Hospital

The Estimation of Production Function in Educational Hospitals of Kurdistan University of Medical Sciences (2007-2011)

S Rezaei

Background: the using of economic tools such as production function is one of the ways to improving performance and efficient use of hospital resources. The aim of this study was the estimation of production function in educational hospitals of Kurdistan University of Medical Sciences during 2007- 2011. Material & Methods: the number of inpatient as dependent variable and the numbers of active beds, nurses, doctors and other staffs as explanatory variables was considered. These data For 12 of hospitals since 2007 to 2011 was collected by production form. Also with Eviews software version 6 and panel data, the production function of hospitals was estimated. Results: the elasticity and marginal of production for all variables explanatory was positive. The marginal of production for bed active, physician, nurse and other staff was 16.7, 54, 23.6 and 40.9 respectively. The total of input coefficient was equal 1.08 and the return to scale was increasing. Conclusion: according to the positive marginal of production for all variables explanatory, for improving of productivity and efficient use of hospital resources is suggested that the managers of hospitals in exposure to regular and irregular demand can be used elasticity of production.

Survey on Safety and Quality Standards in Selected Hospitals of Tehran University of Medical Sciences Using the Joint Commission International Standards in 90-91.

M Arab

Abstract Background: Accreditation is a program that is designed for evaluation of health care organizations and measured processes and structures according to predetermined standards. The purpose of this study is to survey the safety situation and quality of care in selected hospitals of Tehran University of medical sciences based on the Joint Commission International (JCI) standards and determination of their strengths and weaknesses. Materials and Method: This descriptive, analytical and cross-sectional study was carried out in 5 hospitals. Translated Joint Commission International (JCI) questionnaire checklist with 14 standards was used as the study tool. Data entry and statistical analysis were performed using the SPSS.13 and K Independent Samples tests were used to compare hospitals. Results: Highest quality and safety of care score belonged to the hospital B (84%) and then to hospitals C (83%), A (72.75%), E (72%) and D (70.5%). Central indices like patient and family rights, quality improvement and patient safety, infection prevention and control standards in the studied hospitals are completely different according to the statistical results. Conclusion: Study results show that the status of hospitals in terms of safety and quality of care are almost appropriate but in some cases there is a large distance between JCI standards and their current status and the studied hospitals have to make appropriate and related policies in order to plan and implement proper programs to improve their situation in quality and safety of care.

Analysis of Power Distance and Its Consequences in Affiliated Hospitals of Tehran University of Medical Sciences

A Pour reza

Abstract Background: Human resource management has a critical role in organizations and organization culture is an outcome of human resource management performance. One of the dimensions of the organizational culture is power distance. This study aims to investigate the attitude of employees of selected hospitals of Tehran University of medical sciences towards the power distance in the organization and its consequences. Materials and Method: This is a cross sectional study with a descriptive research design conducted in a sample of 306 employees and managers from Tehran University of Medical Sciences hospitals located in Tehran, Iran. A distinctive questionnaire for each group was developed, distributed and collected as a main procedure to gather data. Data were analyzed using SPSS 16. Results: Study results indicates that there is a positive and significant relationship between power distance and employee participation, organizational commitment, job satisfaction, perception of justice and readiness to accept job responsibilities in the level of 95%(p value<0.05). The moderated multiple regression results also supported the hypothesis that managers’ attitude towards power distance had a significant relationship with their manner with the employees, noticing their qualifications and abilities, giving them independence and responsibility and supporting them in their role. Conclusion: A limited power distance in an organization will result in more committed and satisfied employees with positive perception toward justice in the organizational interactions and ready to accept job responsibilities and movement toward the organization objectives.

Investigation of Shift Work Disorders in Nurses Working at Teaching Hospitals of Ilam

M Karchani

Background: Shift work can be associated with decreasing performance, changing eating habits, getting into conditions such as fatigue and insomnia, developing individual and social life disorders and health problems. This study is aimed to investigate the prevalence of shift work disorders among nurses working in Ilam’s teaching hospitals in order to provide solutions for dealing with these disorders. Materials and Methods: This is a descriptive – analytical study in which 84 nurses of Ilam’s teaching hospitals had been chosen by simple random sampling. The data had been collected by “Survey of Shift Worker” (SOS) questionnaire and analyzed using SPSS (version 18) and descriptive statistics and Chi-2 test. Results: Results indicated that shift work disorders are prevalence among nurses. Emotional and Mental problems (96.4%), Social Life (84.5%), digestive problems (81%) have the highest prevalence rate respectively. Nurses who volunteered to work shifts have more job satisfaction than the ones who were obliged to do that (P<0.05). In addition prevalence of problems was far less among nurses who get satisfaction from shift work than the others who do not. Conclusion: Choosing shift work voluntarily results in more satisfaction with shift work which eventually decrease problems caused by shift work.

Study of Medical Devices Management with the approach of Evaluation of Usability in Tehran University of Medical Sciences` Hospitals

H Dargahi

Background: Nowadays Medical devices have an important role in diagnosis, treatment, rehabilitation of patients and also in medical education. However, in the recent years usage and maintenance of these devices have not been in a good situation in developing and even some developed countries. Therefore fundamental changes and reprocessing has begun among management and usability of medical devices in these countries. This research is aimed to determine the management situation with the approach of usability evaluation in order to change and reprocess the management system among Tehran University of Medical Sciences general teaching hospitals at 2012-2013. Materials& Methods: This study was a descriptive and cross sectional research among eight general teaching hospitals of Tehran University of Medical Sciences in 1391. The research tool was a self-made check list consisting of 38 questions about medical devices management condition and Nielsen questionnaire about usability of these devices which were completed by head nurses of CCU, ICU and OR departments with the help of medical devices supervisor in 56 departments of these hospitals. Data were collected and analyzed by SPSS software. Results: We found that medical device management and the usability of these devices were not in a good situation in these hospitals as well as usage of electronic information technology. Conclusion: Regarding the results of this research specially in the usability of medical devices, we recommend that users and supervisors of medical devices should be trained about usability criteria and evaluation procedures of these criteria, and the relationship between management styles and applications of quality improvement and pay attention to reprocessing of medical devices management among hospitals administrators and healthcare policy makers to select and purchase the best devices.

A Survey on the Relationship between Responsibility and Job Satisfaction of Nurses working in Teaching Hospitals Affiliated with Tabriz University of Medical Sciences

M Hejazi Bavil

Background: Responsibility and job satisfaction are important issues. This study is aimed to investigate the relationship between responsibility and job satisfaction of nurses working in teaching hospitals of Tabriz University of Medical Sciences. Materials &Methods: Statistical population includes, nurses in teaching hospitals of Tabriz University of Medical Sciences. 316 samples had been selected by stratified random sampling. The data had been collected through a questionnaire and analyzed by using SPSS software. Results: There is a significant relationship between responsibility and two dimensions of job satisfaction (job satisfaction and promotion satisfaction) but there is not significant relationship between responsibility and other three job satisfaction dimensions (satisfaction of supervision and monitoring, satisfaction of colleagues, satisfaction of salaries and payments). Conclusion: Responsibility is an accurate predictor of performance in wide range of occupations .It has a significant relationship with job satisfaction. The more a nurse feels responsible for her or his duties, the more efficient she or he is in delivering health services to patients .Therefor nurses feel more satisfied of their jobs.

Surveying Doctors and Nurses Viewpoints on Enhancing and Inhibiting Factors of Educating Patients

H Rahmani

Background: Educating patients and improving their self-care skills are main factors to achieve maintaining and improving health as health care organizations prime priorities all over the world. This study is aimed to assess nurses and doctors viewpoints on obstacles and facilitators of educating patients. Materials and Methods :This quasi experimental research were undertaken in Kermanshah Razi hospital.85 nurses and doctors were selected by Simple Random Sampling method. The data were collected by a questionnaire based on Likert scale consisted 32 questions in 3 parts. Validity and reliability of the questionnaire were confirmed by Content validity and Test-Retest methods respectively. Results : Shortage of nurses and lack of sufficient financial resources among inhibiting factors and holding seminars on teaching and learning strategies and also considering educating patients as a annual evaluation determinant among enhancing factors were the most important ones . Conclusion: Providing efficient resources and facilities and running personnel`s training courses seems necessary to overcome current obstacles.

Surveying the Frequency of Non-Fermentative Gram-Negative Bacilli in the Environment and Equipment of Tehran Selected Hospitals

M Douraghi

Background: Non-fermentative, gram-negative bacilli (NFGNB) have emerged as a factor of nosocomial infections and mortal epidemics . Hospital environment is one of the most important sources of NFGNB`s colonization and diffusion. This study is aimed to assess the frequency of NFGNB in various wards of selected hospitals of Tehran. Materials & Methods: 469 samples were randomly selected from various wards from two hospitals during a period of 11 weeks. All isolations had been identified using standard microbiological, biochemical and phenotypic tests. The data were analyzed by SPSS software (version 11.5). Results: Fifty three specimens were positive for NFGNB. Stenotrophomonas maltophilia and Burkholderia cepacia complex were found as predominant bacteria in hospital I(28%) and II (28.6%).The highest rate of NFGNB isolated from surfaces was 60.3% .The pediatric ward was identified as the most contaminated ward (50%). Conclusion: Several genus of NFGNB are found in hospitals. Therefore, identifying other NFGNB`s genus and training health care staff are of prime importance. NFGNB`s distribution depends on type of ward, surface, and equipment. Periodic sampling of hospital environment can be effective against spreading infection.

The Study of Communicational Barriers of medical Tourism in Iran

M Hosseini

Abstract Background: Conducting further research on medical tourism as a lucrative business is required. Very little research has been conducted into medical tourism barriers and a large amount of them just note structural barriers. This study is aimed to identify the most important communicational barriers of medical tourism and provide and examine a model of such barriers considering medical tourism`s intercultural nature. Materials & Methods: This study is applied by purpose and survey by method. The three stages in completion of this study are : 1) Identifying the most important communicational barriers of medical tourism in Iran,2) designing a model of identified barriers by using interpretive structural modeling approach 3) examining the designed model in a sample of 300 individuals. Results: Correlation test indicates a positive and significant relationship between variables in less than 0.01 significant level. Regression analysis confirms that all independent variables are significant predictor of the dependent variables .Therefore all hypotheses are confirmed. Conclusion: This survey identified main medical tourism communicational barriers in Iran as: Lack of understanding, Perceived linguistic difference, Lack of trust, Perceived cultural difference, Prejudice, Stereotyping. Overcoming to Lack of understanding as the major obstacle has a dramatic effect on operating medical tourism. Keywords: Communicational Barriers, Medical Tourism

The Study of Communicational Barriers of medical Tourism in Iran

M Hosseini

Background: Conducting further research on medical tourism as a lucrative business is required. Very little research has been conducted into medical tourism barriers and a large amount of them just note structural barriers. This study is aimed to identify the most important communicational barriers of medical tourism and provide and examine a model of such barriers considering medical tourism`s intercultural nature. Materials & Methods: This study is applied by purpose and survey by method. The three stages in completion of this study are : 1) Identifying the most important communicational barriers of medical tourism in Iran,2) designing a model of identified barriers by using interpretive structural modeling approach 3) examining the designed model in a sample of 300 individuals. Results: Correlation test indicates a positive and significant relationship between variables in less than 0.01 significant level. Regression analysis confirms that all independent variables are significant predictor of the dependent variables .Therefore all hypotheses are confirmed. Conclusion: This survey identified main medical tourism communicational barriers in Iran as: Lack of understanding, Perceived linguistic difference, Lack of trust, Perceived cultural difference, Prejudice, Stereotyping. Overcoming to Lack of understanding as the major obstacle has a dramatic effect on operating medical tourism.

The Relationship between Staff’s Cognitive Empowerment and Human Sources’ Production in administrative & Financial deputy Abstract in Hashemenejad Hospital Of Tehran: 2012-2013

HR Pasha

Backgrounds: Explanation of Cognitive empowerment & Human Sources Productivity is theoretically & practically important . This research is aimed to examine the relationship between psychological empowerment of staff with human resources’ productivity. Materials & Methods: This study is applied by purpose and survey by method and correlation was used to investigate the mentioned relationship . The statistical population consist of administrative and financial stuff of Hashemi Nejad hospital. The data were collected by questionnaire and interviewing and observing. Two types of questionnaire had been distributed among statistical samples for testing survey’s hypotheses witch their questions were based on Likert scale of seven. First questionnaire’s reliability was 0.95 and second one was 0.93. Due to achieve survey’s objectives, both analytical and descriptive statistic had been used. Results: using Pearson correlation coefficient, the survey’s testing hypothesis showed a significant correlation between component of cognitive empowerment and four variables of human recourses productivity (organizational commitment, organizational participation, job creativity and job satisfaction). The relationship between the empowerment component and four other variables were 0.95, 0.90, .0.86 and 0.85 respectively. Conclusion: using effective psychological empowerment components can play a major role in stuff’s productivity.