BACKGROUND: Cardiac failure is one of the most common chronic diseases with high rate of morbidity and mortality. Fatigue and decreased ability to perform daily activities are of the most common complications of this disease. The purpose of this study was to determine the effect of an educational plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.METHODS: This experimental study was performed on 60 heart failure patients admitted in two educational hospitals supervised by the Kerman University of Medical Sciences in 2019. Sample was randomly assigned into two intervention and control groups. The intervention group received the care plan through a face-toface and group training program in 6 sessions at one month. Interval followed by a follow-up period for 4 weeks later. Fatigue level was calculated based on piper fatigue scale, and daily activities were calculated by Barthes scale.RESULTS: The finding indicated that there was a significant difference between the two groups (control and intervention) after the intervention. The result showed that the intervention group had significantly lower mean scores in fatigue and higher mean scores in daily activities compared to the control group after intervention P ≤ .05. There was a significant relationship between fatigue and daily activities of life with frequency of hospitalization and duration of disease in both groups, P ≤ .05.CONCLUSION: Implementation of Roy model-based education program as a low-cost, effective, and non-aggressive nursing intervention can reduce fatigue, and improve daily activities in patients with heart failure.

Background: In today’s world as the globe of organizations, employees tend to show endeavor and more involvement in organizational goals and mission by creating workplace spirituality. Aim: The present study aimed to investigate the role of workplace spirituality in improving hospital social worker’s motivation. Methods: The study employed a cross-sectional design and was conducted in 19 private and governmental hospitals in Karaj city, Alborz province, north Iran in 2019. The statistical population included all 302 hospital social workers who were selected as the sample population according to Cochran’s formula. Using two standard questionnaires of workplace spirituality and employee motivation, we assessed the role of workplace spirituality in improving the hospital’ social workers’ motivation. Results: According to research findings, there were significant relationships between workplace spirituality, meaningful working, sense of community, forgiveness, and honesty with hospital social workers motivation p ⩽ .05. There was a significant difference between age group, gender, level of education and workplace spirituality, and motivation of hospital social workers p ⩽ .05. Conclusion: Findings suggest that health planners and authorities may need to examine factors that contribute to the promotion of workplace spirituality to increase the motivation of hospital social workers for improved performance of health organizations.

The preparedness of nurses in the COVID-19 pandemic is of great importance with regard to the unknown future of the pandemic and other similar ones. Identifying nurses’ problems can lead to better planning, preparation and management. In this study, we aim to explore the experiences and challenges of nursing managers’ preparedness for timing responses to the COVID-19 pandemic. We conducted the research as a qualitative content analysis in Iran in 2022. The data were collected through in-depth semi-structured individual interviews with 15 nursing managers who were selected by purposeful sampling. After transcription of the interviews, a content analysis using constant comparison was performed for data analysis based on the Graneheim and Lundman approach. The results of the study can be summarised in the following four main categories and nine subcategories: the necessity of exercises in the same environment (performing exercises to prepare for possible pandemics, experiencing scenes similar to real pandemics, creating the experience of similar environments for the preparation of nurses), educating all members involved in providing services in the COVID-19 pandemic (preparation of non-specialist workers for pandemics, training all members of the treatment and non-treatment team), management and leadership (inappropriate policymaking and unsuitable planning), and processes and structures (processes for providing services and ineffective provision of protective equipment). As we pointed out in this study, it seems that to solve some of these challenges coordination is needed outside the health sector. In addition, the establishment of the National COVID-19 Control Centre can contribute to developing necessary policies and strategies for handling the pandemic.

INTRODUCTION: The educational service is expensive and having the right financial information is one of the most important tools for managing financial resources. Therefore, due to the importance of this issue, this study aimed to determine the cost of educational services for medical sciences students at Alborz University of Medical Sciences. METHODOLOGY: A cross-sectional study was conducted between March 20, 2018, and March 20, 2019, at Alborz University of Medical Sciences. The current and capital cost data were extracted from the university's financial database, and the cost price of services provided was calculated using the activity-based cost model. RESULTS: The mean annual cost of services per student was $4778, and the mean cost of education per hour was $113. The total cost price of services provided per student at the school was 65% for wages and salary, 26% for depreciation of building and equipment, and 9% for consumable goods and services. Furthermore, the share of different cost centers to the total cost price of services provided per student was 82% for educational services, 11.9% for student welfare services, and 6.1% for research services. CONCLUSION: Costs of personnel, especially pays to faculty members and the costs of capital expenditures, are the most important costs in higher education institutions. It seems reducing of pay to faculty members through novelty approach of education and evaluation, reducing capital expenditures through use effective of buildings and equipment that can be placed higher education institutions in the path to productivity.

INTRODUCTION: Organization survival is dependent on communications and managers spend a main portion of their time to establish communications. The identification, improvement, and development of communication skills serve as the essential components of successful organizations. The present study aimed to investigate the role of communication skills in human resource (HR) productivity in North Iran and aimed to investigate the role of communication skills in health HR (HHR) productivity in North Iran. METHODS: The study employed a cross-sectional design and was conducted in six deputies supervised by the Alborz University of Medical Sciences, in 2019. The statistical population included all 302 employees were selected as the sample population according to the Cochran's formula. Using two researcher-made questionnaires of communication skills and HHR productivity, we assessed the role of communication skills in HHR productivity. RESULTS: According to the research findings, there were significant relationships between communication skills including verbal skills, listening skills, and effectiveness skills with HHR productivity ( P ≤ 0.05). There was a significant relationship between age group, gender, level of education, and travel home-university distance with communication skills and resource productivity of employees ( P ≤ 0.05). CONCLUSION: This study examines the role of communication skills in the promotion of HHR productivity who work in the administrative section of the University of Medical Sciences in Iran. Findings suggest that health planners and authorities may need to examine factors that contribute to the promotion of the communication skills for increase HHR productivity of employees and improved performance of health organizations.