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Human love or professional knowledge? Khademi M (MSc), Alimohammadi N (MSc), Abedi H.A (Ph.D), Dehghan Anary D (MSc). Introduction: Disease or injury affects not only specific structures and physiological or psychological mechanisms but also integrated human functioning. When integrated functioning is seriously affected, the ability of an individual disturbs permanently or transiently for self-care. Vegetative state is one of severe and periodic states of unconsciousness and complete unawareness of self and surrounding environment. The patient loses his self-care ability and requires a complete compensative care system. The aim of this case report was to describe a successful long-term dependent care of a vegetative patient by family members according to Orem’s theory. Qualitative and quantitative data were gathered by interviewing with care givers, observing nursing care and examining the patient. Case: The case was an Iranian 34-year-old injured man in persistent vegetative state for 17 years after an explosion leading to head injury at war. His immediate care giver was his 58-year-old father with primary education. In physical examination, his integumentary, respiratory, and urinary systems were normal. Laboratory tests including blood cell counts, urinalysis, urine culture and electrolytes were also normal. Immobility complications (bedsore, contractures...), malnutrition and infections were not found. Conclusion: This study confirms the healing nature of family care that ensures living by love and hope. According to Orem (2001), love is a positive human emotion that moves people beyond their situations. Benevolence as an active part of a perfect love enables nurses (care givers) to unite with their patients and this helps to realize specific life situations and to struggle to solve them. In critical conditions, the family power dominated by human love should be considered more than before by formal providers of care to empower family role. In addition, with respect to the role of human emotions in providing complete and effective care, developing humanistic attitudes and emotions should be of great concern in nursing education because caring needs not only professional knowledge but also human love, emotions and attitude. Keyword: Clinical human-loving, Orem’s self-care theory, Vegetative state.

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Introduction: Achieving quality educational services is one of the current health system challenges and nurses have a great role in this regard. Although quality educational services are a complex concept so it is important to clarifying and exploring the related components. The study aimed to describe the components underlies to quality educational service in a cardiac rehabilitation program qualitatively and introduce some of the related problems. Methods: This is a qualitative study using qualitative content analysis method. Study population consisted of health practitioners working at health & research centers affiliated to Isfahan University of Medical Sciences, cardiac patients including inpatient and out patient service users and their assistants (family members). Data were gathered through conducting unstructured interviews with a purposive sample of 25(consisted of 3 physicians, 6 nurses, 1 dietarian, 13 patients and 2 patient assistant). The study was begun at 1386 and data analysis was completed at 1388. The rigor of the study was achieved applying Guba and Lincoln directions. Results: The concept of quality educational services in cardiac rehabilitation is described using four underlying concepts namely fittingness, comprehensiveness, authenticity and orderliness that are the elements of quality educational services in the cardiac rehabilitation program. Based on the findings, paying attention to audiences’ special needs and capabilities are important determinants in providing quality educational services in the cardiac rehabilitation program. Hereby the audiences could receive the trustful and responsive services. We suggest organizing the education and information giving routs. It would result in service comprehensiveness that could save the service taking opportunities. The existed problems were inadequate fittingness, poor coordination in the services and poor referral system that were resulted in poor response to some of the audiences needs. Conclusion: "Quality educational services" is a context based concept. Considering the cardiac rehabilitation, it was emphasized on providing need based services fitted to users' capabilities, attending to various bio-psycho-social aspects at both person and family levels and serving the services through predefined and coordinated pathways. It is necessary to nurses as one of the key members of cardiac rehabilitation team that consider such emerged elements in service management and direct care delivery to the cardiac patients and their families. Future researches on emerged concepts are worthy to suggest.

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Introduction: To safely prescribe medication in clinic, drug calculation ability is one of the basic skills that nurses must have. The major cause of medication errors is wrong dose calculation prescribed by nurses. This study aims to enhance the drug calculation ability of nurses of Hazrate Fatemeh Zahra hospital of Najaf Abad. Method: It was a quasi-experimental approach in which questionnaire was used to collect data. The population was nurses working in Hazrate Fatemeh Zahra hospital of Najaf Abad. Sampling method was convenience sampling. First, by using a researcher made questionnaire, pre-test was conducted from 43 people of the population. Then, intervention was done through workshops and after three weeks, the post-test was done. Reliability determined by using internal consistency and by split-half reliability and calculating Spearman-Brown reliability coefficient was 0.93. Data analysed with SPSS statistical software version 18 and statistical tests such as independent t-test, sign, Wilcoxon, Mann-Whitney, McNemar and Pearson's correlation coefficient was performed. Results: Out of the 43 nurses participating in the study, 21 nurses (48.8%) were at the intermediate level before training and after training all the nurses (n=43, 100%) were at the advanced level and answered at least 83% of the questions correctly. Before performing drug calculations course, the mean score of female nurses was 14.52 and the mean score of male nurses was 18.93 and the total mean score of nurses was 15.93. In the beginning, there was a significant difference between the scores of male and female nurses (P<0.05) and male nurses had higher total drug calculation score. After taking the course, the mean scores of female nurses increased to 23.03 and male nurses to 23.29 and the total mean score of nurses to 23.12, and a significant difference between the scores of the nurses in the sample and in both males and females in the drug calculation test before and after the course was observed (P<0.05). Conclusion: The results of this study indicate an increase in drug calculation abilities of nurses based on their score improvement in drug calculation in written test which was performed before and after intervention. According to the findings, the need for nurses in drug calculations was clear and by planned and ongoing training, these skills that are sensitive in preventing medication errors can be increased. Considering the importance of the issue and the reduced mastery of drug calculations that has been observed, it is suggested that these programs continue in different working periods of nurses so that they would be effective.

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Introduction: Parents are the first providers of psychological and physical needs of the children, and the role of father in fulfillment of these needs is clear. Periodical absence of a man due to offshore work not only affects his spouse but also the children as well. The present study aimed to compare the physical growth status of the children of offshore staff working for Iranian National Drilling Company with based staff. Method:This is an historical Cohort (retrospective cohort) study in which 80 male and 80 female primary school students of the staff working in Iranian National Drilling Company were selected through random sampling method. Data collection tool was a digital scale and a standard tape meter to measure weight and height of the children. Collected data were analyzed by descriptive statistics and binary logistic regression through SPSS. Results:Data analysis showed that mean weight, height and BMI were 137.21 cm, 35.74 kg, and 18.35 among the offshore staff’s children, and 145.8 cm, 43.74 kg and 20.25 in based staff’s children respectively. By use of National Standard growth charts of Iranian Ministry of Health, the number of children with delayed growth was calculated, and compared in both groups. The results showed that the highest frequency in offshore staff group was for the children with normal BMI (42.8%), and in based staff group, it was for the overweight children (52.5%). Meanwhile, the BMI showed no significant difference between the children in offshore and based groups. The percentages of short stature among the children in offshore and based staff groups were 20% and 3.8% respectively, which shows a significant difference. Conclusions:Based on the findings, fathers’ periodical offshore work is associated with a reduction in children’s height growth, but this association is not significant for BMI.

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Introductions: Iran is one of the countries affected by the health crisis caused by the emerging Covid-19 disease epidemic. In addition to physical effects, Covid 19 disease also has psychological effects that can affect the job dimensions of individuals, so this study was conducted to determine the role of job satisfaction on organizational citizenship behavior in Esfarayen College of Medical Sciences staff during coronary epidemic.
Methods: The present study is a descriptive-analytical cross-sectional study conducted in the second half of 1399 on 147 employees of Esfarayen University of Medical Sciences who were selected by cluster-random sampling. Data collection tools were Minnesota Job Satisfaction Questionnaire and Marcuzzi Citizenship Behavior Questionnaire. The collected data were analyzed using descriptive statistics and Pearson correlation tests in SPSS 26 software.
 Results: The results of the study showed that there is a significant inverse relationship between job satisfaction and organizational citizenship behavior of employees (r = -6.636) and (P = 0.000) and based on the scores performed, the average The job satisfaction score was 76.23 which is evaluated as average and the average score of organizational citizenship behavior is 55.21 which is evaluated as average.
Conclusions: Considering the relationship between job satisfaction and organizational citizenship behavior in this study, the organizationchr('39')s human resources system can be designed through performance appraisal systems, detailed management development plans, setting up fair payment systems to increase job satisfaction and ultimately organizational citizenship behavior. Staff step by step