Faculty of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
Department of Operation Room, Faculty of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
Department of Operation Room, Faculty of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
Introduction: Nosocomial infections are one of the most important health issues around the world that impose medical costs, increase the length of hospitalization and death of many patients. Moreover, control of nosocomial infections improves the health of patients and reduces hospital costs. The aim of this study was to identify ways to prevent nosocomial infections based on the latest research.
Methods and Materials: This review article has been performed by searching nosocomial infection, medical staff performance, nurse’s performance, and standard hospital precautions keywords in various data bases including Google Scholar, SID, Elsevier Science and Magiran sites between the years 1990 to 2020.
Results: In all review and research articles, they agreed on the importance of nosocomial infections and the principle that prevention is better than treatment. Additionally, each article provided a solution according to their research. Medical personnel can play an effective role in controlling nosocomial infections. The percentage of which was 42% among these articles.
Discussion and Conclusion: Staff awareness, which was one of the significant point about controlling infection, did not have an acceptable level based on the article. Since staff play an important role in prevention of these infections, it recommends to increase their awareness. The other point was the importance of the staff hand washing with 26.3%, which should be done in calm environment and in compliance with the necessary satndards.
http://jps.ajaums.ac.ir/article-1-242-en.pdf
Nosocomial infection
Infection control
Infection
Medical personne