Introduction: Premature discharge is known as a cause of relapse of PSYCHIATRIC disorder and readmission. Health supervisors and researchers are eager to keep this kind of discharge minimal. Current study was done to evaluate the frequency of Discharge Against Medical Advice (AMA) from PSYCHIATRIC WARD and correlated variables.Materials and methods: In this case-control retrospective study, the chart of 908 admissions in psychiatry WARD of Baqiatallab hospital between 1997 and 2003 were studied. Random sampling was done. Patients were divided to patients discharged AMA and those discharged with Medical Advice. Demographic -and mental health related variables were registered and compared in two groups. Results: 31 subjects (3.4%) were discharged Against Medical Advice and 877 (96.6%) with Medical Advice. Discharge AMA was significantly correlated with psychotic disorders and depressive disorders, but not with personality disorder, anxiety disorder and bipolar disorders. Age, being soldier, socioeconomic status', military duty, familial history of mental health disorder in relatives, history of suicide, using drugs and cigarette was not significantly correlated with discharge AMA.Conclusion: Over 3% of subjects who admit to Baqyiatallah hospital are discharged against medical advice. Patients with depressive or psychotic disorders are at higher risk for discharge with AMA. With respect to decrease the frequency of discharge against medical advice, it seems t be essential to give instruction to some groups of patients such as those with depressive or psychotic disorders. Further studies are recommended.

Aim and Background: The incidence of aggression against nursing staff in psychiatry is a major challenge and the destructive dimension of this phenomenon affects the nurses and management of these hospitals. The present study was conducted to determine the status of aggression against nursing staff in psychiatry and related factors in Isfahan. Methods and Materials: This was a retrospective descriptive-analytic study. The study population consisted of nursing staff working in PSYCHIATRIC WARDs of Isfahan teaching hospitals. Data gathering tool was the violence at the workplace questionnaire. The results were analyzed using chi-square test and in SPSS. 22. Findings: Results showed that aggression toWARDs nursing staff was verbal (95. 5%), physical (79. 7%) and bullying (34. 7%). There was a significant relationship between shift work, staffing and physical violence (p<0. 05). Also, there was a significant relationship between night work and physical violence (p<0. 05). People with schizophrenia had the highest rate of physical violence. Regarding the area of activity, the highest incidence of physical violence was in the acute PSYCHIATRIC WARD, which was statistically significant (p<0. 05). Conclusions: The results showed that verbal, physical and bullying violence against male nurses was more than female nurses. Therefore, in order to minimize the violence in the hospital environment, planning, organizing, preventive strategies, proper management, appropriate protective measures and training should be considered.

Background and Objectives: HIV/ AIDS is a worldwide problem which affects 95 percent of the population in developing countries. The purpose of this study was to examine HIV-risk behaviors and knowledge of PSYCHIATRIC patients, regarding AIDS in the teaching hospitals of Tehran.Materials and Methods: A cross sectional study was conducted using a questionnaire administrated to 230 PSYCHIATRIC patients. Quota sampling was used in order to ensure a certain distribution of demographic variable.Results: The study revealed that 33.9 and 9.1 percent of patients were drug-users and injecting drug-users respectively, in the past 10 years. 76.2 percent of injecting drug users had needle-sharing partners. 19.6 percent of patients had been sexually abused in the past. 27.8 percent had had sex with multiple partners and 16.1 percent were homosexual. 26.5 percent of patients had had sexual contact with injecting drug users. 37.9 percent of sexually active patients had had sex after or whilst using drugs and alcohol. 6 percent of patients reported to have had a test for HIV (exonerative) and 30.8 percent worried about a possible HIV infection.There are significant links between gender (p<0.001), occupational status (p<0.004) and living situation (p<0.05) and drug and alcohol users. Males, workers and those living institutions had a higher rate of drug and alcohol abuse. There is significance between gender (p<0.001) and the number of hospitalization (p<0.007), and injecting drug users. Males and patients who had more than six admissions to hospital were more likely to be injecting drug users. Regarding the gender, females reported a higher rate of sexual abuse (p<0.001).Multiple partners with occupational status (p<0.05) and civil status (p<0.02) and living situation (p<0.04) with homosexual intercourse showed significant association, so that employees reported higher rate of multiple partners. Widows and people who have lived in institutions had a higher rate of homosexual contact. 21.7 percent of patients had a very low level of knowledge about aids: 28.7 percent of patients had a low level knowledge and 18.3 percent of patients had a good knowledge. With respect to the basic facts of HIV, 13.5 percent of patients had a good knowledge and 53.1 percent had either a very low or a low level of knowledge. Regarding the routes of transmission, 33.1 percent of patients had either a very low or a low level of knowledge, and 24.8 percent had a good knowledge. With respect to the methods of prevention, 48.3 percent of the patients had either a very low or a low level of knowledge, and only 9.6 percent of patients had a good knowledge. The total knowledge score was significantly associated with age (p<0.03), level of education (p<0.001), occupational status (p<0.04), living situation (p<0.04) duration of illness (p<0.001) and number of those hospitalized (p<0.001). So that older patients, patients with basic education, housewives, people who have lived in institutions, patients who have been ill for longer than eight years and people with more than six PSYCHIATRIC admissions had a lower score on the AIDS-knowledge test.Conclusion: This study concluded that sexual history, HIV education and risk-reduction counseling are essential components of the care of adults with mental disorders.

Introduction: The military persons that were exposed to war-zone trauma are at risk of developing PTSD that can impair their psychosocial ability.Many Iranian soldiers are stricken with PTSD and haunted in sanitarium. Occupational therapy has had a positive effect on PSYCHIATRIC patients. Objective: In this study the effects of occupational therapy were evaluated on PTSD veterans.Materials & Methods: In a controlled clinical trial, 20 patients from a PSYCHIATRIC sanitarium were selected and randomly divided into two treatment and non-treatment groups (10 persons each). After PSYCHIATRIC interview and occupational evaluation using Functional Assessment Inventory and Preliminary Diagnostic Questionnaire, regular vocational program was performed for the treatment group, whereas sham program was introduced to the control group. At the end of study (6 months), the occupational positions and psychiatries symptoms were evaluated in two groups.Results: The age mean and disability percentage of both groups were similar. At the end of study in contrast to the control group all members of treatment group were employed. The findings showed remarkable improvement in treatment group after occupational therapy. Conclusion: Occupational therapy is efficient in diminishing the PSYCHIATRIC symptoms of PTSD patients.

Patients at PSYCHIATRIC facilities may experience anxiety for a variety of reasons. Long-term anxiety that is not treated can lead to chronic problems like headaches, insomnia, depression, muscle tension, suicidal thoughts, and chronic pain. The purpose of this study is to investigate the relationship between anxiety levels and anxiety-inducing factors in patients hospitalized in PSYCHIATRIC WARDs. In a cross-sectional study, 384 patients with PSYCHIATRIC disorders admitted to PSYCHIATRIC departments of hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran were included in 2020. Sampling in this study was done by a simple random sampling method, and on each sampling day, the patient's bed number was written on a separate piece of paper and randomly drawn from the box. SPSS software (version 18. 0, SPSS Inc., Chicago, IL, USA) was used for data analysis. 384 participants were included in this research. The largest number of patients, 218 (56. 8%) were below diploma. 234 people (60. 9%) were in the age group below 40 years. Also, 210 patients (54. 7%) were female. Most of the participants (40. 6%) had a high anxiety level. There was a significant positive relationship between the staff's conversation about the patient in the WARD and the anxiety score of hospitalized patients (P<0. 001). So, the more the talk is about the patient, the more the patient's anxiety will increase. Also, there is a significant positive relationship between the lack of individual freedoms after hospitalization and the anxiety score of patients based on Kessler's anxiety questionnaire (P=0. 02). The findings of this study indicate that some of the elements under investigation contribute to patients' anxiety while others have no bearing on it. To fully understand the causes of anxiety in patients being treated in PSYCHIATRIC hospitals, more research is required.

Introduction: Clinical competence is considered as the use of knowledge, skills, abilities, behaviors and characteristics to successfully perform important work tasks in the field of mental health nursing. Despite training that prepares nurses for diagnosis and intervention to promote mental health and reduce the risk of PSYCHIATRIC illness, most nurses are currently limited in their willingness to provide PSYCHIATRIC care. Therefore, the aim of this study was to Evaluation of PSYCHIATRIC nursing clinical competencies in nurses working in Razi PSYCHIATRIC Hospital affiliated to the University of Social Welfare and Rehabilitation Sciences from the Viewpoints of themselves and their head-nurses in 2019. Methods: This study is a descriptive cross-sectional research. The sample consisted of 173 nurses working in Razi PSYCHIATRIC Hospital affiliated to the University of Social Welfare and Rehabilitation Sciences. After obtaining written informed consent, they were enrolled in the study. The number of head-nurses was 25, who filled out the checklists for their subordinate nurses. The following tools were used to collect data: 1. Demographic Questionnaire, 2. PSYCHIATRIC nurses clinical competencies self-assessment questionnaire, and 3. Checklist of clinical competencies of PSYCHIATRIC nurses. Data were analyzed using SPSS software version 22. Results: The total score for self-assessment of competencies was 148. 62 and the total score for evaluation of head-nurses was 118. 9. This means that the nurses rated their clinical competence at an excellent level and the head-nurses rated their clinical competence at a good level. None of the independent variables had a significant relationship with the dependent variables (self-assessment of clinical competencies and evaluation of clinical competencies by the head-nurse). Conclusions: In general, it can be concluded that the clinical competence of PSYCHIATRIC nurses was desirable from the perspective of themselves and their supervisors. Providing a model and performance plan for assessing clinical competency can help nursing managers and head nurses monitor their clinical staff in relation to their level of clinical skills. Because nurses need clinical competence in all aspects for optimal clinical performance. So that managers and supervisors should have full control over the clinical competence of their nursing staff and identify and encourage highly qualified staff and be aware of the areas in which nurses suffer from weakness and inadequacy and try to strengthen weaknesses.

Introduction: The aim of this study was to determine the reasons for ordering the PSYCHIATRIC consultation for the inpatients of a teaching general hospital in Tehran, and evaluating the demographic information and type of diagnosis. Method: In 3 years' time, 300 inpatients (174 females) who were sequentially referred for a PSYCHIATRIC consultation from the twelve WARDs of Hazrat Rasoul Hospital in Tehran, were assessed by a demographic questionnaire and PSYCHIATRIC interview. Results: About 40% of referred patients aged 18-40 years. Statistical analysis revealed that the internal medicine WARD had the highest referral rate (44%). Two most common reasons for referral were general PSYCHIATRIC assessment (13%) and evaluation of patients' psychotropic medications usage (11%). The most common diagnoses were mood disorders (24.4%) and coping with an illness (13.7%). Conclusion: PSYCHIATRIC problems were common in the different WARDs of this general hospital.

Introduction: PSYCHIATRIC nurses tolerate high levels of occupational stress; hence, stress management methods should be implemented to prevent this stress’s effects on these nurses. The aim of this study is to determine the effect of critical thinking training on the nurses of PSYCHIATRIC WARDs’ job stress.Materials and Methods: This is an experimental study of the pre-post test design or the control group. Sixty nurses and healthcare workers, working at Ibn-e-Sina PSYCHIATRIC hospital of Mashhad were recruited. They have been randomly assigned into the experimental (n=30) and control (n=30) groups. Karasak job stress was used as the scale for data collection in three stages; before intervention, 1month, and 2month after the intervention. This intervention included two 6 hours sessions of critical thinking training, which were carried out with an interval of one week. Similarly, in control group two 6 hours sessions where held with an interval of one week to teach the terms of PSYCHIATRIC symptoms to the nurses. Data were analyzed by X2, t-test, ANOVA and Fridman by SPSS-11.5.Results: The results of this study reveal that the mean score of the job stress in the experimental group in pre-intervention stage (92.1±7.6) has been decreased to 84.8±6.4 one month after intervention, and to 81.5±6.9 in the third stage (two month after the intervention), which is significantly more than the control group (P<0.001). The job stress of the control group increased admirably one month and two month after the intervention stage (P<0.001).Conclusion: As critical thinking training is an effective method to decrease the job stress, it is suggested that the managers consider it to decrease the nurses’ job stress.