Nursing
Ziba Raisi Dehkordi; Hadis Sourinejad; Elham Adib Moghaddam; Masoumeh Rahimi; Shahriyar Salehi Tali
Abstract
Background: Preparation for a crisis is necessary. The experiences of nursing and midwifery professors and students involved in the Covid-19 pandemic have helped us clarify and better prepare for future crises, particularly for biological crises. Therefore, the present research aimed to explore the views ...
Read More
Background: Preparation for a crisis is necessary. The experiences of nursing and midwifery professors and students involved in the Covid-19 pandemic have helped us clarify and better prepare for future crises, particularly for biological crises. Therefore, the present research aimed to explore the views and experiences of nursing and midwifery instructors and students regarding in-hospital crisis management during the Covid-19 pandemic.Materials and Methods: In this qualitative study, data collection was done using semi-structured interviews with 14 nursing and midwifery instructors and students with experience in caring for coronavirus patients during the covid-19 pandemic; data analysis was conducted according to the conventional content analysis approach.Results: The analysis of the interviews was accompanied by 425 inference codes, which finally ended in 9 categories and 3 main categories after merging the repeated cases (integrated management, professional ethics and development of specialized knowledge).Conclusion: In order to prepare for biological crises such as the Covid-19 pandemic, the cooperation of various organizations is necessary for a more proper management of the situation. It is also necessary for health managers to recruit workers after assessing the severity of the crisis, and to help them develop their knowledge and skills with evidence-based training, while sticking to the principles of professional ethics, and paying special attention to maintaining and improving the mental health of the workers.
Alireza Ghorbani; Javad Azimivaghar; Maryam Shahabianfar; Elahe kabirian; Mohammad Ali Yaghobi far; Hasan Yousef zadeh
Volume 29, Issue 3 , September and October 2022, , Pages 379-392
Abstract
Introduction: The cost of hospital services has increased sharply, so we must pay attention to the proper management of costs in hospitals and the need to make optimal use of available facilities and resources by using economic analysis. This study aimed to investigate the types of efficiency of hospitals ...
Read More
Introduction: The cost of hospital services has increased sharply, so we must pay attention to the proper management of costs in hospitals and the need to make optimal use of available facilities and resources by using economic analysis. This study aimed to investigate the types of efficiency of hospitals in Sabzevar University of Medical Sciences before and after establishing the Health System Reform.
Materials and Methods: This descriptive-analytical study was conducted to measure hospitals' technical, scale, and managerial efficiency under the auspices of Sabzevar University of Medical Sciences using the comprehensive data analysis model and Pabon Lasso model in 2014 and 2018.
Results: Hospitals' average technical efficiency and scale had increased from 0.945 in 2014 to 0.924 in 2018. Also, the average change in total productivity was equal to 0.978, which indicates an improvement in the productivity situation during the study period.
Conclusion: One of the reasons for the increase in the number of hospitals with technical efficiency and scale 1 is the start of Heshmatieh Hospital and the optimal use of resources by the above hospital. In this study, the Malmquist index and Pabon Lasso model show that hospitals' performance has improved after establishing the Health Reform Plan. Still, the values of various types of performance calculated through data envelopment analysis show a slight decrease in performance. Sabzevar hospitals are after the implementation of the Reform plan. Therefore, the correct distribution of resources effectively improves the hospital's function.
Educational
Mousarreza Mohagheghnejad; Amir Ashkan Nasiripour; Rouhollah Zaboli; Hossein Damghanian
Volume 28, Issue 6 , January and February 2022, , Pages 959-969
Abstract
Background: Hospitals, as an important unit in the modern treatment system, using various sources, are responsible for providing, maintaining and promoting health for individuals in the community. In order to perform this important service, it is necessary to meet their needs properly. This study was ...
Read More
Background: Hospitals, as an important unit in the modern treatment system, using various sources, are responsible for providing, maintaining and promoting health for individuals in the community. In order to perform this important service, it is necessary to meet their needs properly. This study was conducted to design a model of factors affecting hospital services supply chain.Materials and Methods: This is a combined (qualitative-quantitative) research in which the opinions of fifteen experts about the hospital supply chain from six provinces of the country were used. After conducting a semi-structured interview, their opinions were collected until saturation and then analyzed. The framework analysis approach was used to determine the effective factors. Using Delphi method, the level of agreement of experts was evaluated.Results: After analysis and coding, finally seven main topics including financial resources, human resources, technologies, induced demand, management, supply and distribution, and construction and equipment were identified. Meanwhile, management (mean 4/42±0/46 and mean rank 5/56) was identified as the most important factor.Conclusion: Although financial or human resources and other factors inside or outside the organization affect the hospital services supply chain, but investing to improve management prevents or reduces the impact of many challenges.
Health and environment
alireza mohammad zadeh; rogheye hojjatpanah; Seyed Ali Sajjadi; jalal mardaneh; Nezami Hossein; Mehdi Ghasemi
Volume 28, Issue 2 , May and June 2021, , Pages 214-221
Abstract
Introduction: Nosocomial infections are one of the most important problems in hospitals and medical centers which cause loss of economic resources increased length of stay in hospitals and mortality. Correct and appropriate use of antiseptic and disinfectants play an important role in reducing infections. ...
Read More
Introduction: Nosocomial infections are one of the most important problems in hospitals and medical centers which cause loss of economic resources increased length of stay in hospitals and mortality. Correct and appropriate use of antiseptic and disinfectants play an important role in reducing infections. In this study the efficacy of the Current Disinfectants on Bacteria Isolated from Different Wards of an Educational Hospital has been studied.
Materials and methods: In this cross-sectional study, a total of 245 samples were taken from different wards of Allameh Behlul Hospital in Gonabad. Samples were taken before and after disinfection with disinfectants of Deconnex AF50, Peranacide M1, microzed GPH and Sarphosepte Quicks. Samples were cultured on special culture media and identified by biochemical tests and the number of colonies was determined. Data were analyzed using Wilcoxon statistical test.
Results: In the present study, microbial contamination of different sections showed that the most gram -positive bacteria were isolated included Staphylococcus epidermidis, and the most Gram -negative bacteria were isolated included, Escherichia coli. Mean before and after disinfection in deconox and microzed disinfection was significantly different in all parts (P <0.05). For peranaside disinfection in Internal and NICU sections, and in ICU and Maternity before and after There was no significant difference in disinfection (P> 0/05).
Conclusion: The results of this study showed that Deconex and Microzed were among the most effective disinfectants. Peranaside disinfectant in the maternity and NICU sections, and the Sarphosepte Quicks were also less effective in the Internal and ICU sections, but had good efficacy in other sections.
Health Education
Davood Robatsarpooshi; Seyedeh Belin Tavakoly Sany; Hadi Alizadeh Siuki; Nooshin Peyman
Volume 25, Issue 6 , November and December 2018, , Pages 793-807
Abstract
Health literacy is seen as an important component of public health And for playing a key role in how people make decisions in the areas of health, community health promotion and high quality health care providers, policymakers have been concerned Given the importance of health literacy of individuals ...
Read More
Health literacy is seen as an important component of public health And for playing a key role in how people make decisions in the areas of health, community health promotion and high quality health care providers, policymakers have been concerned Given the importance of health literacy of individuals and the role they have in promoting their own health and others This study was conducted to evaluate the health literacy studies in different groups in the country .In this article keyword health literacy, in the title and abstract of published papers in scientific databases were searched and all the articles in Farsi on the list of health literacy. The abstracts were reviewed and in several steps unbiased duplicates were eliminated and finally 34 articles that had been done only on health literacy for a comprehensive review and data extraction were selected.The results of this study show that the health literacy in different groups in our country is not desirable, therefore, should be considered coherent planning and efficient health policy
Health and environment
Ramezan-Ali Khamirchi; Zahra Rezaei Ghozal abad; Mohammad-Ali Yaghobi far; Mohammad-Hasan Rakhshani
Volume 24, Issue 4 , July and August 2017, , Pages 233-237
Abstract
Background and Purpose: The important role of proper sterilization of surgical instruments and accessories of patient safety and infection control in hospitals to hygiene standards is a proven fact. Therefore, evaluating the quality control of sterilization in hospitals in Sabzevar is the aim of ...
Read More
Background and Purpose: The important role of proper sterilization of surgical instruments and accessories of patient safety and infection control in hospitals to hygiene standards is a proven fact. Therefore, evaluating the quality control of sterilization in hospitals in Sabzevar is the aim of this study. Methods: This investigation cross-sectional was studied in the 2014-2015 on the three hospitals Vasei, Emdad and Mobini. In this study, a questionnaire workplace health center of the Ministry of Health and Medical Education was used by using a check list of the sterilization units were survey and compared in four dimensions: personnel, physical condition, devices and equipment, and packs features reviews. Then the results were analyzed using SPSS 11. Result: The results showed that the sterilization unit in Sabzevar hospitals, as then staff is the highest with 96.66% and then sterilization equipment with a 76.66% had the lowest quality. Conclusion: Sterilization and infertile can reduce hospital infection rate, increase efficiency indicators, and avoid imposing additional financial burden. Therefore, considering the health centers to provide management, credit systems and equipment, increased physical space, and workshops for staff seem necessary for sterilization units.
Moslem Mohammadi; Masoud Bahreini; Sina Dobaradaran; Kamran Mirzaei; Shohreh Shahamat
Abstract
Backgrounds Excessive noises are generally known as one of the most important causes of environmental pollution. Destructive effects of noise pollution on staff and patients of hospitals were confirmed. The current study aimed at measuring the intensity of noises and annoying sounds in different wards ...
Read More
Backgrounds Excessive noises are generally known as one of the most important causes of environmental pollution. Destructive effects of noise pollution on staff and patients of hospitals were confirmed. The current study aimed at measuring the intensity of noises and annoying sounds in different wards of a hospital affiliated to Bushehr University of Medical Sciences, Bushehr, Iran, in 2015. Methods & Materials The current cross sectional study was conducted in a hospital affiliated to Bushehr University of Medical Sciences. The minimum and maximum levels of annoying sounds and noises were measured in 10 wards and the area around the hospital in the morning, evening, and night hours on weekdays and holidays. Data were collected using the 805 ST sound level meter. Data were analyzed using SPSS version 21, employing descriptive and inferential statistics. P was ≤0.05. Results The most intensive noise was measured in the emergency ward, 67.16±7.7 dB, among the 11 wards of the hospital. The maximum and minimum intensive noises were the general pediatric ward (64.11 ± 4.8 dB) vs. males general ward (54.46±3.6 dB); nursing station of the emergency ward (67.15±7.7 dB) vs. nursing station of the Intensive Care Unit (ICU) (44.78±5.1 dB), and the corridors of females general ward (66.18±9.1 dB) vs. the corridors of operating room (55.7±6.4 dB).Conclusion The level of noise was higher than that of normal sounds in all hospital wards. Noise in the evening shift was more than those of the morning and night shifts. These findings stressed on the necessity of considering the issue of sound pollution in the studied hospital. Based on these findings, the hospital managers should attempt to eliminate or decrease such pollutants.
Marjan Vejdani; Maryam Godarzeyan; Zahra Rahimi; Seyyed Ehsan Saffari; Marzieh Vejdani; Samira Fouji; Arefeh Pourtaleb
Volume 23, Issue 4 , September and October 2016, , Pages 662-671
Abstract
Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.Methods & Materials In this cross-sectional ...
Read More
Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.Methods & Materials In this cross-sectional and explanatory study, 189 hospitalized patients in Vasai hospital were selected using a stratified and simple random sampling. Standard Responsiveness Questionnaire was used as the data collection tool. Data were analyzed using descriptive statistics, independent t-tests and ANOVA by SPSS 16 at a significance level of 0.05.Results Access to the social support during hospitalization achieved the highest score while patient autonomy received the least score. There was a significant relationship between Access to the social support and patient’ gender (P≤0.05). Results showed significant differences between wards in this hospital and Access to the social support and Quality of basic amenities (P≤0.05). From patient view point the total score for this hospital was (2.43±0.60) that showed the moderate level of responsiveness. Conclusion More than ever trying to institutionalize the principle of responsiveness culture in this kind of training educational hospital should be regarded. In this way it could be helpful to design a new scientific approach to implement and evaluate responsiveness in hospital regularly. It also would be an effective way to design suitable guideline and checklist along with improve clinical governance and clinical audit
Mohsen Barooni; Ahmad Rahbar; Ali Abzareh; Hadi Hami Parsa
Volume 22, Issue 3 , May and June 2015, , Pages 238-245
Abstract
Background and purpose: Hospitals as the largest and most costly units in health care systems play a special role. The rate of their efficiency can be considered as a criterion for the measurement of performance and productivity of resource consumption in hospitals. The purpose of this study is to determine ...
Read More
Background and purpose: Hospitals as the largest and most costly units in health care systems play a special role. The rate of their efficiency can be considered as a criterion for the measurement of performance and productivity of resource consumption in hospitals. The purpose of this study is to determine the technical efficiency of public hospitals of Qom University of medical sciences.
Materials and Methods: This study is a descriptive – analytic study. In this research, for determining the efficiency of Qom University of Medical sciences which includes six teaching hospitals and two public hospitals, Data Envelopment Analysis (DEA)method used. Data and relevant Statistics were collected from medical record ward of those hospitals and were processed by Deap2 software to achieve the objectives of the research.
Results: The average technical efficiency score in 2011 and 2012 was estimated 0.717 and 0.751. With regard to technical efficiency score in 2012,the efficiency score of one hospital was 1 and three hospitals were between 1 – 0.8 and four hospitals were less than 0.8 .But in 2011 one hospital had the efficiency score of 1 and two hospitals had between 1-0.8 and other hospitals had less than 0.8.
Conclusions: The studied hospitals for achieving the maximum efficiency should reduce the number of extra product factors from initial product factors to achieve desired efficiency level. Because in 2011 and 2012, with the efficiency of %71 and %75 of their resources, respectively, could achieve the same output level.
Mohammad Hossein Mehrolhasani; Tahmineh Barfeh
Volume 22, Issue 2 , May and June 2015, , Pages 461-471
Abstract
Background & Objectives: Improving quality of service and reducing hospital costs are not possible without excellence evaluation based on scientific management. Since the Balanced Scorecard (BSC) is an one of assessment tools, this study was conducted to evaluate the performance of public and social ...
Read More
Background & Objectives: Improving quality of service and reducing hospital costs are not possible without excellence evaluation based on scientific management. Since the Balanced Scorecard (BSC) is an one of assessment tools, this study was conducted to evaluate the performance of public and social security hospitals by using this tool.
Materials & Methods: This study was a cross-sectional and descriptive which conducted in 2011. Firstly, 20 indicators were extracted with BSC Framwork and then they were studied on hospitals affiliated to Kerman University of Medical Sciences (KUMS) and Kerman Social Security Organization (KSSO). Three KUMS and KSSO hospitals were perposefully selected. Data was received from the statistical senter of KUMS and treatment deputy of KSSO. Frequency and percentage were used to analyze the data
Results: In KUMS hospitals, bed occupancy rate and average length of stay were 64.45 and 2.83, respectively. Percent of hospital discharge with personal satisfaction was 14.96, and the annual cost and revenue per active bed were 757.30 and 112.9 million Rials, respectively, and also, the number of staff per bed was 2.76. Bed occupancy rate and average length of stay for KSSO hospitals were, respectively, 67.21 and 2.37. Percent of hospital discharge with personal satisfaction was 11.55, and the both of annual cost and revenue per active bed were 764, 192, 764 million Rials and, also, the number of staff per bed was 2.76.
Conclusions: In comparison to KUMS, KSSO hospitals had better performance in process and customer satisfaction area and KUMShospitals had a better performance in the financial and manpower field compared to KSSO. This study also showed that BSC is a useful tool for assessting hospitals performance.
Mahnaz Shahrakipour; Alireza Barahoee; Habibollah Pirnejad; Mehdi Rezavani Amin; Nazanin Yosefian Miandoab; Enamolhagh charkhatGorgich
Volume 21, Issue 6 , January and February 2015, , Pages 960-967
Abstract
Background: Nowadays, Job stress has been known as an important factor in reducing the level of organizational efficiency and employee’s health. The goal of this study was evaluating occupational stress components among the operating room staff of Zahedan educational hospitals.
Materials and Methods: ...
Read More
Background: Nowadays, Job stress has been known as an important factor in reducing the level of organizational efficiency and employee’s health. The goal of this study was evaluating occupational stress components among the operating room staff of Zahedan educational hospitals.
Materials and Methods: This descriptive study was conducted on 105operating room staff working in Zahedan educational hospitals in 2014. The census method was used for sampling. Needed information was collected via Osipow’s questionnaire that includes two sections. The first part is regarding personal information and the second one includes 60 questions about job stress in 6 subgroups of stress factors. Data was analyzed using SPSS (v.15) and descriptive statistics.
Results: in this study, the mean score of job stresses among employees of operation room was 204.40 ±21.24 rating in the low stress range. In addition, the most participants, 58.1%, suffered from low level stress.
Conclusion: because that role ambiguity was the most effective job stressors, this is essential to consider and modify this factor. For this purpose, defining and determining of staff’s responsibilities is suggested to increase their job autonomy.
Masoud Taheri lari; MohammadReza Ghamari; Seyyed Saeed Tabatabaee; Mehdi Nekuie
Volume 21, Issue 5 , September and October 2014, , Pages 894-902
Abstract
Background: The hospitals and medical centers’ staff are always exposed to stressful working conditions that threat their physical, psychological and social health but also reduced organizational efficiency and lead to exorbitant costs for individuals, organizations and the entire society. The spiritual ...
Read More
Background: The hospitals and medical centers’ staff are always exposed to stressful working conditions that threat their physical, psychological and social health but also reduced organizational efficiency and lead to exorbitant costs for individuals, organizations and the entire society. The spiritual intelligence play an important role in enhancing capacity and various pressures, so the purpose of the present study was to determine the relationship between the spiritual intelligence and burnout in staff of Imam Reza hospital of Mashhad .
Methods and materials: This cross-sectional study conducted in 2013 on 246 employees of Imam Reza hospital in Mashhad who were enrolled in a simple random sampling design. Were applied to gather the related data, The King Standardized spiritual intelligence questionnaire as well as Maslash Standardized occupational burnout questionnaire. The collected data were analyzed through Spss16, t - test, Anova and Pearson correlation coefficient. The error rate of %5 was considered acceptable.
Results: Spiritual intelligence in staff was at moderate to high and job burnout was moderate. There was found a significant negative Correlation between the spiritual intelligence and occupational burnout in the staff of Imam Reza hospital (r = -0.239 & p-value = 0.001)
Conclusion: Systems’ managers can identify and improve the components of spiritual intelligence of their staff through various approaches such as improving the training systems as well as providing the contexts in which the spiritual intelligence of their staff can be developed.
Yaser Tabaraee; Elaheh HaghGoshaee; Afsaneh Takbiri; MohammadAli Yaghobifar
Volume 20, Issue 2 , May and June 2013, , Pages 154-164
Abstract
Objectives: improving patient safety culture in healthcare organization is the first step for reducing medical errors and improvement of patient safety. This study was conducted to survey the patient safety culture based on staff point of views in Sabzevar hospitals.
Methods: This cross-sectional and ...
Read More
Objectives: improving patient safety culture in healthcare organization is the first step for reducing medical errors and improvement of patient safety. This study was conducted to survey the patient safety culture based on staff point of views in Sabzevar hospitals.
Methods: This cross-sectional and descriptive study was conducted during July- September 2011, by using Hospital Survey Of Patient Safety Culture questionnaire (HSOPSC). 385 of clinical staff (physicians, nurses, midwives and stuff working in lab and radiology departments) as census were included in the study. The patient safety culture questionnaire was used for data collection.
Results: “teamwork within unit” and “organizational learning - continuous improvement” had the highest percentages of positive responses with respectively 73.65 ± 6.4 % and 69.16 ± 8.7 % whereas “nonpunitive response” to errors (13.03 ± 7.1%) and “staffing” ( 22.37 ± 6%) had the chosen lowest percentages of positive responses. 89% of staff noted that they have not reported any medical errors during past 12 months. Only 31% of staff reported the patient safety status in their units as excellent or very good.
Conclusion: Hospitals can attempt to create safety environment for patients by applying the strengths of their patient safety culture and removing the weaknesses. Therefore hospitals should eliminate the staff fear of blame for their mistakes and create an atmosphere of open communications and continuous learning.