Health Promoting Hospital: A Strategy for Reorientation toward Health Promotion | Author : Mohsen Saberi | Abstract | Full Text | Abstract :Health promotion (HP) as already defined by the Ottawa Charter for Health Promotion is “the process of enabling people to increase control over and improve their health.” The Network of Health Promoting Hospitals (HPH), established in 1990 by the World Health Organization (WHO), is the best-known example of health promotion reorientation in hospitals. It supports the implementation of health promotion and facilitates organizational change. Since its establishment, the network has spread worldwide. Baqiyatallah Hospital has been a member of this network since 2015. |
| Studying the Status of Job Burnout and its Relationship with Demographic Characteristics of Nurses in Shiraz Nemazee Hospital | Author : Tahereh Shafaghat; Mohammad-Kazem Rahimi-Zarchi; Zahra Kavosi | Abstract | Full Text | Abstract :Background: Today, in order to provide desirable health care services, too much emphasis is placed on the physical and mental health of nurses, and job burnout among nurses is introduced as harmful elements to the health of nurses.
Objective: This study was performed to evaluate job burnout in Shiraz Nemazee Hospital in relation to demographic characteristics.
Methods: This research is a cross-sectional and descriptive-analytic study. The research community included all nurses in the whole sections of Nemazee Hospital out of which 245 were selected by classified random sampling as the study sample. A questionnaire was used to collect the data. After collection, data were entered in statistical package for social sciences SPSS software (version 18) and T-test, and analysis of variance (ANOVA) and Kruskal-Wallis tests were used to analyze the variables.
Results: The mean score of emotional exhaustion, lack of personal accomplishment and job burnout were at an average level, and depersonalization was at a low level. As regards the intensity of burnout, most nurses were moderate. Between components of depersonalization of job burnout with marital status and age, there was a significant relationship (P<0.05). Also, nurses in neurological wards were allocated the most (62.28%) while nurses in children ward recorded the lowest (49.92%) mean of burnout.
Conclusion: According to the findings of this study and in terms of the stressful nature of nursing profession, it is necessary that hospital managers and healthcare authorities pay attention to job burnout in nurses, its level, as well as provide and implement strategies for its prevention, thereby decreasing its effects and risks. |
| Up-to-date Treatments of Primary Hyperhidrosis with Focus on Sympathectomy and Sympathicotomy; a Narrative Review | Author : Shahram Manoochehry, Hassan Ali Mohebi, Mohammad Javad Behzadnia, Reza Mohtashami | Abstract | Full Text | Abstract :Background: Primary hyperhidrosis (PH) refers to excessive sweating, beyond normal physiological levels, in specific sites of the body for unknown reasons. It is usually bilateral and is most prominent in the palms, axillae, feet, and face. PH prevalence is estimated to be 0%-6.1% in different populations. It usually begins in childhood and is more frequent in women. In 57% of cases, there is a positive family history. It is an autosomal dominant disorder with variable penetration in chromosomes 5, 14, or both.
Objective: The aim of this study was to illustrate current treatments of PH while focusing on surgical therapies through a narrative review.
Methods: A complete search of online articles from 2007 to 2014 in PubMed, Scopus, and the Cochrane Library was performed. A free search and a search in the MeSH database for the study’s keywords were also done. More than 600 relevant articles were found, of which 51 were chosen for this study. This article is based on those articles.
Results: Surgery is the best and more permanent therapy for PH. The most common consequences of surgery are compensatory sweating and gustatory sweating. There is controversy concerning whether lowering the level and limiting the number of ganglia on which surgery is performed reduces compensatory sweating.
Conclusion: It seems that ramicotomy (selective division of the sympathetic postganglionic fibers) reduces compensatory sweating, but this theory should be confirmed with more studies. |
| Assessment of Factors Affecting the Establishment of Hospitals in Iran | Author : Mohammadkarim Bahadori; Ehsan Teymourzadeh; Seyed Mojtaba Hosseini; Gholam Hossein Alishiri; Ali Ayoubian | Abstract | Full Text | Abstract :Background: It is important to set up hospitals, since they play a key role in providing health care services based on the budget allocated to the health sector.
Objective: This study evaluated factors militating against the establishment of hospitals in Iran. It also emphasized the importance of health care services.
Methods: This cross-sectional study was conducted in 2012 using a qualitative approach. The study sample consisted of 22 people, officials, administrators and health experts who were recruited by purposeful selection. In order to collect data, a semi-structured interview was conducted. Data was analyzed using an Atlas-Ti software.
Results: Analysis of the interviews suggest that the issue of providing services in terms of ease of access and equity in the allocation of health services is also the focus of particular attention. The socio-economic status of regions were examined in terms of the need for poverty alleviation, equity in health and well-being of interest to industry participants. The survey interviews revealed that the issue of financing and human resources for provincial hospitals, were the key challenges raised by participants in the study.
Conclusion: According to the findings of this study, feasibility studies and evidence-based management optimal decisions were adopted in order to build and operate hospitals in the provinces. |
|
|