Journal of

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Background: Hospitals are the most important and largest institution in each country's health system which health care services are carried out on a large scale. One of the most important processes to improve the quality of health services is accreditation in the country. This study aimed to identify challenges, obstacles and providing solutions in hospital accreditation.
Materials and Methods: This research is a qualitative one which conducted using content analysis approach in the north of the country in 2017.  Twenty-five people consisted of two heads of hospitals, three hospital managers, three matrons, four supervisors, ten nurses, three people responsible for accreditation selected as contributors to the study using a targeted sampling approach. After the interview with Maxqda software, coding was performed and necessary analysis was carried out. In order to obtain data validity, two methods of reviewing the participants and reviewing experts were used.
Results: Analyzed data was categorized in the 98 initial codes, 16 concepts and 5 main categories. The main issues included resource challenges, organizational challenges, technical challenges, negative consequences and solutions.
Conclusion: Pathology helps the organization to focus on problems and by collecting and analyzing data and identifying risky spots, managers and planners will find methods to develop and solve the problem. Particularly, the correct implementation of the accreditation process can lead to comprehensive clinical excellence.
 

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Background: Whistleblowing as a control tool should be encouraged in organizations to deter organizational illegal and immoral wrongdoings that finally are harmful to the society. Personality traits of people are influential factors on their intention to disclose the wrongdoings. This study aimed to assess the relationship between four personality traits (internal locus of control, ethical identity, extroversion and responsibility) and employees' intention to whistleblowing among the employees of central department of Mashhad University of Medical Sciences.
Materials and Methods: This cross-sectional study is a descriptive-analytic one. This research conducted on 251 employees of the central department of Mashhad University of Medical Sciences. A researcher-made questionnaire based on previous literature used to collect the data. Analysis of the data processed using the Partial Least Square (PLS) with Smart PLS software.
 Results: Since, the amount of standardized coefficients between independent variables (locus of control, ethical identity, extroversion and responsibility) and whistleblowing intention were statistically significant (P<0.005), all of these independent variables have positive and significant influence on the employees' whistleblowing intention.
Conclusion: Given that individuals with internal locus of control, ethical identity, responsibility and extroversion characteristics cannot be able to ignore the organizational wrongdoings, it is better organizations use employees with these characteristics at more sensitive or critical places, where the possibility of organizational wrongdoing is high, in order to prevent potential harm to the organization and society as a result of wrongdoings.
 

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Background: The increasing prevalence of Covid 19 virus in the world has various consequences for people involved in the treatment process of patients with this virus. Accordingly, the main purpose of this study was to identify and prioritize the psychological consequences of Covid 19 virus in nurses.
Materials and Methods: This study is based on the applied purpose and in terms of how to collect data in the field of descriptive survey studies. The analysis approach in this study is mixed and a combination of qualitative and quantitative methods. The statistical population of this study consists of nursing professors and medical specialists of Lorestan University of Medical Sciences. Using purposive sampling method and according to the principle of theoretical saturation, 14 professors and specialists were included as the research sample. The statistical population of the quantitative ward also included the managers of hospitals providing services to coronary patients in Lorestan province, which were selected as a research sample by 35 people using non-probability sampling method. Identification of psychological consequences was performed using analysis of interview data with Atlas.ti software and prioritization of consequences using a triangular fuzzy method.
Results: Analysis of interview data led to the identification of 16 psychological consequences affecting nurses. Prioritization of these factors showed that depression, decreased concentration and apathy are the most important psychological consequences of Covid virus 19.
Conclusion: Developing supportive strategies to maintain the health of nurses should be a priority in future plans, and a separate part of the annual hospital costs should be allocated to this important matter.