Community-based health promotion requires effective participation and partnership of diverse and numerous stakeholders from community as well as external professional organizations. Although effective partnership of stakeholders is often the key for success of health promotion practice and research, but this has proved to be a complex and challenging task. This study is an exploratory study to identify professional stakeholder's perspectives and experiences toward the partner's engagement challenges in community-based participatory research conducted in Population Research Centers in Iran. A qualitative study design with in-depth semi-structured interviews as data collection method was chosen. Using purposeful sampling technique, policy-makers and managers (mainly academics) involved in community-based participatory research in these centers were invited to be interviewed. Data were collected to the point where no new information was forthcoming. All interviews were taped and transcribed. To provide answers for research questions, qualitative content analysis was employed to extract emerging main themes from numerous cods. Findings were categorized in three main themes as Partnership's relationship and trust issues, Partnership's individual issues and Partnership's system issues. Although community-based participatory research in Iran benefits from more than a decade history and some physical infrastructures, but it seems that public health experts and researchers and other partner organizations are lagging behind in terms of capacities and competencies required to effectively utilize the available structure and opportunities. Hence, capacity development, both among professional partners and community may be the main way forward to tackling the future challenges for strengthening community actions but should include both levels of individuals and systems.
Introduction: Improving self-management of the patients
undergoing hemodialysis is an effective way to reduce complications and to improve the
quality of life of them. The current study aims to assess the effects of group discussion
on the promotion of self-management behaviors in hemodialysis patients.
Methods: In this quasi -experimental clinical trial study
(with experimental and control groups) 60 patients were arranged in two experimental and
control groups through using convenience sampling with random allocation. Self-management
interventions were conducted on the experimental group during 3 to 4 sessions of group
discussion. The control group received routine interventions. The data were collected
through Li and colleagues' self-management standard questionnaire before and 3 months
after the intervention. The data were analyzed via SPSS software version 13 and
chi-square, t-test, Mann-Whitney, and Wilcoxon test.
Results: The results showed that the mean scores of four
dimension of self-management including participation with the medical team, problem
solving, self-care and emotional management after the implementation of group were
significantly different between the experimental and control groups.
Conclusion: Based on the findings, group discussion was an
effective educational method to promote self-management of chronic hemodialysis patients.
Therefore, holding group discussion to reinforce the self- management behaviors in
patients undergoing hemodialysis is recommended.
Introduction: Health care-related infections are serious problems that influence patient›s safety settings. Hand hygiene is the most effective method for preventing these infections.Objectives: The current study aimed at investigating health care workers› knowledge and attitude towards hand hygiene in intensive care units of educational hospitals affiliated to Zanjan University of Medical Sciences, during year 2014.
Materials and Methods:The present study was a descriptive cross-sectional study, which was conducted on 88 health care workers of Intensive Care Unit (ICU) and Coronary Care Unit (CCU) in two educational hospitals affiliated to Zanjan University of Medical Sciences, who were selected by random sampling. Knowledge and attitude of the participants toward hand hygiene, was examined through World Health Organization (WHO) recommended standardized questionnaire and researcher-designed questionnaire, respectively. All health care workers, including physicians, nurses and others (radiology and laboratory technicians), were enrolled in the study during May 2014. Collected data were analyzed by using SPSS software, version 16.
Results:The findings showed that none of the participants had poor knowledge, 47.7% had moderate knowledge, 34.1% had good knowledge, and only 18.2% had very good knowledge. Regarding attitude, 95.4% of the participants had a positive attitude towords hand hygiene. T-test and Kruskal-Wallis statistical tests on demographic characteristics also showed that variables, such as level of education, professional status, and the last round of retraining course with knowledge and workplace had a significant relationship with attitude. The result of the correlation test showed a significant relationship between knowledge and attitude.
Discussion and Conclusion:Despite the positive attitude of intensive care unit staff towards hand hygiene, their knowledge is not desirable and optimal, and having favorable knowledge and performance requires more training.
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