Journal of

Conflict management is a kind of management which could be administered the organization with the best ways and create balance between organization and staffs and  eliminates the conflict. Generally , conflict management is the process of conflict roles recognition between intergroups and intragroups and use of conflict techniques for eliminate or simulate conflict for organizational effectiveness.
This research is aimed to introduce conflict management and how to use its strategies to modify this phenomenon.
This research shows that organizational conflict have both instructive and destructive results. Managers should use conflict management in every organization. Most conflict management strategy used to control conflict is collaboration between managers and staffs. Conflict management has important role to make managers successful . Although, a minimum of conflict is appropriate in every organization but no managers agree with anarchism in his organization

Background and Aim : Creation of knowledge management (KM) and efforts to use it in the university research programs shows the university society activity to enhance intellectual qualities and improve this effectiveness of the universities on the development and advancement in the countries. The objective of present study was to evaluate the status of organizational culture and structure for implantation of KM in the central libraries of the medical science universities in Iran.

Materials and Methods:The present work is an applied research and descriptive-analytic study.  The survey population consisted of 80 people who were directors or managers of 29 central libraries in medical science universities. Data collection method was used based on the questionnaire.  The validity was checked by researchers and reliability Cronbach's alpha (>0.7). The data & information were analyzed with descriptive statistics and independent t-test by SPSS software package ver. 15.

Results: The findings showed that the status of "organizational structure" of KM in these libraries was intermediate, whereas "organizational culture" was in the suitable status. Also in the libraries in which decentralization, revision in knowledge sharing process and Internal Network for knowledge sharing is adopted, higher organizational culture as compared with  other libraries, and have significant differences in them (p<0.05).

Conclusions: The result of present work is a proof for willingness and propensity of the Iranian librarians and their managers in the process of knowledge sharing and utilization of KM is at the proper level. Therefore, the authorities should provide the necessary structures and other complementary backgrounds for the utilization of KM in Iranian university libraries.

Background and Aim: Development and evaluation of rehabilitation services as a section of health system, which plays an important role in the improvement of the quality of life, needs a mechanism for information management as well as other healthcare levels. The effectiveness of information management has been assured through standardization & ongoing evaluation of rehabilitation centers. There is no standardization on rehabilitation information management processes in Iran, Therefore we surveyed the standards of information management at Commission on Accreditation for Rehabilitation Facilities and compared them to same English & Australian rehabilitation services evaluation & standardization organizations. At the end, we present a framework for necessary standards for this field.

Materials and Methods: In this literature review article CARF standards in axis of information management infrastructural standards, data gathering, content of records, documentation principles, information reveal for confidentiality policies of standard classification has been investigated. We used reliable electronic references in this article.

Discussion and Conclusion: The CARF information management standards are included a standardized outcome-oriented program evaluation & management systems as a fundamental & infrastructural requirement, data gathering standards, internal content of patient records, the framework for complete documentation and maintenance of information confidentiality. Therefore CARF standards in term of information management are the most complete model and have enough details in compare to the others. The results indicate that CARF standards can be a proper model for standardization activities and evaluation rehabilitation centers.

Background and Aim: Peptic Ulcer Disease (PUD), which is a prevalent disease, can have a considerable impact on patients' quality of life (QOL). The aim of this study was to explore the factors related to QOL based on PRECEDE Model in patients with PUD in Sanandaj, Iran.

Materials and Methods: A non-probability sample of 120 outpatients with PUD, referring to Beasat Hospital, in the city of Sanandaj participated in the study. The study took place between March and June of 2009. A descriptive, cross-sectional design was employed and the data were collected using a survey questionnaire based on PRECEDE model, consisting of QOL, Health Status, predisposing, reinforcing and enabling factors and self-management behaviors constructs. The data collected by interview and analyzed by SPSS v. 11.5. The statistical analysis of the data included Pearson correlation, t- test, one-way ANOVA and linear regression.

Results: Health status (p<0.01), reinforcing (p<0.01) and enabling (p<0.05) factors and knowledge (p<0.05) as a predisposing factor were related to quality of life of peptic ulcer patients. Moreover, health status (p<0.05) and social support as a reinforcing factor (p<0.01) had significant relationships with self-management behaviors. Finally, all of PRECEDE variables accounted for 68.9% of the variation of quality of life in PUD patients.

Discussion and Conclusion: With respect to the results of this study, preparing an educational program to promote self-management behaviors and quality of life in peptic ulcer patients is proposed. It was concluded that the PRECEDE Model may be used in developing countries, like Iran, as a framework for planning intervention programs in an attempt to improve the quality of life of patients with PUD.

Background and Aim: Managers today work in a dynamic environment. Their role in creating quality is  essential. Today paying attention to the quality of goods and services is the first Paiority in heath care organizations which is in with contact  peoples lives. Total Quality Management has undergone vast changes in health care management. The aim of this study is  to determine the top (chief) and middle managers knowledge and attitude on the feasibility of applying Total Quality Management in hospitals of Tehran University of Medical Science in 2009.

Materials and Methods: This is a descriptive - analytic research. The study population consists of top and middle mangers of Tehran University of Medical Science in 2009. For data gathering , we have used a  questionnaire  which consisted of 46 questions. We assessed its validity by expert team and its reliability by subsample method (CI95%). Then the data were analyzed by SPSS  software. The descriptive results(consist of mean, median, mode, std deviation, variance, range, maximum and minimum) and analytical results(consist of  bivariate and Pearson tests) were obtained.

Results: The total mean of the top and middle managers knowledge for TQM is  73.24% and is in good range. The total mean of the top and middle managers attitude about TQM is 79.76% and is good and near to excellent range.There is a meaningful relation between top and middle managers knowledge and attitude  for TQM. In total the coordination of the top and middle managers ideas for TQM is near to the each other and is good to applying it in hospitals.

Discussion and Conclusion: Total Quality Management is a new idea that is vital for organizations, especially for hospitals. Results of this survey show that top and middle managers knowledge and attitude are in good range but it needs promotion and continual teaching because when the knowledge and attitude change, the behavior of this managers also change and finally the behavior of all the employees in hospital will change. Also the goals of TQM  that are the consent of the patients, employees and society and high quality of services will be acceptable and remain for promotion of good health in the society.

Background and Aim: The hierarchical and bureaucratic form of governmental administration is changing into a new type of flexible and market-based public management called Enterpreneurial Management Revolution. According to Stevenson, entrepreneurial management comprises a number of opportunity-based management activities for the maintenance of organizations in order to have their contribution in social value creation. This research study aims to study the organizational performance of medical sciences universities of Tehran based on Stevenson Model.

Materials and Methods: This research is a field study in which a structured questionnaire containing 22 main questions on the Likert Scale was distributed among the staff members of medical sciences universities in Tehran. The validity of the questionnaire was confirmed by experts and its reliability was estimated using Test- Retest Method. The Cronbach alpha coefficient was found to be 0.95. The data collection device was given to 379 staff members, of whom 325 filled it out. The data were completely recorded and then analyzed by SPSS software version 18.

Results: The results of the study show that regarding entrepreneurial management approach, medical universities are at an average level.
According to the present research and all related studies, this is the case in all other governmental organizations.

Conclusion: The results of the study indicate that organizational restructuring, decentralization, and continuous improvement in processes are the milestones of entrepreneurial revolution strategies in medical universities and all other public organizations.

Background and Aim: Organizations have to establish modern management systems to progress and to obtain maturity. One of the techniques which started in Europe in the last two decades and is considered in management area of country during recent years is the model of organizational promotion (EFQM). The purpose of this study was Performance Evaluation of Rajaei Hospital Based on «EFQM» Organizational Excellence Model.

Materials and Methods: This cross-sectional study was conducted in year 2010 in Qazvin Rajai Hospital. Data collection tool, was EFQM organization Excellence Model questionnaire which was completed by all the managers. Validity and reliability of questionnaire was calculated. Results were analyzed using descriptive statistics.

Results: Results indicated that this hospital has acquired 99.183 scores out of 500 in enablers factor(88.36 percent of optimum score). Also has gained 183.71 scores out of 500 (36/75 percent of optimum score). Overall, this hospital has obtained 366.7 scores out of 1000 as the total score in the model for performance evaluation in year 2010.

Conclusion: Findings indicated that based on Excellence model criteria, this hospital is in a moderate level. Applying this model for Iranian hospitals which often meet serious problems in this area is informative and practical. Strong systematic view, paying attention to organizational process-based management and being result-oriented are advantageous of using this model.

Background and Aim: Staff satisfaction is one of the basic and important indicators for assessment of contract management. The aim of this study was to survey relationship between contract management and staff satisfaction in hospitals affiliated to the Tehran University of Medical Sciences in 2011.

Materials and Methods: This research was a cross-sectional and descriptive study. Six hospitals which were deployed a contract management system in recent years were chosen. A questionnaire with Likert scale was designed to measure the satisfaction.
One hundered and twenty three employees filled the questionnaire. The data analysis was performed using descriptive statistics and paired t test.

Results: The average staff satisfaction score before implementing contract management system was 3/04(out of 5) and after implementation was 2/86. The correlation of satisfaction among workers before and after the out sourcing was significant(P<0/005). It was clear that satisfaction was reduced after the transfer.

Conclusion: The average staff satisfaction score before implementing contract management system was 3/04(out of 5) and after implementation was 2/86. The correlation of satisfaction among workers before and after the out sourcing was significant(P<0/005). It was clear that satisfaction was reduced after the transfer.

Background and Aim: Financial reforms in the healthcare system go back to 1384. This study aims to analyze and summarize the most important strengths of implementing the first phase of the reform in units affiliated with the Ministry of Health and Medical Education from the experts' point of view at middle and operational levels.

Materials and Methods: In this qualitative research study, 15 coaches of the new financial health management reform along with 8 financial managers of Medical Universities were selected purposefully to participate in expert panels to be interviewed. Data were saturated following the interviews. The data analysis process was conducted applying Kruger method with one of the researchers having no conflicts of interest with the topic.

Results: Human resources enabling, effective trainings, integrated information system, dynamic culture, structural appropriateness, efficiency and effectiveness, and perfect facilities were the seven themes extracted from the content analysis of the interviews each theme was further divided into some sub-themes.

Conclusion: Recognition of the strengths of the first phase of health system's financial management reform may help bring about the possibility of more correct and exact planning to direct these changes and maintain the achievements as well as designing a long-term horizon and determining an ideal vision for the next phases of the reform.

Background and Aim: Knowledge management is effective in promoting organizational structure, level of services, and universities competency power. The present study was aimed to assess knowledge management effective factors including information technology, organization culture, human resources, and librarians' skills among university librarians in Urmia.

Materials and Methods: This analytical survey was conducted on 102 university librarians in Urmia. The data were collected using a questionnaire where its validity and reliability was confirmed by specialists’ overviews and Cronbach's Alpha (0.94). In order to analyze the data, first the middle of the effective factors of knowledge management was estimated. Next, synchronic effect of the variables was estimated via multinomial logistic regression. Also Chi-square was used to assess the relationship between majors and sex factor of the librarians considering their perspective on knowledge management.

Results: Organizational culture, information technology and human resources are the most effective factors to knowledge management circulation. Also the median degree of the knowledge management process includes knowledge creation and reservation and knowledge sharing and employing which was 2/7 and 2/2 respectively.

Conclusion: Knowledge management is an important factor in human resources and competency environment of organizations. Libraries can with launching of knowledge management circulation, earn some promotions, for example: saving research and development costs, capacity increasing, employers’ job satisfaction, maintenance of competency environment and etc.

Background and Aim: Despite all inherent advantages of information technology in health sector, its implementation still faces many problems. One of the most important barriers is people’s resistance. This study was carried out to survey the factors affecting the acceptance of information technology by Health Information Management (HIM) staff of Tehran University of Medical Sciences (TUMS) hospitals based on Technology Acceptance Model (TAM) in 2011.

Materials and Methods: It is a descriptive-analytical survey. The population of the study consisted of the HIM staff (363 members) of TUMS hospitals. As the sample, 123 employees were selected. The data gathering tool was a questionnaire the validity and reliability of which were confirmed. The data were collected and analyzed by SPSS software, descriptive statistical methods and Spearman Test.

Results: The results showed that there was a positive direct relationship between perceived ease of use (PEOU) on the one hand and the staff’s attitude and their application of IT on the other hand (R=0.14, P= 0.05 R=0.36, P=0.05). Also, perceived usefulness (PU) had a significant direct effect on the staff’s attitude and their application of IT (R=0.22, P= 0.05 R=0.37, P=0.05).

Conclusion : Perceived ease of use (PEOU) and perceived usefulness (PU) are the factors affecting the acceptance of information technology by the HIM staff of TUMS hospitals. Therefore, it is suggested that the above two principles be considered when designing and implementing the IT systems.

Background and Aim: Clinical governance is the application of mechanisms at the right time and place to do tasks for patients properly and obtain maximum clinical results. The implementation of clinical governance definitely requires the skills and inclinations of those working in healthcare sector. The main objective of this study is to identify the relationship between human resource management (HRM) on the one hand and the implementation of clinical governance and the optimal establishment of its framework on the other hand through offering strategies for effective human resource management.

Materials and Methods: This is a descriptive analytical study conducted in a cross-sectional way in 2012. The sampling method was a two-step cluster sampling. Shariati, Imam Khomeini, and Hashemi Nejad were randomly selected from among the hospitals of Tehran University of Medical Sciences (TUMS). The data collection instrument was a researcher-made questionnaire and a checklist. In each hospital, 30 questionnaires were randomly distributed. The gathered data were analyzed by SPSS.

Results: The minimum and maximum scores of clinical governance pertained to Imam Khomeini (594) and Hashemi Nejad (753) hospitals, respectively. Moreover, significant relationships were found between variables of training, recruitment and employment, salaries and benefits on the one hand and clinical governance on the other.

Conclusion : Considering the significant relationship between HRM and the implementation of clinical governance, investment in this aspct of clinical governance as the one that influences success in other aspects can be effective in the establishment of clinical governance.

 Background and Aim: Learning styles are among efficient factors in the teaching-learning process. The aim of the present study was to assess healthcare management students’ learning styles at Tehran University of Medical Sciences (TUMS).

 Materials and Methods: This descriptive cross-sectional study was conducted on healthcare management students selected randomly through stratified sampling (response rate = 85%). The data collection tool used in this study was Kolb learning style questionnaire (Cronbach Alpha was 0.7-0.9). The data were analyzed through descriptive and analytical tests (χ² and t-test).

 Results: Most postgraduate students preferred the Accommodate Style (55.6% of PhD students and 64% of MCs students). The majority of undergraduate students, however, preferred the Convergent Style (45.67%).

 Conclusion: As to these students’ dominant learning styles, the results of the study emphasized the use of “teaching methods based on Role Playing and Simulation” among postgraduate students and “Problem-Based Learning” among undergraduate students.

 Background and Aim: Managers are always looking for better ways to improve productivity of staff. The aim of this study was to introduce a model based on work and time measurement for Staff Management based on performance in hospital.

 Materials and Methods: This descriptive - practical study was conducted in ten steps for a medical documents expert’s in a general hospital. The main activities of employees were determined via interview and direct observation. Then expected time, tolerances, final coefficient and work units for each activity were calculated. Finally, the total working units were calculated. 

 Results: Implementation of introduced model for a medical documents expert’s in a general hospital showed that the total work units which the staff was obliged to do in one month was 918 units and the remaining (1160-918) was the extra units.

 Conclusion: Using appropriate models for the performance management of hospital staff workloads, can help to improve the hospital productivity and staff satisfaction.

 Background and Aim: Personal Information Management (PIM) is a novel approach comprising three interactive parts of information resources, dimensions, and tools. The main aim of this study was to determine the degree of Tehran University of Medical Sciences (TUMS) management and information science students’ familiarity with PIM process.

 Materials and Methods: The present work is a qualitative-applied study and the population includes 145 TUMS management and medical information students in 2012. The subjects were randomly selected and the data were finally obtained from 73 persons through semi-structured interviews. The data collection tool was a questionnaire with 10 open-ended questions classified based on the conceptual framework  of interviews. The questions were about how to acquire, organize, maintain, and retrieve information. To analyse the interviews, the qualititative data analysis software Nvivo 8 was employed.  

 Results: According to the obtained results, 51% (37 persons) of interviewed persons have applied methods and tools in order to organize and maintain information and have had exclusive methods to retrieve information. The most frequent worries were the information storage 49% (35 persons) and acquiring information 29% (21 persons).

 Conclusion: It is noteworthy to say that the PIM approach is not very popular among university students, and many of them acquire, maintain, and organize their personal information inappropriately in spite of their need for the method. Therefore, educating the students and promoting their performance can result in the improvement of main PIM-related problems.

Background and Aim: Personality testing is one of the most factors for selection of the managers. If the managers select by their personality traits and its compatibility with their jobs specifications, organizational productivity will increase. Therefore, this research is aimed to determine the managers` personality traits compatibility with managerial positions in Tehran University of Medical Sciences faculties.

Materials and Methods: This was a cross-sectional, descriptive and analytical research which induced among 34 faculties, deans and vice chancellors of Tehran University of Medical Sciences during 2012-2013. The research society was selected by census technic. For research tool, Bass, Aldrich and Valenzia personality questionnaire that consisted of 27 questions was used. The validity and reliability of the questionnaire was confirmed. The data was collected by SPSS software to prepare the descriptive findings, and for analysis of data, one sample T test and Anova method were used.

Results: All of managers of TUMS faculties presented all personality traits based on Bass questionnaire. Although, introvert specification was the most personality traits among this managers. There was significant correlation between brave personality trait with the type of the faculties managers.

Conclusion: Only half of the faculties managers presented management traits compatible with their jobs. Therefore, we suggest management personality preemployment testing should be examined before the staffing of the selected managers for administration of the faculties.

Background and Aim: Considering the elements of knowledge management (availability, creation, and transfer of knowledge) is very important in digital libraries websites and makes the performance better. So this paper aim to identify the knowledge management criteria in Iranian selected digital library's websites and study of observance scale

Materials and Methods: The research method was descriptive survey and from applied research type. Data collecting has been based on check list according with K-ACT model (Knowledge- Access Creation Transfer). The population of this study was 7 digital library websites, including Noor, Payame noor, Islamic Parliament, Tebyan, DID, National Digital Library of Iran and Astan Quds Razavi that were selected based on accessibility.

Results: This research findings showed that use of knowledge management criteria in the selected digital libraries websites is moderate and the access to website criteria is highest and lowest is online participation criteria. Tebyan DL earned first rank among seven libraries with 56 percent compliance with the standards of knowledge management in the digital library's web sites.

Conclusion: Study of knowledge management criteria in the selected digital library websites has shown that these criteria has not been favorably applied that it stems from criteria incompatible with the principles, rules and standards. Due to these problems, designers of digital libraries can be effective in promoting these websites and enhance the quality of digital library services with aware of users’ needs and attention to use of these criteria.

Background and Aim: Safety is an important component in the quality of health care that lack of attention to it leads to harmful results. This study was conducted to estimate the safety management status in selected hospitals affiliated with Tehran University of Medical Sciences. 
Materials and Methods: This analytical-descriptive cross-sectional study was conducted in four selected hospitals affiliated to Tehran University of Medical Science in 2012. Data collection was performed through a valid and reliable questionnaire (Safety management) involved 112 questions in 3 parts: organization, safety and event committee’s management, investigation of organization and hospital’s structure and evaluation standards for surgery rooms by safety management views, in 5 options of Likert criteria. SPSS software frequency, mean and standard deviation and Kruskal–Wallis were used for statistical analysis of data’s.
Results: In the evaluation of the hospital organization factor and its structure from safety management approach, each hospital’s organizational structure form safety management view was in a suitable condition (72.50). The result also showed that in respect to evaluation of surgery rooms for safety management, the highest average of calculated score was for hospitals number 1 (90.00) and the lowest was related to hospital number 4 (69.09). 
Conclusion: According to the results, safety in hospital was in an acceptable level. But it seems that continuous monitoring and safety management training courses is essential.

Background and Aim: Conflict, is a natural and inevitable phenomenon in any organization. Nursing organizations, especially due to environmental stresses, nature of work, variety of interaction, responsibilities and staff are vulnerable to conflict. The purpose of this study was to determine the level of conflict, cause of conflict and conflict management strategies among nurses in selected hospitals of Tehran University of Medical Sciences (TUMS) in 2013.
Materials and Methods: This research is cross-sectional and descriptive - analytic study. The research sample included 240 nurses at four hospitals of Tehran University of Medical Sciences. In order to measure conflict level dubrins conflict level questionnaire and for measure conflict management Robins conflict management strategies were used, for survey to accept or reject the study hypothesis, Chi-square and Fisher's exact tests with SPSS software was performed.
Results: Results showed that the nurse's conflict level was located at average level. Factors relating nurse practitioner frequent cause of conflict, identified strategies of conflict management were solution orientation, non-intervention, control, In the present study  conflict level had showed significant statistical relation with age of nurses (p=0.048). 
Control strategy had showed significant statistical relation with age (p=0.006) and work experience (p=0.024). Solving oriented strategy had showed significant statistical relation with age (p=0.02).
Conclusion: Conflict is a two-dimensional phenomenon, conflict can be both positive and negative results, how to deal with conflict, it is crucial for consequences.

Background and Aim: Almost one out of 10 patients who are admitted in hospitals experience “never events” while researches show that about half of these harms are preventable through the utilization of Failure Modes and Effects Analysis (FMEA). This study aims to identify and evaluate the risks of care processes in three wards of Alzahra University Hospital of Isfahan and suggest some interventions for reducing these risks.
Materials and Methods: This was a cross-sectional study, which identified high-risk processes using FMEA in respiratory, gastroenterology and rheumatologic wards of Alzahra Hospital during the years 2014-2015. The study population comprised clinical staff members who worked in these three wards and were familiar with clinical care processes. The focus group team was selected through purposive sampling method. Finally, the information was gathered in standard FMEA work sheets and analyzed with SPSS software.
Results: A total of 72 clinical care processes were identified, and the 73.5%  of the focus group members rated "blood and its products transfusion process" as the most risky care process. The step "checking the incompatible of patient's information and blood lable and its products" was the most dangerous step (with PRN = 300). The findings showed that human and equipment failures were the main reasons of facing the “never events” in these wards. 
Conclusion: Risk management tells us that the efficiency and quality of care can be promoted by preventing errors through human resource training and proper maintenance of medical equipment.