Showing 13 results for Quality
Somayeh Mohammadi, Fariba Borhani, Leili Roshanzadeh, Mostafa Roshanzadeh,
Volume 7, Issue 2 (7-2014)
Abstract
Moral distress is one of the ethical challenges that nurses face due to the nature of their career. Nurses' frequent confrontation with this phenomenon can have different outcomes such as frustration and boredom in providing patient care. This will lead directly to a decline in care quality and can hamper the accomplishment of health goals. Therefore, the present study examined the relationship between moral distress and compassion fatigue in nurses.This cross-sectional study was conducted on 260 nurses of intensive care units in Kerman who were selected through convenience sampling method. In this study, Corley’s moral distress scale and Figley’s Compassion Fatigue Scale were used for data collection. The collected data were analyzed using the SPSS software and descriptive and analytical statistics.The results of this study indicate that there is a significantly positive relationship between moral distress and compassion fatigue (P<0.05). From a total range of 0 to 5, the average score of moral distress was 3.5±0.8 in terms of intensity, and 3.9±0.55 in terms of frequency. The mean of compassion fatigue score was 3.5±0.68 from a range of 0 to 5.Moral distress and its association with compassion fatigue suggest that conditions contributing to moral distress can have an important role in the quality of care. It is clear that strategies should be adopted to prevent the occurrence of these conditions. Informing nurses about moral distress and its consequences as well as periodic consultations will play an important part in the identification and management of moral distress and its consequences.
Ali Akbar Aminbeidokhti, Ebrahim Mardani,
Volume 7, Issue 2 (7-2014)
Abstract
Organizational justice can dramatically impact the personnel’s attitudes and behaviors and is therefore considered to be of great importance. Moreover, high quality of work life is known as the basic prerequisite to empower human resources in healthcare systems. The aim of this study was to determine the relationship between perceived organizational justice and quality of work life among hospital personnel.In this descriptive correlational study, the samples consisted of 268 staff members of a public hospital in Ahvaz. Samples were selected through census. Data were gathered by a demographic information questionnaire, Niehoff and Moorman Organizational Justice Scale, and Quality of Work Life Questionnaire. Data analysis was performed using descriptive and analytical statistics.Results showed that quality of work life among the hospital personnel in this study was moderate (64.2 %), relatively good (16%), poor (13 %) and good (6.8%). Dimensions of organizational justice including distributive and procedural justice had a significant relationship with quality of work life.Since there is a direct relationship between perceived organizational justice and quality of work life, hospital managers should pay attention to this issue, which will lead to enhanced quality of work life in personnel.
Sakineh Mohebbi Amin, Mehdi Rabiei, Amir Hossein Keizoori,
Volume 8, Issue 3 (9-2015)
Abstract
In recent years, the general consensus is that medical education should comprise ethics courses focusing on clinical decision-making skills and professional ethics in order to institutionalize a set of values in physicians. The purpose of this study was to evaluate the internal and external qualities of the medical ethics curriculum from the perspective of students.This was a survey research on a study population of 157 medical students who were taking the medical ethics course. A sample of 113 students were selected by simple random sampling, and data collection tool consisted of two researcher-made questionnaires. In this research, the internal quality of the curriculum was evaluated according to the following 9 elements as proposed by Francis Klein: objectives, content, learning activities, learning strategies, instructional material, resources, grouping, time, location, and evaluation. The external quality of the curriculum was assessed based on Kirkpatrick’s model with attention to students' views on achievement of course objectives in terms of knowledge, skills and attitudes. Data analysis was performed using descriptive statistics (mean and standard deviation) and inferential statistics (one-sample t-test). Based on the findings, the students viewed the internal quality of the medical ethics curriculum as undesirable in terms of the above-mentioned nine elements. Students also believed that the external quality of the ethics curriculum was at an average level in the knowledge and attitudes components, and undesirable in the skills component. Overall, our findings indicate that from the perspective of students, the quality of the medical ethics curriculum is low and the course needs to be reviewed and redesigned.
Maryam Gholami, Marziye Khojastefar, Hossein Moravej, Zahra Kavosi,
Volume 9, Issue 1 (5-2016)
Abstract
Observation of patients’ rights as a major component in defining the standards of clinical services can increase patient satisfaction and is an important indicator of health care quality. Since most hospital patients are admitted through the emergency department, this study was conducted to investigate the observance of patients’ rights in the emergency department of Nemazee Hospital during 2015.
This cross-sectional study was performed on 100 patients over a period of one month. Data were collected by a questionnaire and analyzed using SPSS version 21 and statistical tests including descriptive statistics and inferential analysis.
The mean of the patients’ age in this study was 54.4 ± 19.35. Based on our findings, the overall level of observing patients’ rights was 51%, while patients’ expectations were 93%. Moreover, there was a meaningful difference between observance of the patients’ rights and their expectations in all aspects based on the paired sample t-test (P<0.05). It was also established that age was one of the factors affecting observance of patients’rights (P<0.05).
In this study, observation of patients’ rights in the emergency department was at the intermediate level, while patients’ expectations were higher in comparison.
In order to promote patient satisfaction, it seems necessary to educate the personnel and medical students on patients’ rights by holding workshops, reducing the waiting time for receiving services, and establishing an order in the system based on the patient’s condition.
Mohammad Hassani, Afsaneh Abbaskhani,
Volume 11, Issue 0 (3-2018)
Abstract
Today, the role of spiritual leaders is to stimulate employees by employing a spiritual perspective and creating cultural backgrounds based on human values to raise capable employees. On the other hand, professional ethics is one of the variables that has a significant impact on individual and group activities and outcomes of the organization. The purpose of this study was to investigate the relationship between spiritual leadership and professional ethics with organizational performance and quality of work life with the intermediate role of organizational learning among employees of Imam Reza Hospital in Urmia. The design of this research was a descriptive-correlational cross-sectional design model of structural equations. The statistical population of this research included 759 employees, 240 of them were selected by random sampling method. For data collection, standard questionnaires were used. Pearson Coefficient and Structural Equation Model Finding were used to analyze and examine the assumptions and the relation between the variants. The results show that there is a significant relationship between spiritual leadership variables and Professional Ethics with organizational performance and quality of life of employees (P<0.01, r=0.42, r=0.51), (P<0.01, r=0.36, r=0.75). Furthermore, the results showed that the intermediate role of organizational learning in the association between spiritual leadership and professional ethics with organizational performance and quality of work life (β = 0.17, β = 0.18, β = 0.16, β = 0.17) ) is confirmed. According to the findings, it can be concluded that paying attention to spiritual leadership and professional ethics can improve the organizational performance and quality of work life, as well as enhance organizational learning among the staff of Imam Reza Hospital.
Hassanali Moazenzadegan, Hamed Rahdarpour,
Volume 11, Issue 0 (3-2018)
Abstract
Since 1984, criminal law more than any other period has been specified under the framework of human rights and consequently limited based on its principal. It was followed by the emergence of a new approach called “quality of law principle”. In criminal law, which was presented by European Court of Human Rights for the first time then in the content of verdicts issued by this international judicial institute and reconsideration of criminal law legality principle, it has developed and become more consistent with social justice and manners. According to this principle, the qualitative law is a law which is consistent with quality elements of law based on human rights and moral principles. It is interesting to note that lack of each requirement voids the related law and according to Court’s case law, the existence of such law would not be different from lack of law. In present paper, through the investigation of physician liability and focus on article 495 of Islamic Penal Code as the key to legislation in this regard, and given the requirements of quality of law principle, it has been concluded that the above mentioned provision and all other articles related to this context are not consistent with elements of “the Quality of Law”, thus with failure to meet the minimum criteria of justice, social morality and human rights, the law fails to have the required quality and consequently, it is recommended to legislate based on the criteria of Quality of Law.
Majid Ghoorchi Beigi, A'zam Mahdavi Poor, Taha Zargarian,
Volume 11, Issue 0 (3-2018)
Abstract
Penetrative injury is one of the injuries which the legislator has mentioned in the fourth book of the Punishment Code: ''it's an injury which occurs by sinking of a tool like spear or bullet in hand or leg; the blood money for men is one tenth of a complete blood money and for women there is a “Arsh". Interestingly, the legislator has determined the sanction of this blood money as a complete blood money while in women it is just an Arsh. The foundation of this view is based upon some of the jurisprudents; however, contemplation in jurisprudential references shows that a group of other jurisprudents believe that blood money of penetrative injury is same for men and women. This essay examines the arguments of the two sides by a descriptive-analytic method. Then, it tries to prove the weaknesses of the view believing in an Arsh for women, it shows that the focus of the Islamic law is on the point that the blood money of penetrative injury is equal for men and women (both one tenth).
Afrooz Hosein, Farideh Elahimanesh, Nammam Ali Azadi,
Volume 11, Issue 0 (3-2018)
Abstract
Patients’ satisfaction of treatment centers is one of the most important indicators for the quality of care and treatment services. Taking care of patients’ satisfaction has essential role in managing programs of health services. The aim of study was to evaluate patients' satisfaction with the quality of services provided in Shahid Beheshti Hospital in Qorveh in 2015. The research method was cross-sectional and descriptive-analytic. The statistical population of the study consisted of 384 patients selected in one stage cluster sampling from different parts of hospital. Patient satisfaction was evaluated by means of questionnaire that its validity and reliability was confirmed. Information was analyzed by statistical software SPSS 20 and t-test. The results showed that most of satisfaction was related to the emergency department and the lowest levels of satisfaction was related to ICU. Overall satisfaction from health services of Shahid Beheshti hospital was 72%. In this study, the satisfaction and habitat of patient had meaningful relationship, but other factors had not significant relationship with patient statisfaction. In recent years, patient satisfaction had an acceptable level due to dramatic improvements in health system. Nevertheless, the problems and weaknesses in the health care field also should be concerned and resolved and we have to improve the quality of services.
Kamran Shirbache, Saeed Pourhassan, Ali Shirbacheh,
Volume 14, Issue 0 (3-2021)
Abstract
With the onset of the COVID-19 pandemics, a huge flood of people rushed to medical centers, which severely affected working conditions of the medical staff. In this article, we are going to evaluate the reaction of health care workers to the rise of traffic, social gatherings, non-observance of mask use protocols and physical distance which lead to an increasing number of infected persons and death rate. Here, we address the impact of community’s indifference on medical staff which seems to decrease the quality of medical staff practice gradually
Roghayeh Gandomkar,
Volume 15, Issue 1 (3-2022)
Abstract
One of the duties of the government is to train and provide the expert workforce to provide quality health services to society. During the last four decades, the Ministry of Health and Medical Education has prioritized one of the policies to increase the number of medical science students or to improve the quality of education based on the needs of society. Following the approval and initiation of the policy to expand the number of medical sciences students and considering its proponents and opponents, in this article, various aspects of increasing students include the supply of workforce in response to the demands of society and the challenges of ensuring the quality of education has been discussed. Previous studies show this is a multifaceted issue that requires comprehensive mixed-method studies taking into account all the influencing factors such as the high tendency of health workers to immigrate, low retention in less privileged areas, economic problems and other factors. In addition, expanding the numbers requires infrastructure, concise planning to provide high-quality education, and monitoring of the educational system and learners in terms of achieving the desired competencies. In case of not paying attention to ensuring the quality of education in all three dimensions of input, process and output, the increase of numbers will ultimately be counterproductive and will lead to jeopardizing the safety and health of patients.
Mahshad Noroozi, Ehsan Shamsi Gooshki, Saeedeh Saeedi Tehrani, Fatemeh Bahmani, Mina Forouzandeh, Saeed Biroudian, Nazila Nikravan Fard, Mahshad Goharimehr, Akram Hashemi,
Volume 16, Issue 1 (3-2023)
Abstract
The research activities of developing countries have increased over the last two decades. The expansion and decentralization of ethics committees necessitates appropriate performance evaluation. In 2023, a cross-sectional study was carried out on the Iranian research ethics Committees using the checklist called "Research Ethics Committee Self-Assessment Tool". The checklist was translated into Persian and revised based on the opinions of research ethics experts and the approved “regulation of establishment, grading, and description of duties for research ethics committees”. The electronic checklist was sent to the senior members of 269 research ethics committees. After gathering the data, it was analyzed using SPSS software. The response rate was 83%. The average overall score was 152.11 ± 25.173, or 69.14% of the maximum. The two sections (including continuing review (monitoring) and committee resources received less than 50% of the average score. The 138 research ethics committee scores were excellent and 85 committees were in the good range. The findings revealed that average scores are influenced by activity years, the number of monthly meetings, the presence of an approved annual budget, an approved quality improvement program, and having specific administrative staff. Completing the self-evaluation tool can raise the National Committee authorities' awareness about the adherence of the research ethics committees to the imperative standards. It can also lead to each committee's awareness of its strengths and challenges. Revision of national regulations governing the establishment, grading, and description of committee duties and then future self-evaluation can facilitate upgrading and improving the performance of ethics committees.
Mohammadjavad Hosseinabadi Farahani,
Volume 17, Issue 0 (12-2024)
Abstract
Ethical challenges and concerns have long been a part of healthcare, primarily focusing on acute care or end-of-life decisions. However, with the growing elderly population and society's emphasis on restoring patients to the highest possible level of functioning, ethical dilemmas in rehabilitation care have garnered increasing attention. Ethical decisions are a routine part of rehabilitation care. While some are straightforward, such as obtaining informed consent for therapeutic and rehabilitation procedures, others are far more complex. Among the most significant challenges are resource allocation and the selection of patients for rehabilitation services. The process of selecting patients for admission to rehabilitation centers is typically carried out by specialist physicians. However, many centers face demand that exceeds their capacity, necessitating difficult decisions about patient prioritization. Although some centers may have clear guidelines, patient selection is often subjective, involving multiple factors such as:
- Clinical considerations: Diagnosis, prognosis, secondary complications, and learning ability.
- Non-clinical factors: Social, occupational, personal, and financial circumstances.
This subjectivity in patient selection raises several ethical concerns. The rights, duties, and responsibilities of both patients and physicians must be carefully weighed. The potential for injustice exists when decisions become overly subjective, leading to possible inequities in resource allocation. Balancing the ethical principles of beneficence (acting in the patient’s best interest) and justice (fair distribution of resources) is essential but can be challenging, as these principles may occasionally conflict. To address these issues, members of the rehabilitation team, particularly physicians, must strive to minimize subjectivity in their decisions. Additionally, it is important to implement follow-up mechanisms for patients initially denied admission, ensuring that any changes in their condition are reevaluated. Medical and rehabilitation ethicists should prioritize the development of clear, evidence-based guidelines for patient selection and admission. These guidelines should be made accessible to the rehabilitation team to promote fairness, transparency, and consistency in decision-making, ultimately ensuring that resources are allocated equitably to those in need.
Reza Negarandeh ,
Volume 17, Issue 0 (12-2024)
Abstract
Patient advocacy is a cornerstone of ethical healthcare practice, encompassing actions that protect patient rights, uphold their autonomy, and ensure they receive high-quality care. Nurses are often seen as being in the best position to play this vital role. This conference abstract aims to provide a comprehensive understanding of patient advocacy and identify strategies for enhancing advocacy practices in healthcare settings. In this comprehensive review, scientific literature, including peer-reviewed articles, professional guidelines, and relevant policies, was retrieved and reviewed. Data extracted from the literature were synthesized using quantitative content analysis to identify different forms of patient advocacy, including clinical advocacy and systemic or workplace advocacy, as well as strategies to improve the necessary skills for each. Clinical advocacy involves ensuring patient safety, supporting informed decision-making, and advocating for appropriate pain management. Improving clinical advocacy requires a multifaceted approach that prioritizes building trust and rapport with patients to foster effective communication and shared decision-making. Encouraging patient participation in their care, supporting self-management strategies, fostering effective communication within the healthcare team, and staying informed about relevant ethical, legal, and policy developments are essential components. Workplace or systemic advocacy, on the other hand, focuses on addressing broader issues within the healthcare system that impact patient care. Improving systemic advocacy involves identifying and analyzing systemic issues, such as healthcare disparities, resource limitations, and policy barriers, through data collection, stakeholder engagement, and thorough analysis. Strategies to address these issues include policy advocacy, improved resource allocation, and quality improvement initiatives. Building strong partnerships with other healthcare professionals, community organizations, and policymakers is key. Additionally, promoting education and awareness within both the healthcare workforce and the public is crucial. Leveraging technology to enhance data collection, communication, and mobilization efforts can further support systemic advocacy initiatives. By implementing these strategies, healthcare professionals can effectively advocate for systemic change, improve the quality of care for all patients, and create a more equitable healthcare system. Patient advocacy is a dynamic and multifaceted role that requires continuous learning and adaptation. By embracing the principles outlined in this synthesis, nurses can effectively champion patient rights, improve the quality of care, and contribute to a more equitable healthcare system.
