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Showing 5 results for Dargahi

J Nasl Seraji , H Dargahi ,
Volume 10, Issue 2 (7 2004)
Abstract

Introduction: With a dramatic increase in costly mass casualty incidents over the past few decades, disaster planning and preparedness now represent a prominent part of health care policy and practice. Administration of computer technologies, including computerized simulation techniques, in hospitals can improve management of future incidents.

Materials and Methods: In this research, we used SIMAN/ARENA software of disaster management in one of the teaching hospitals of Tehran University of Medical Sciences. Data about the patients&apos need for specific surgeries, possibility of re-operation, length of operations and necessary equipment’s including number of operating rooms and staff, imaging facilities and treatment stations in emergency department were collected. Two teams took part in this program: a simulation team and the hospital staff team. Both teams were trained before taking part in this study.

Results: With the help of simulation system, the simulation team created various preplanned “events” and simulated in and out hospital situations. Hospital staff team reacted to these situations and was able to recognize and solve various problems in different critical points in hospital by using different tactical means.

Conclusion: Simulation technique used in this limited scale drill was useful in evaluating and improving preparedness of hospitals for managing a multi-casualty incident. The current system can be used in all hospitals in Iran to improve preparedness for receiving victims of a multi-casualty incident.


T Mirmolaei , H Dargahi , A Kazemnejad , M Mohajerrahbari ,
Volume 11, Issue 2 (5 2005)
Abstract

Introduction: Job satisfaction of midwives, as key members of healthcare system, has special importance in the quality of midwifery care to the vulnerable groups of the society i.e. mothers and children.

Materials and Methods: This is a survey and cross sectional study. Sampling size was 251 midwives, which were chosen through cluster sampling. Data were gathered by questionnaire in one stage and were analyzed by SPSS software, using descriptive and analytic (2, Pearson correlation) statistical methods. Results:

Results of this research demonstrated that satisfaction level of midwives in two aspects of job position (62.9%) and relationship with colleagues (48.2%) was moderate. It was low in the aspects of salary and benefits (92.8%), job security (69.7%), managerial policies and work condition (64.9%), supervisory (48.6%) and relationship with personal life (49.8%). There was a significant relationship and correlation between job satisfaction and all of its aspects, strongest with the aspect of managerial policies (r=0.87) and weakest with the relationship with colleagues (r=0.547). There was no significant relationship between job satisfaction and demographic characteristics such as age, academic degree, marital status, the number of children and monthly salary but there was a significant relationship between job satisfaction and the condition of house ownership, the years of job experience, the condition of employment, the place of work, work shift and whether they liked midwifery when they chose it (p<0.05).

Conclusion: Half of midwives (49.4%) had moderate job satisfaction, 49% had low and only 1.6% had high job satisfaction. Considering the results of this research, it can be concluded that the authorities must take efficient measures to omit the most important causes of low job satisfaction through increasing salaries and benefits, promoting job security, improving work condition, reformation of managerial and supervisory systems and using midwives’ professional ability in areas of their skill’s.


H Dargahi ,
Volume 11, Issue 4 (5 2006)
Abstract

Background & Aim: This paper investigate the application of some management’s new theories in nursing care in order to determine the similarities between management and nursing. The need of Health Services to be effectively managed was a prominent features of developed countries health policy in the 1980 s and early 1990. In the recent years, four management’s new theories has identified: organizational excellence, total quality management, organizational culture and empowerment. Each of these new theories has key role in nursing care. This paper identifies similarities and convergence’s between management profession with nursing care, using application of management’s new theories.

Conclusion: The comparison between nursing care and management’s new theories has been provided the collaboration and cooperation between nurses and management professions to deliver health care services to patients effectively.


H Dargahi , M  gharib , M  goodarzi ,
Volume 13, Issue 2 (5 2007)
Abstract

Background & Objective: Administrators have to pay attention to nurses as an important group among hospitals employees in order to have better patient outcomes. Recently, nurses&apos quality of work life is a new concept that attention to it can improve organizational efficiency. This research is to investigate the quality of work life of nurses at Tehran University of Medical Sciences Hospitals in 2005-2006.

Methods & Materials: This is a cross-sectional study. The research was conducted among 349 nursing employees. Data were gathered using a questionnaire consisted of 30 elements of QWL. The respondents were asked to determine their overall quality of work life. Validity of the questionnaire was evaluated using content validity and reliability was determined using test-retest method. Statistical analysis was carried out using SPSS statistical software package.

Results: The results showed that the majority of nurses were dissatisfied with environmental health and safety at work, monetary compensation and job welfare. There was significant correlation between the executive position of nurses, years of experience and their salary (P<0.05).

Conclusion: The study findings showed that nurses had a poor quality of work life. This indicates that majority of employees are unsatisfied with the most aspects of their quality of work life.


Tamara Dargahi, Roghieh Bayrami, Alireza Didarloo, Leila Reisy,
Volume 30, Issue 1 (3-2024)
Abstract

Background & Aim: The high prevalence of cesarean section in most developed countries, exceeding 50%, has led to detrimental effects on maternal and child health. Vaginal birth after cesarean (VBAC) is a beneficial way to reduce cesarean rates. This study aimed to determine the effect of theory of planned behavior-based training on the intention and behavior of VBAC in pregnant women with previous cesarean section.
Methods & Materials: In this randomized controlled trial study, a convenience sample of 70 pregnant women with a history of cesarean section, referred to comprehensive health centers in Ardabil in 2020, were randomly assigned to either the intervention or control group. The intervention group received four weekly education sessions based on the theory of planned behavior structures, while the control group received standard care. Data were collected using a researcher-developed questionnaire at three time points: before, immediately after, and four weeks after the intervention. Data analysis was conducted using SPSS software version 16, employing independent t-test, Fisher’s exact test, chi-square test, and repeated measures ANOVA at a 95% confidence level.
Results: Repeated measures ANOVA revealed significant differences in mean scores of attitude, subjective norm, perceived behavior control, intention, and awareness over time between the intervention and control groups (P<0.001). However, the educational intervention did not lead to a behavior change.
Conclusion: Based on the findings, it is imperative for health planners to focus on providing organizational support and fostering a positive attitude among obstetricians and midwives to prioritize the implementation of VBAC.
Clinical trial registry: IRCT20200519047509N1

 

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