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Volume 3, Issue 12 (1 2003)
Abstract
Z Taraghi, E Ilail, T Yaghoobi, F Noroozinejad, F Naseri, S K Baghernejad, R A Mohammadpour,
Volume 12, Issue 3 (12-2013)
Abstract
Abstract
Background: There are different attitudes about family presence during CPR. This study was conducted in order to compare the attitudes of physicians, nurses and patients` immediate family towards presence of family members during adult resuscitation in teaching hospitals of Mazandaran University of Medical Sciences.
Material and Methods: In this descriptive survey, the attitudes of 120 physicians, 200 nurses and 148 patients` immediate family were compared. Random stratified sampling was used as the sampling method. The data were collected using a self-developed questionnaire which its validity and reliability had been confirmed by “Content validity” and “Test-Retest” respectively (r=0/83).This questionnaire included some questions about demographic characteristics, positive and negative experiences and the attitudes towards family presence during CPR. Data were analyzed using Chi-square x2 and Fisher tests by the SPSS 16 software.
Results: The majority of physicians and nurses (92/5% physicians, 80%nurses) believed that family presence during CPR is harmful. Fisher exact test showed significant difference between physicians and nurses views (x2=9.037 df=1 p value=0/002). The most important reason of negative attitudes of physicians and nurses has been interference of family members in CPR (90/8% physicians, 86/5% nurses).Less than half of the patients` immediate family (48%) wanted to be present during the CPR. There was a significant difference between attitudes of patients` immediate family and physicians and nurses (p=000)
Conclusion: Regarding differences between physicians, nurses and patients` immediate family` attitudes towards family presence during CPR, it would be better to provide a determined plan identifying the family presence`s conditions during CPR in every hospital respectively.
Sakineh Alizadeh, Mohammad Reza Maleki, Rahim Khodayari Zarnaq , Sajad * . Darzi Ramandi , Ahmad Sadeqi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Strategy is one of the important factors affecting the organizational structure. Taking the relationship between these two mentioned factors into consideration is essential. This study surveys the relationship between organizational structure and strategies of public and private hospitals in Tehran.
Materials & Methods: This study is a descriptive and analytical study of 20 selected public and private hospitals conducted in Tehran in the year 2012. The statistical population included supreme hospitals managers .We did a complete count because the sample size was small(60 managers). Research instrument was Miles and Snow strategy and Robbins's organizational structure questionnaire. A panel of experts were used for validity of questionnaires while the estimation of their reliability was calculated by Cronbach`s Alpha which was 0.75. The data analysis was conducted with descriptive statistics and Spearman correlation test.
Results: Among the structural dimensions, “centralization” was between was 85% and 75%, “formality” was 92% and 88% and “complexity” was 81% and 100% public and private hospitals respectively. Dominant strategy for both groups of hospitals was analytic. Correlation coefficient between strategy and organizational structure in public hospitals was -0.2 and in private hospitals was +0.3 which showed that relationship was not significant.
Conclusion: There was not a significant relationship between dimensions of organizational structure and the dominant strategy (analytical strategy) in public and private hospitals. If these hospitals tend to follow analytical strategies, they should reduce their complexity. Moreover, centralization could be towards analytical strategies if there is a strict control on current activities and little on new ones.
Ghasem Abedi, Zeynolabedin Rahmani, Ehsan Abedini, Farideh Rostami,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Services marketing mix (7Ps) is one of the most important concepts of management and marketing. This study has surveyed the role of services marketing mix components in patients` tendency towards the public and private hospitals in Sari.
Materials and methods: In this cross-sectional study, 900 patients were selected from sari`s public and private hospitals based on non-probability quota sampling. Data were collected using a questionnaire including the marketing mix components of which the validity and reliability was confirmed. The data were analyzed using the SPSS V.16 software with a multiple regression hypothesis.
Results: The results showed that among the components of the services marketing mix, the price had the maximum effect (49.2%) and the physical assets had the minimum effect (14.1%) on patients` tendency to public hospitals. On the other hand, staff had the maximum effect (48.4%) and the promotion had the minimum effect (18.6%)on the patients` tendency to private hospitals.
Conclusion: Price is a determining factor in patient’s tendency to refer to public hospitals compared to private hospitals because of delivering services with lower rates. On the other hand, the main reason for patient’s reference to private hospitals is their staff that could be due to their sense of responsibility, accuracy and speed in providing services to patients
Mohammad Javad Kabir , Nahid Jafari , Mohammad Nahimi Tabihi, Ebrahim Mikaniki , Hasan Ashrafian Amir, Seiyed Davoud Nasrollahpour Shirvani, Araslan Dadashi , Ghasem Oveis ,
Volume 14, Issue 2 (8-2015)
Abstract
Background: One of the key duties of family physician is to form health records and provided recording services. This study conducted to form health records and aevaluate health records in family physician program in Northern Province of Iran.
Materials and Methods: This cross-sectional study was carried out in second half 2011. 139 of centers implementing family physician program in three provinces of Golestan, Mazandaran and Gilan were selected using systematic random sampling, and assessed performance recording of all family physicians. A self- designed questionnaire was used which the validity and reliability of were confirmed. Data were analyzed by SPSS18 at the significant level of p<0.05.
Results: Out of the 189 assessed family physicians, the profile of patients referred to the second level and its results were recorded in referral record forms by 43 physicians. Out of 1890 studied families, 1559 families had health record which had filled 892(57%) health record completely. Out of 5869 assessed family members, 4229 patients were examined periodically by their family physician at least once and 1919(46%) results filled entirely. during 559 were reported with health records, among which 892 were filled out completely. There was a significant difference between referral record rates to registered specialist between the Northern Province of Iran (P=0.001).
Conclusion: The quantity and quality of health record formation was not in the expectation level as well and appropriate interventions are needed.
Khadijeh Akbarnejad Nashli, Azar Tol, Fereshteh Majlessi, Mahdi Yaseri, Hadi Alizadeh,
Volume 15, Issue 4 (1-2017)
Abstract
Background: health-oriented lifestyle in today’s world is the best way for preventing illness and healthy life. This study conducted to determine the predictor ofhealth-orientedlifestyle in health workers of Amol city.
Materials and Methods: This study was a cross-sectional research conducted on 222 persons of health workers of Amol city. Instrument was a questionnaire including two parts; demographic information was extracted through 15 questionsand the data collected fromthe reliable and valid questionnaire of lifestyle .Data collection. Health workers filled questionnaires in a self-declaration way. To data analyze,t-tests, Mann-Whitney, ANOVA or Kruskal-Wallis and logistic regression used. Data were analyzed statically using SPSS.
Results: This study showed that there is a significant relationship between living place of Prairie village with dimensions of sport , malnutrition , self-care ; and malnutrition dimension in persons below 35, below diploma degree, suffering a chronic disease , suffering high blood pressure ;and tobacco and alcohol consumption dimension in individuals less than35 years;men with medical advice,sport,Malnutrition,tobacco and alcohol consumption ,Health of buying,daily mobility,proper nutrition and owning a personal car with the consumption of tobacco and alcohol dimension ,safety in driving,Health of buying .
Conclusion: Considering that most of the health workers especially men do not behave based on the health-orientedlifestyle, some actions should be taken to change thebehaviorof these individuals, professional educationalworkshops or workshops that do not need to basic information shouldbe activated, because these individuals have health knowledge but do not behave according to this knowledge.
Elham Ramezan Pour, Hojjat Rahmani, Mehdi Raadabadi, Ghasem Rajabi Vasokolaei, Neda Rashidi,
Volume 19, Issue 2 (8-2020)
Abstract
Introduction: The operating room is one of the most sophisticated workplaces, consisting of a vast array of electrical, gas and radiation equipment that are more susceptible to accident than other hospital departments. Therefore it is important to observe safety tips in this section. The purpose of this study was to evaluate the standard of safety in operating rooms of hospitals affiliated to Mazandaran University of Medical Sciences in 2019.
Method: This study was a descriptive cross-sectional study. The statistical population consisted of all operating rooms of hospitals affiliated to Mazandaran University of Medical Sciences. The tool used was a checklist that was completed by researchers by observation and interviewing on-site. Safety standards have been evaluated in terms of the physical space of the operating room, fire safety, personnel safety, patient safety, infection control. Data were analyzed by SPSS version 21.
Results: The operating rooms of university-affiliated hospitals were 80.10% secure in overall safety. The patient's safety area, with 83.34%, had the shortest distance from the standards and the infection control safety area, with 74.24%, had the highest distance from the standards. The highest and lowest scores were related to the safety standard related to the operating room of hospitals (2) and (1).
Conclusion: According to the findings, the operating rooms of the studied hospitals are generally in desirable compliance with safety standards. However, it is essential to pay attention to problem areas to increase the safety factor for staff and patients in the operating room, so appropriate remedial measures should be taken to ensure complete safety of the operating room for all components.
Ramin Dastab, Farahnaz Farnia, Somayeh Zare,
Volume 19, Issue 3 (11-2020)
Abstract
Background: Quality of life is a mental issue that causes a person to be affected by various factors including self-efficacy. The roadmap in this field is family-centered empowerment, which aims to promote health. The aim of this study was to determine the effect of family-centered empowerment model on quality of life and self-efficacy of kidney transplant patients.
Materials and Method: This study is a randomized controlled clinical trial. 100 kidney transplant patients, who came to Shahid Hasheminejad Hospital, were divided into two groups of control and intervention by initial accidental sampling. Data collection tools were a three-part questionnaire includes of demographic characteristics, quality of life of patients of kidney transplant questionnaire (KTQ-25) and the questionnaire of health empowerment to survey about self-care (SUPPH). These questionnaires were completed by both groups once the study was initiated and another time 1.5 months after intervention. Data were analyzed by SPSS software (version 20), chi-square and T-test.
Results: findings demonstrated that when the study was initiated there was not any significance difference between these two groups in terms of demographic quantitative and qualitative characteristics and mean of quality of life and self-efficacy. In compared with control group, mean of quality of life of intervention group was increased. Statistically, it has a significance difference (0<0.001). Also, in comparison with control group, the score of self-efficacy promoted and it has a significance difference.
Conclusion: Considering the positive effect of family-centered empowerment model on self-efficacy of kidney transplant patients and finally on their quality of life, it is necessary to consider this model with the aim of promoting patients' health.
Leila Hosseini Ghavam Abad, Abbas Vosoogh Moghadam, Rouhollah Zaboli, Mohsen Aarabi,
Volume 19, Issue 4 (12-2020)
Abstract
Background and Aim: Clinical governance is one of the important frameworks for continuous quality improvement and safety in health care systems. Identifying the axes of this approach according to local conditions is one of the important priorities of the health system. The aim of this study was to identify the views of stakeholders on the axes of clinical governance in primary health care based on family physicians in Mazandaran province.
Methods: The present qualitative study was conducted using the conceptual framework analysis method in 2018-2019. The study population were key policy makers of Ministry of Health, Health deputy of the University, the county health network, family physicians association, family physicians, and the parliament research center. Participants were selected using purposeful and snowball sampling methods. Data were collected through semi-structured interviews and were analyzed and coded using MAXQDA 11 software.
Findings: According to the interviewees' views, the research findings were classified into 4 main dimensions: dimensions of clinical governance, requirements and structures, decision-makers and dimensions of quality and safety assessment. 17 sub-themes including community participation, clinical audit, clinical effectiveness, personnel management, training, information use, risk management, guidelines and procedures, promotion of health indicators, equipment and facilities, referral system, financing, policy makers, effectiveness, efficiency, human aspects of services and justice were identified and extracted.
Conclusion: According to the research findings, to facilitate the implementation of clinical governance, solutions such as the existence of appropriate infrastructure, commitment of managers, supportive culture, sufficient knowledge, monitoring and evaluation, appropriate culture building, facilities and equipment and sufficient financial resources are suggested.
