Showing 13 results for Sadeghi
Mohammad Malakootian1, Maryam Sadeghi, Shidvash Dowlatshahi,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Waste of health care centers is particularly important due to their major role in spreading various diseases and environmental pollution. Consequently, considering function of non-hazardous waste devices in hospitals seems vital. This study is aimed to assess function of non-hazardous non-incineration devices of waste in Kerman educational hospitals and Sirjan hospitals
Materials &Methods: This experimental study had been conducted between March and September in year 2013 at the engineering research center of environmental health affiliated with Kerman university of medical sciences. Physical, chemical and biological function of devices was examined. Mechanical function had been examined by monitoring and recording mechanical index through thermometers and registers of devices. Chemical and biological function had been examined by indicator strip and biological indicator strip respectively.
Results: Among hospitals in which the survey had been carried out, 96.3%, 85.3% and, 84% of non- hazardous waste devices had efficient function from mechanical , biological and chemical viewpoints respectively.
Conclusion: As the results show, mentioned waste devices are unable to decontaminate hospital waste from hazardous materials chemically and biologically. Although mechanical process is efficient enough by providing required temperature and time , hospitals waste are not yet defined non-hazardous. Thus the final functional assessment is identified as poor outcome.
Monireh Koohsari , Dr Bahram Mohebbi, Dr Roya Sadeghi, Dr Azar Tol , Dr Abbas Rahimi Forooshani ,
Volume 15, Issue 4 (1-2017)
Abstract
Background: Considering the importance of standard precautions to prevent needle stick injuries and health care staff, this study aimed to determine the effectiveness of educational interventions to improve adherence to standard precautions, health belief model based on professional clinical staff needle stick two hospital "yaftabad" and "Ghiyasi" done.
Materials and Methods: This study was an experimental study of two group. The study population was 90 persons of professional clinical staff Shohada Hospital Yaftabad as the intervention group and 90 patients from the hospital Ghiyasi as compared to randomly selected and three part questionnaire including demographic, structures, health belief model , and practice questions were completed. In analyzing the data, descriptive and inferential statistical methods were used.
Results: At baseline, the two groups regarding demographic variables, health belief model structures and functional do not different between them. After intervention structures perceived severity, perceived susceptibility, perceived barriers, self-efficacy and performance of the experimental group showed statistically significant change (p< 0.05) that the effect of education based on health belief model.
Conclusion: education based on health belief model, you can increase the level of knowledge and capacity building and efficacy in clinical staff needs people to observe standard precautions
Dr Peyvand Bastani, Mohammad Ghasem Nezhad , Ali Reza Yusefi, Dr Ahmad Sadeghi,
Volume 17, Issue 1 (5-2018)
Abstract
Background: One of the main components of the quality of health services is patient safety. This study aimed to determine safety culture status of psychiatric patients from the viewpoint of the medical staff of Ibn Sina and Hafez hospitals in Shiraz.
Materials and Methods: This descriptive-analytic study performed as a cross-sectional one in 2017. The study population included 165 health care personnel of the hospitals which were selected by census sampling. The study tool was a standard questionnaire for the hospital's safety culture. Data were analyzed using descriptive statistics and independent t-test, ANOVA, Pearson correlation coefficient and multivariate linear regression using SPSS version 23 software at a significant level of α = 5%.
Results: The average of safety status of the patients calculated 154.62 ± 19.74. The patient safety culture was estimated at an acceptable level (64.1%). The dimensions of personnel affairs (36%) and non-punitive responses to errors (34.7%) were in an unfavorable situation. There was a significant association between the employment status of personnel and patient safety (P<0.05).
Conclusion: Despite the acceptable condition of the patient's safety culture, however, the dimensions of the non-responsive response to the mistakes and issues related to the personnel were in an unfavorable situation and require prompt and appropriate actions. It is suggested that hospital authorities to provide the necessary interventions including cultures for reporting of errors, organizing comprehensive training programs, and continuously improving the clinical governance system.
Dr Ahmad Sadeghi, Dr Hossein Rohani, Sareh Davarzani, Zahra Davarzani,
Volume 17, Issue 2 (9-2018)
Abstract
Background: Patient complaints from the healthcare system can be helpful to respond patients’ needs using identifying the weaknesses. In this study, the complaints trend of patients has been investigated before and after healthcare system reform progress in a public hospital.
Materials and Methods: This descriptive-analytic study was carried out to assess trend of patient's complaints in two period of time in a northeast governmental hospital before and after healthcare system reform implementation (2012-2016). In order to collect data, the checklist designed by the ministry of Health was used. Data entered to SPSS version 21 and analyzed using descriptive statistics and analytical tests such as Chi-square.
Results: The study results revealed that the number of complaints were 29 and 198 before and after implementation of healthcare system reform, respectively. Most complaints were related to the emergency sector (31%) and about 40% of the complaints were from physicians. Most of the registered complaints were related to the quality of provided services (33.5%) and personnel exposure (30%), respectively. Accordance to study results, there was a significant difference between the number of complaints before and after implementation of the health system reform with the type of complainant (P <0.05).
Conclusion: Implementation of healthcare reform plan has led to systematic registration and special attention to complaints in assessed hospital. Most of registered complaints were related to the emergency department which requires managers and hospital officials to pay special attention to this sector and take effective steps to improve quality of services.
Parnian Nikmanesh, Dr Zahra Kavosi, Dr Ahmad Sadeghi, Ali Reza Yusefi,
Volume 17, Issue 2 (9-2018)
Abstract
Background: Communication is one of the central concepts and an integral part of the nursing profession. This study aimed to determine the effect of communication skills training of nurses on patient satisfaction with nursing staff services in teaching hospitals affiliated to Shiraz University of Medical Sciences.
Materials and Methods: The Comparative study carried out in 2017. The research population included nurses from educational hospitals and patients referring to them. Four hundred patients were selected through convenience sampling method and one hundred trained nurses and one hundred untrained nurses were randomly chosen. The data collection instruments were a standard questionnaire. Data were analyzed in SPSS23 using T-test, ANOVA, Tukey test, and Pearson correlation coefficient at α = 5% level.
Results: Mean scores of nurse-patient commination and satisfication of nursing services among patients under care of trained nurses were 93.5 ± 21.08 and 176.24 ± 22.14 and mean score of patients under care of untrained nurses the scors 81.76 ± 18.83 and 166.36 ± 41.10, respectively. A significant direct correlation was found between nursing-patient commination score and patient satisfaction score (P= 0.023, r= 0.681). Patients under the care of trained nurses were more satisfied with nursing services than those served by untrained nurses (P= 0.012). The results revealed that patient satisfaction had a significant relationship with age (P<0.001) and marital status (P=0.031).
Conclusion: Implementation of communication skills training courses for nurses leads to improved patient satisfaction. Hospital directors are recommended to consider holding regular communication skills training courses for their nursing staff.
Dr Sima Rafiei, Mohammad Zakaria Kiaiei, Pejman Sadeghi, Vahid Makhtoomi, Donya Asghari,
Volume 17, Issue 4 (2-2019)
Abstract
Background: One of the main important factors which affects nurses' job performance and potentially influences their capability in accomplishing their tasks and responsibilities is job burnout (JB). This study aimed to investigate the moderating role of JB on the relationship between QWL and job performance among nurses' employees in emergency departments of five training hospitals affiliated to Qazvin University of Medical Sciences in 2017.
Materials and Methods: This descriptive, cross-sectional study was conducted among 178 nurses' employees in emergency departments of five teaching hospitals affiliated to Qazvin University of Medical Sciences in 2017. In order to assess main variables of present study, three standard questionnaires consisted of Walton QWL, Maslach and Jackson job burnout and Paterson job performance were used. Descriptive statistics, Pearson correlation coefficient and moderated multiple regression analysis were used to analyze data. The level of significance was set less than 0.05.
Results: Study results revealed that most of the nursing staff had a low level of QWL, experienced a considerable JB with a moderate to high level of performance. Furthermore, QWL predicted 21% of variances regarding to job performance (R2=0.21, p=0.04). The moderated multiple regression results supported the hypothesis that JB had a significant effect on the relationship between QWL and nurses' job performance (β≠0, p=0.02).
Conclusion: Considering the importance of QWL and efforts to develop an appropriate condition to promote different aspects of QWL would play an important role in nurses' productivity and accomplishment of their performance goals.
Dr Aboulghasem Pourreza, Dr Batoul Ahmadi, Dr Jamil Sadeghifar, Mohsen Mohammadi, Mohammad Veysi,
Volume 17, Issue 4 (2-2019)
Abstract
Background: Femoral fracture surgery is one of the most common and expensive surgical procedures and forearm fracture surgery is common performed by Ilam Imam Khomeini Therapeutic Center. This study conducted to analyze the difference in actual cost and global surgery tariffs in this hospital.Also, the related factors acutal cost of mentioned surgery were identified.
Materials and Methods: This cross-sectional and descriptive study was conducted on factors related to the actual costs of femoral and forearm fractures. The Activity-Based Costing approach identifies the related cost associated with these surgeries in through six steps. Data analysis was performed using Excel 2016 software.
Results: The avarage actual cost of the femur fracturs , the code 2 forearm and the code 1 forearm were 953 thousand and 700 tomans, 444 thousand and 400 tomans and 337 thousand and 800 tomans , respectively. The actual cost of surgery for femoral fracture per unit surgery was 406,000 and 400 tomans lower than the Ministry of Health's tariff. But ,the real cost of the code 2 forearm was 33 thousand tomans higher, as well as the code 1 forearm 20 thousand tomans higher than the global tariff.
Conclusion: Overall, there are significant differences between hospital costs and the Ministry of Health's global tariff. That can be corrected by improving the hospital's performance, as well as carefully examining the cost of global surgical procedures for amending the system of tariff regulation and make the actual amount closer to the tariff level.
Dr Sima Rafiei, Mohammad Zakaria Kiaiei, Pejman Sadeghi, Zahra Rahmati,
Volume 18, Issue 1 (5-2019)
Abstract
Background: One of the main important principles of human health is spirituality which its promotion could lead to an effective control of work related stress; can be considered in nurses’ job performance and assurance of their physical and mental health as a crucial factor. This study aimed to explore the effect of spiritual health on job stress among nurses employed in a training hospital affiliated to Qazvin University of Medical Sciences in 2017.
Materials and Methods: This was a descriptive-cross sectional one conducted on 220 nurses at Velayat hospital in Qazvin city. Data gathering was performed using two standard questionnaires including spiritual health and nurses' job stress. Data analysis was carried out with SPSS22 using descriptive statistical methods, Pearson Correlation Coefficient and multivariate regression analysis at a significance level of P < 0.05.
Results: The mean score of spiritual health and job stress assessed at a moderate level 70.5±5.2 and77.5±2.3, respectively. Spiritual health in both religious and intrinsic dimensions, gender, job history and type of employment were statistically related to job stress (p<0.05). Furthermore, multiple regression analysis revealed these variables predict 25% of job stress variation.
Conclusion: Due to the important role of spiritual health on job stress among nurses, strengthen this dimension of health through acknowledging them about its potential effects on physical and mental health and ultimately on successful job performance recommended.
Seyed Mohammad Hasan Safi, Mohammad Hossein Sadeghian,
Volume 20, Issue 3 (12-2021)
Abstract
Background:The most important and difficult process in any organization is to create change in the organization because today organizations have to react to changes in the environment.The purpose of this study was to investigate the effect of transformational management on quality of work life of the staff of Shohada-ye Tajrish Hospital in Tehran.
Materials & Methods:The is a descriptive-analytic and cross-sectional study that was conducted in Shohada-ye Tajrish Hospital in Tehran in 2020. Data collection tools were Transformational Management Questionnaire(Bass and Olivier)and Quality of Work Life Questionnaire(Walton 1973). Based on Cochran's formula, 234 employees of Shohada-ye Tajrish Hospital in Tehran were selected as study population.The reliability and validity of the measuring tools were evaluated using Cronbach's alpha coefficient and confirmatory factor analysis. Pearson correlation test and structural equation test were used to analyze the data.
Results:The research findings indicated that there was a positive and significant correlation between transformational management with safe and healthy work environment, growth opportunity and security, fair and adequate pay, employee legalism,social affiliation,social cohesion and integration, development of human capabilities and the general atmosphere of working life. In addition, 92% of the variance in quality of work life was explained by the research model.
Conclusion:Considering the impact of transformational management on the development of human capabilities, senior managers should formulate and implement appropriate programs to improve the quality of work life and provide conditions for employees to enjoy their organization and work.
Mehdi Raadabadi, Mohammad Sadeghi, Masoud Saffari, Mohadeseh Karimizadeh, Ezat Dehghan Manshadi, Mehdi Jabinpour, Elham Haji Maghsoudi,
Volume 21, Issue 2 (9-2022)
Abstract
Introduction& Purpose: One of the challenges that organizations face today is the issue of retaining employees in the organization. Meanwhile, addressing the causes of early retirement among health workers is doubly important. The aim of this study was to investigate the causes of early retirement in retirees of Yazd University of Medical Sciences.
Methods: The present descriptive research was conducted to find the causes of early retirement among retirees of staff of Yazd Medical Sciences between 2016 and 2018. Collecting dada was done by examining the personnel file, retirement system and through interviewing people. Data description was done using descriptive statistics and SPSS.21 software.
Results: The average number of years of service lost was 3.7 years. In total, there were more than 528 years of service lost. Regarding job characteristics, the majority of retirees were employed in service and nursing positions (4701%), in hospital (45%) and health centers (42.9%). The study of the causes of early retirement showed that the most common causes of retirement were related to boring work environment (55.7%), physical problems and underlying diseases (40.7%) and lack of support from officials (24.3%).
Conclusion: According to the findings, multilateral support in the organization, promotion of rewards and economic benefits, creating morale in the organization, observing the principles of mental health, reducing anxiety and creating hope and increasing participation of employees in the decision-making process can be effective in reducing early retirement.
Mohammad Hossein Sadeghian, Morteza Abdolvand,
Volume 21, Issue 3 (12-2022)
Abstract
Background: Since the health and treatment staff are constantly exposed to critical and stressful situations during the outbreak of the Covid-19 pandemic, the present study aims to investigate the relationship between spiritual health and resilience in the personnel of hospitals accepting patients with the corona virus affiliated to Tehran University of medical Sciences.
Materials and Methods: The current study is a descriptive and analytical study that was conducted cross-sectionally in 2019. The study population included medical staff, including doctors, nurses, paramedics, and service personnel who participated in the fight against Covid-19. In order to measure resilience, Connor and Davidson's questionnaire was used, and Polotzin and Ellison's spiritual health questionnaire was used to measure spiritual health. 145 questionnaires were included in the study. Statistical tests of mean, standard deviation, Pearson correlation coefficient, analysis of variance and independent t were used to analyze the data.
Results: The average resilience score among the subjects was 64.3. The results showed that resilience in the field of spiritual effects with an average of 3.07 was the highest and in the field of tolerance of negative effects and strength against stress with an average of 2.33 had the lowest average. Spiritual health in 55.9% of the studied units was at a moderate level and none of them had a low level of spiritual health. Resilience and all its domains had a statistically significant positive correlation with spiritual health and its domains.
Conclusion: Managers' attention to the spiritual health of health center staff can reduce stress and pressures caused by work in critical situations and be an effective step towards greater productivity of human resources.
Ahmad Kalateh Sadati, Seyed Reza Javadian, Marzieh Sadeghi Hardangi,
Volume 22, Issue 3 (12-2023)
Abstract
Background and Purpose: Discharge planning, as a process for the safe transfer of patients, has always been challenged by the interventions of medical social workers. Identifying these challenges prevents disruptions in effective planning. This research aims to explore the challenges faced by medical social workers in discharge planning.
Materials and Methods: This is a qualitative study conducted in Iran in 2023. Data were collected through semi-structured face-to-face and telephone interviews with 16 social workers working in hospitals and were manually analyzed using thematic analysis.
Results: The findings of this study revealed that hospital social workers encounter structural and professional challenges during discharge planning. As a result, themes such as professional isolation, erosive environment, back-breaking costs, inefficient structures, and professional pressures were identified, with the main theme being unattended discharge.
Conclusion: The results indicate that social workers in hospitals are faced with poor cooperation and participation, a lack of facilities and equipment, and socio-economic barriers at the community level. They encounter professional challenges in adhering to professional principles and values and in maintaining the quality of social work services in discharge planning. Given the importance of post-discharge interventions, organizational, structural, and professional reforms at both the micro and macro levels are recommended.
Jamil Sadeghifar, Nasim Eyvani, Ghasem Rajabi Vasukolai, Naser Farhamand Moghadam, Shahram Ekhtyari,
Volume 23, Issue 1 (5-2024)
Abstract
Background and purpose: Creating sustainable income, enhancing economic perspectives, optimizing and managing costs, and generating revenue in the health system—especially in hospitals, which are primary providers of medical services—are critically important. These have become priority, vital policies. This study was conducted to compare the recorded costs in patient files with the approved global tariffs for surgeries at Imam Khomeini Hospital in Kermanshah.
Methods: This descriptive cross-sectional study was conducted at Imam Khomeini Educational and Therapeutic Hospital in Kermanshah in 2022. The research population included financial records for surgeries under the global tariff, covering the last six months of 2020 and the first six months of 2021. Data were collected from the Hospital Information System (HIS) and analyzed using SPSS-22 software.
Results: Among 357 cases involving 13 types of surgeries reviewed in this study, tonsillectomy, pterygium, and appendectomy surgeries resulted in losses, while other surgeries were profitable. Considering the average actual cost of each surgery, in 14% of the surgeries, the global tariff was lower than the average actual cost, while in 86% of cases, the global tariff proved beneficial to the hospital.
Conclusion: Although most centers that apply the global surgery tariff are financially unprofitable, implementing operational plans based on essential resources and designing corrective actions to reduce global costs—particularly by managing patient length of stay—can improve efficiency and productivity.
