Davoud Shojaeizadeh has completed his PhD from Liverpool University, Liverpool, England. He is a member of the faculty of Tehran University of Medical Sciences.
Anxiety is a more mental disorder in many countries. The global prevalence of anxiety has estimate 12%. Anxiety is in all of the occupation but it is more important in hospital staffs special among nurses. The prevalence of Anxiety among nurses higher than other people. This study was done in Alzahra hospital on 64 members of the nursing staffs according spielberger questionnaire. Individuals were divided randomly in intervention and control groups. Assaying of Anxiety was done using spielberger questionnaire and for assaying intervention we used designed questionnaire based on PRECEDE model. The educational intervention was done in 4 session was done according to PRECEDE model (Predisposing factors- Enabling factors- Reinforcing factors).The results of this study showed that the mean of Anxiety score and also predisposing factors, Enabling factors, Reinforcing factors before of training in two groups did not significant difference, but after of training the amount of Anxiety score was significant decreased score in intervention group in comparison to control group, also after of training the amount of Predisposing factors-Enabling factors-Reinforcing factors increase significantly in intervention group comparison to control group(p<0.05). The effect of reduction training based PRECEDE model in reduction of anxiety in nursing staffs. PRECEDE model is the best theory model in planning of health education and health promotion.
Regina Gentlesk Green completed her Master of Science / Psychiatric Mental Health Clinical Nurse Specialist program from University of Pennsylvania in 2002. She is currently the chief nurse executive (CNE) at Northbrook Behavioral Health Hospital, a for- profit Psychiatric Hospital owned by Ocean Healthcare. She has provided care for individuals with psychiatric and IDD, in a number of contexts for over 20 years.
To date, there is a lack of standardized treatment for individuals with self-injurious behavior (SIB) and intellectual and developmental disability (IDD). This paper is aimed at addressing the lack of knowledge and standardization in treating individuals who engage in frequent and significant SIB to the head. Specifically, this paper will address how an evidence-based integrated care pathway can increase the level of knowledge for treatment team members working with individuals with IDD that engage in frequent and/or significant SIB. Treatment team members were trained on an educational program related to SIB with the IDD population and on an integrated care pathway for SIB to the head. It is anticipated that this pathway will increase treatment team knowledge of best practices, decrease clinical variation, standardize care, and improve clinical outcomes with this vulnerable population. Finally, implications for more broadly utilizing integrated care pathways in healthcare assessment and delivery are discussed.