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Objective: The purpose of this study was to investigate the relationship between organizational citizenship behavior, organizational commitment and its dimensions on the Welfare staff in Tehran 2013. Materials & Methods: In this cross - sectional study, one hundred eight staff of Tehran Welfare were selected by random sample, and the sample size of the previous studies. Data were collected using two standard questionnaires OCB, and Organizational Commitment, which includes the three dimensions, affective commitment, normative commitment and continuance commitment and analyzed by statistical methods such as: Pearson correlation coefficient and ANOVA. Results: The finding showed Between OCB and organizational commitment there was significant and positive correlation (P&le0.01, r=0.325). Also the dimensions of organizational commitment: affective commitment and normative commitment have a significant positive relationship with OCB, but not significant relationship OCB with a continuous commitment. ANOVA results showed that the average OCB in age, type of employment and employee experience is different. And Continuous commitment in hiring employees is different and emotional commitment in Background employees is different. Conclusion: Based on the findings we conclude that the enhancement of organizational citizenship behavior, organizational commitment and staff of Tehran can be increased.

Objective: The objective of this research was to investigate the organizational learning capability and it’s barriers and facilitators from Rehabilitation centers employees point of view in Tehran in 1391. Materials & Methods: This study was descriptive – analytical and was conducted sectional. Statistical population include Rehabilitation centers staff in Tehran in 2012 that samples were randomly selected from centers and sample size was 278 (including 64 mels,148 females). For data gathering , barriers and facilitators of organizational learning and organizational learning capability questionnaires were used. Data were analyzed by using SPSS software Results: Results indicated high significant organizational learning capability among rehabilitation center staffs. (SD=41/5, M=2/156). Organizational learning capability was significantly negative relation with Organizational learning barriers. (P&le0/01, gama=-0/6). But relation between Organizational learning capability and Organizational learning facilitators was not statistically significant (P>0/05, gama=-0/16). Conclusion: The results showed organizational learning capability in rehabilitation centers staff in Tehran was high value .the most important barrier of learning organization was day to day pressure of work and the most important facilitator of this was an appreciation of strengths and weaknesses in learning between rehabilitation centers staff. So due to promoting organizational productivity it is necessary to paying attention to it’s barriers and making plans for removing or reducing them and increasing organizational learning facilitators in rehabilitation centers is offered.

Objective: The aim of study was to design a valid and reliable tool for assessing the occupational therapists’ clinical competency. Materials & Methods: It was a tool-making study. Many clinical competency statements were extracted from evidences and with two expert-panels helped to emerge a questionnaire with sixty-six statements in seven categories. Face and content validity were confirmed by Lawshe method. Reliability was confirmed by pilot study, test-retest and internal consistency. Results: Occupational therapists’ clinical competency assessment tool was made with 54 questions in seven categories (critical thinking, practice process, effective communication, professional responsibilities, management of practice environment, practice knowledge, engage in professional development). Face and content validity confirmed by 15 experts CVR=0.84. Reliability (stability) was approved by pilot study, test-retest and Pierson correlation coefficient 0.995 and Cronbach’s alpha 0.973 confirmed internal consistency. Conclusion: Appropriate tool to assess the occupational therapists’ clinical competency was made with 54 statements in seven categories. Its validity was approved by Lawshe method and reliability was approved by pilot study in 30 people.

Objective: the purpose of this research is to investigate the effect of hospital based cardiac rehabilitation on quality of life of patients with myocardial infarction, which have referred to Baghiatallah hospital in Tehran during the year of 2010. Materials & Methods: in this semi-experimental research, 50 patients with myocardial infarction in the form of sequential sampling for experimental group and control group in the form of matched probability group (based on age, sex and education) were divided into two groups. First group includes hospital based cardiac rehabilitation (n=25) and later control group (n=25). The information collected with demographic and MC New quality of life questionnaires .The rehabilitation program consisted of twenty session education program and cardiac rehabilitation program. To investigate the differences between experimental and control group, independent samples t-test and paired t-test were used. The education material included some information on diet, medication, coronary risk factors and explanation of the patient cardiac event and exercise. Results: the research finding indicates the improvement in quality of life for experimental group following the application of hospital based cardiac rehabilitation, this improvement includes all dimensions such as physical (P

Objective: This study intends to determine the factors attributed to the use of research evidences results in practice, by rehabilitation’s practitioners in educational hospitals of Tehran. Materials & Methods: In this study, the research community included all the 485 rehabilitation practitioners working in educational hospitals of Tehran. The samples were consisted of 165 persons which have been selected through cluster random sampling. For data collection, Funk questionnaires were used to determine the barriers and facilitators of evidence based rehabilitation. For data analyzes, descriptive statistics, independent T-test and one-way ANOVA were used. Results: %70.5 of participants was female with mean age of 38 and average twelve years of employment. Most of them (%38) were physiotherapists and undergraduates. According to the findings, current inadequate facilities for implementation of evidences and lack of enough authority to change patient rehabilitation procedures, were known as the two main barriers.At the other side,promoting personal motivations and interests, besides supplying proper necessary facilities, such as computer and easy internet access were the most effective facilitators for evidence-based rehabilitation practice. Conclusion: In this study, insufficient facilities for implementation of evidences and increasing interest and individual motivation for implementation of research were reported as the main barrier and facilitator of evidence based rehabilitation practice, respectively

Objective: In the world, stroke causes long-term complication and is considered an the important cause in these inability in patients. Therefore, nursing care is very important in this patient that must determine reachable and supportive goals. We can decrease the problems in these patients, their families and treatment-care system with implementation good program. Materials & Methods: This investigation is a semi-experimental study which its main goal has been to determine the effect of home care on complication resulting from immobility in musculoskeletal system of patients with stroke stayed at home. Association of investigation all the patients with stroke stayed at home which have been hospitalized at one of the hospitals of Semnan town in winter of 1381 and summer of 1382, among them 32 persons were chosen accidentally (16 person test group and 16 person witness group). Collection of data was instrument includes a questionnaire consisting of two parts. The first part demographic characteristic of patients with stroke and the second part as checklist which mentioned questions is in musculoskeletal system which completed by the researcher. After selection of samples and completion of questionnaire and graphic and checklist at the begining of the work, for patients of test group, nursing cares have been varried out by emphasising and focusing on musculoskeletal system for 12-18 session, each session 45 minutes to one hour (total 40 days) and for witness group no special care has given (But they were free in receiving care and if anyone had used this care, he/she expelled from samples).� Results: Research demographic profile indicated that 23 persons of samples are man (13 persons in test group and 10 persons in witness group) and 8 persons are woman (3 person in test group and 5 person in witness group). Mean of age is 63 in test group and 70 in withness group. Mean of weight is 67/5 kg in test group and 65 kg in witness group. In comparing immobility complication between two groups in muscloskeletal system (0.06) there were meaningful statical difference. Conclusion: Obtained finding in relation to the major goal of the investigation showd that the amount of complication resulting from immobility in test group, according to assumption has been lower than persons who don’t receive these cares, Nursing care was considered to be more effective on complication resulted from immobility of patients with stroke.

Objective: Since presence of cerebral palsied child affects the life quality of family and specially family caregivers, the aim of this study was to determine the effect of education to caregivers about caring of children with cerebral palsy on quality of life of them. Materials & Methods: In this interventional and quasi-experimental study, twenty five family caregivers of spastic cerebral palsy children were selected based on inclusion criteria from welfare centers of Babolsar. Instruction courses performed 6-8 sessions and each session takes 30 minutes. The quality of life was assessed using SF36 (short form health survey with 36 question) at the beginning and 3 months after the instruction courses . Paired T test and Wilcoxon nonparametric test were used for data analysis. Results: The scores of quality of life followed by instruction courses showed that there was meaningful improvement in whole of eight realms , both total realms of physical health and mental health ,as well as total quality of life (P

Objective: One of the most widespread cardiovascular disorders is Heart failure and is expressed as a chronic, progressive and disabling disorder .Many research have shown that quality of life in heart failure patients is low. one of the promoting ways of quality of life is self care education. The purpose of this study is to evaluate the effect of self care education on quality of life among heart failure patients . Materials & Methods: This study is a quasi-experimental research which is done on 126 heart failure patients whom were selected from persons referring to Tehran Rajaei Heart Center and were assigned equivalently in intervention and control group by the way of randomly permuted blocks. Data collection was tooled by demographic specification form, questionnaire of quality of life of heart failure patients and “European heart Failure Self-Care Behaviour Scale”. Intervention group patients lied in 6 groups, each group contents of 10 persons for education and participants were educated in 4-6 sessions. The educational package was given to these patients, finally. Time for each session was 30-45 minutes. For data analyzing, Paired T-test and Independent T-test, Chi-square, Kolmogorov-Smirnov test, Levens test and analyze of covariance were used. Results: There was no significant difference between two groups in total quality of life (P=0.214) and self care (P=0.795) before intervention, but after intervention these differences were significant (P

Objective: The aim of the present study was to determine the effects of home based cardiac rehabilitation programs (CRP) on quality of life in post Myocardial Infarction (MI) patients. Materials & Methods: We conducted a quasi experimental design study with a non randomized sampling, pretest - posttest control group. After matching, 38 subjects were allocated randomized either a home based CRP (n=18) and a control group (n=20). At the base line knowledge about disease management and quality of life (QOL) were measured .Then experimental group were instructed by multidisciplinary team about home based CRP. The patients received an instructional booklet containing the above mentioned information and also received support and guidance through phone call and home visits, on the other hand, disease management and health behavior were been measured in ever home visiting. At the end of three months follow up, patient's knowledge and QOL were measured again. Results: The research findings indicated the improvement QOL for the Experimental group following the application of home-based CRP, this improvement included all dimensions such as physical, mental, and psychological ones (P = 0.000). No significant improvement was observed in social dimension of QOL following the experimental group (P=0.308). For control group, the reduction of averages in different dimensions of QOLwas noticeable. However, this reduction was noticeable and just meaningful in social dimension (P=0.009). Comparing groups, before the intervention, indicated that there weren’t significant differences in different dimensions of QOL but, after the intervention, there was significant difference just in psychological dimension (P=0.032). Conclusion: Significant positive changes in physical, psychological dimensions and whole of QOL indicated positive effect on homebased CRP on QOL in experimental group. Although there was just significant difference between groups in psychological demands of QOL after the treatment, but research hypothesis, "positive effect of homebased CRP on QOL" wasn’t supported. It may be due to the fact that QOL is a subjective, dynamic and multidimensional concept and defensible outcomes need using larger sample with longer period of time especially based on team approach.