Background & Aims: Health workers are the most fundamental elements of the health system whose mission is to improve the health of the rural community. Assessing and measuring the level of health is one of the important health issues. Health is a broad concept with multiple dimensions including physical, mental, and social health. Social health is a concept that has become increasingly important in scientific, policy, and executive circles. Social health emphasizes aspects of health related to a person's relationship with other people or the communities in which he lives. One of the factors affecting social health is quality of life. Quality of life is a multidimensional concept affected by many important factors such as physical and mental conditions. Assessing the quality of life is important in order to determine physical, mental, and social performance. These dimensions can be discussed independently, but there is a correlation between them. Certainly, the development of health promotion programs in the community, regardless of the social and cultural context of the community in question leads to inefficient solutions. Despite the importance of health workers' work, their high volume of work, and pathological consequences, few studies are conducted on the qualitative and social fields of health workers. As a result, it is necessary to pay attention to their physical, mental, and social health and quality of life. Achieving goals in the field of health requires preventing death, reducing disability, improving the quality of life, and efficient workforce. Since health workers are at the forefront of health care centers, it is necessary to have good social health and quality of life to provide services to villagers. Therefore, this study was conducted to determine the social health and quality of life in health workers in Qorveh and Dehgolan in 2019.Materials & Methods: This study was conducted to evaluate the social health and quality of life of health workers in Qorveh and Dehgolan cities affiliated to Kurdistan University of Medical Sciences. This was a descriptive cross-sectional study and included 198 health workers working in health centers in Qorveh and Dehgolan cities. Among them, 87 were working in 42 health centers of Dehgolan and 111 in 58 health centers of Qorveh. Samples were selected by census sampling method. After obtaining approval from the Research Ethics Committee and receiving a letter of introduction from Iran University of Medical Sciences and submitting it to Kurdistan University of Medical Sciences, the researcher obtained permission to participate in the research. In order to observe ethical considerations, the researcher first explained the objectives and method of the study to the officials of Qorveh and Dehgolan health centers, and in collaboration with them attended the workshops where the researcher attended as a lecturer and after obtaining informed consent, the researched distributed demographic information form, Social Health Questionnaire, and SF-36 Quality of Life Questionnaire...
Background: The present study is aimed at investigating the cooperation status between the health system and city councils and municipalities in Iran based on rules and documents.Methods: Altheide’s document analysis model (sample selection, data collection, data organization, data analysis, and reporting) was employed in order to prepare and analyze the documents pertaining to the cooperation level between the health system and municipalities and Islamic city councils. The documents were classified at three levels including the national rules, policies, and guidelines; Ministry of Health (MOH) and city council approvals; and eventually Tehran Municipality’s measures.Results: Overall, 78 documents were analyzed including 17 documents at the level of national rules, policies and guidelines; 8 documents at the level of Ministry of Health and city council approvals; and 53 documents at the level of Municipality’s measures.Conclusion: There are adequate legal capacities for designing, planning, executing, as well as creating interaction and cooperation between health system and city councils and municipalities. Moreover, the motive behind creating a purposeful and scheduled cooperation and participation is evident among the officials of health system and city councils and municipalities. Some mechanisms have been established for cross-sectoral cooperation between the health system and other health-related bodies on a cross-sectional basis, but these structures lack the necessary competence, appropriateness and adequacy to create the desired partnership, and especially sufficient attention to existing capacities in municipalities and The city council has not. Accordingly, it is necessary to have a fundamental review on the available structures and enough attention has to be paid to the evident and hidden legal capacities in city councils, and municipalities, as well as Ministry of Health to design an appropriate structure and create competent interaction and also provide more cooperation between the two organizations.
Background and Aim: Nursing is one of the most stressful jobs. The high level of stress affects the physical and mental health of nurses and their job performance. The purpose of this study is comparing the psychosocial stresses of the nursing staff of the educational hospitals in Birjand between 2004 and 2014. Materials and Methods: In this cross-sectional study, 306 nursing staff of educational hospitals (Imam Reza and Vali-e-Asr) in Birjand city were selected by census and studied. Then, the results of this study were compared with the results of a study done in 2004 on 247 nursing staff of Imam Reza and Vali-e-Asr hospitals of Birjand for this purpose. The data collection method was a researcher-made questionnaire consisting of 85 questions in three sections of personal stress, family and work environment that was completed by the Data were collected by SPSS software (version 16) and analyzed by independent t-test at a significant level of α< 0.05. Results: The mean of stress score in the year 2004 was 3.11±1.25 and in the year 2014 was 3.03 ±1.15. This difference was not statistically significant (P=0.44). The stress caused by family factors and work environment in 2014 was significantly lower than in 2004 (P=0.02, P=0.005). However, the stress was not due to personal factors between two years. (P=0.12). Conclusion: Although the level of stress in the nursing staff of educational hospitals has fallen more than 10 years ago, it still has a high level.
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