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Introduction: Nursing documentations are signs of nursing care implementation. Follow the principals of documentation could be effective for patients’ safety nurses’ security.

Aim: This study was done for Assessing quality of nursing documentations and effective factors on it in medical-surgical units.

Method: This study was descriptive- corollative that was done in 2010.All of nurses in medical and surgical units in teaching hospitals (170) were in this study and also, 2040 documents selected simple randomly which they were in four domain in nursing nursing record, check vital signs , intake & output and drugs administration. They were observed by checklist. Reliability was 88% by inter-rater observers. Nurses’ attitude, their knowledge and viewpoints about the quality of effective factors on nursing documentation were assessed by questioners. Reliability of knowledge questioner was 0.97% by using Kuder Richardson 21. Reliability of attitude questioner was 0.90% by using test –re test. Also, this test showed that reliability of questioner for assessing quality of effective factors was 0.91%. Validity all of the questionnaires was assessed by content validity. Data analyzed by Pearson test, One-way-ANOVA and T test by SPSS software.

Results: The results showed that 100% of nursing record and vital sign charts had average level of quality, 85.9% of drug administration and 81.2% of I&O of fluids domains had good level of quality. 85.1% of nurses had average level of  knowledge and 99.5% of  them had positive attitude toward nursing documents  and viewpoint of 78.4% nurses  about quality  of management’ factors were average level. There were significant relationships between kind of units, hospital and experience with quality of nursing’ documents (p<0.001 (gender and quality of nursing’ documents (p=0.003) and age with nursing’ documents (p=0.006).

Conclusion: It is recommended that hospitals improve necessary conditions for corporation, motivation, organizational communication, and education for nurses. In addition, it is recommended to nurses who are knowledge worker improve their individual skills and team-work capabilities to increase their competence and job satisfaction.

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 Introduction: The improvement of nursing care quality and the presentation of nursing care with a good quality have an effective role on desirable care, prevention illness return, decrease of hospitalization and decrease of cost hospital, family an community. The aim of this study is to investigate the effect of mentoring program on the quality of presented nursing care recording

 Method: The present research is a quasi-experimental study in two hospital of Sanandaj city, which was carried out after non-randomized sampling. In the study 10 nurses participated and for each nurses 5 profiles of patients were assigned to experimental and control group. For supervisors mentoring program designed (education, support, faciliator, feedback) was implemented within two months. For data collection, nursing care quality questionnaire was used.

 Results: The results of U-Mann Whitney test before intervention and before and after operation, revealed that the quality of nursing care recording is weak (P=0.501 & Z=0.663), but after intervention results in experimental group was intermediate and significant (P=0.000 & Z=-8.078).

Conclusion: According to the results, mentoring program brings about improvement of nursing care in patients with surgical operation. Therefore, it is suggested that regarding the percentage of success of the program, in different wards it can be implemented

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Introduction: Throughout the world, patient safety, which is preventing any accidental injury to the patient during providing the care, is one of the main concerns of all the health system. The behavior and decisions of the health system staff, including those involved in managerial and clinical settings can highly influence in patient safety.
Aim: The study was done for prioritization of contributing factors on patient safety by analytical hierarchy process in hospitals.
Method: In this descriptive - analytical study, total 215 nurses, physician and managers of two teaching hospitals that affiliated by Gonabad University of Medical Sciences were selected through census sampling. Prioritization of the factors affecting patient safety was done by using a questionnaire based on Vincent and the hierarchical analysis. Its internal consistency was (α= 0.76). The data were analyzed using SPSS Software and Expert Choice 11.
Results: 58% of samples were female and 81% of the them were nurse, 12% were physician and the rest were administrative staff. The participants prioritized the factors influencing patient safety according to significant coefficient as task (0.399), team (0.220), individual (0.210) hospital management (0.076), patient (0.059), and infra-hospital (0.035 There was a significant difference between the task, team, managerial hospital, and infra-hospital factors among the nurses, physicians, and managerial staff (p˂0.001). All of health care staff did not perceive latent factors in patients’ safety.
Conclusion: In order to improve patient safety we need greater attention to the latent factors. So, it is suggested that hospital administrators be held workshops to promote awareness and perception nurses, doctors and managers.