eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-06-01
6
2
54
49
66869
Assessment of Legal Feasibility of Clinical Nursing Information System
Fatemeh Rangraz Jeddi
rangrazejeddi_f@kaums.ac.ir
1
Mohsen Adib Haj Bagheri
adibhajbagheri_m@kaums.ac.ir
2
Hossein Akbari
akbari_h@kaums.ac.ir
3
Sohila Esmaili
pegahdosti@yahoo.com
4
Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
Department Internal-Surgical Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
Biostatistics and Public Health, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran
Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
Background and Objectives: Legal considerations are essential to implement information system successfully. Therefore, the purpose of this study was to investigate the legal feasibility of clinical nursing information system (CNIS).Methods: This research was a descriptive-cross sectional study. The instrument was developed through literature review. The psychometrics was confirmed by the CVR and CVI index based on comments of 15 experts. Reliability was approved by split method (α = 0.71). The evaluation was done on nursing administrators through a questionnaire with 5 options Likert scale and face to face interview. Scores less than 30 were considered as weak and poor, scores of 30-70 were treated as middle and relatively desirable, and scores more than 70 stood in high and desirable levels. The data was analyzed using chi-square tests, t test and two-way analysis of variance (ANOVA).Results: Definition and develop of low, access to information, informing and implementation and revision should be included in the legal feasibility of CNIS. The percentage of supplied needs to implement the CNIS was 60%. The average score of legal feasibility was 66.46 %.Conclusion: Appropriate and comprehensive legislation to allow the use of the previous system in case of system failure or high volume of work and the accurate determination of the level of user access is required.
https://ijhr.iums.ac.ir/article_66869_aee3443024630a1c0c06046888f59be3.pdf
Feasibility
Legal
Clinical nursing information systems
Nursing information system
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-06-01
6
2
60
65
66870
Impact of Stress Management Training on the Quality of Life and Occupational Burnout of the Emergency Services Personnel
Amenesadat Kazemi
sadat.kazemi@yahoo.com
1
Nader Tavakoli
tavakoli.n@iums.ac.ir
2
Mansour Alimahdi
malimehdi@yahoo.com
3
Saeed Mehrsoroush
saied1755@gmail.com
4
Department of Psychology, Medical Branch, Islamic Azad University, Tehran, Iran.
Emergency Medicine, Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
Emergency Medicine, Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
Medical Branch, Islamic Azad University, Tehran, Iran.
Background and Objectives: This research aimed to investigate the extent to which stress management training may improve the quality of life (QOL) and occupational burnout (OB) of the operational personnel at emergency services.Methods: A semi-experimental pretest-posttest study was conducted. The study population includes the operational personnel of Tehran’s 115 emergency services. SF-36 questionnaire Maslach Burnout Inventory (MBI) was administered to a sample of 200 personnel followed by selecting 40 individuals with lowest scores. The participants were randomly assigned to intervention and control groups. The intervention group participated in eight sessions of stress management training. Data were analyzed using multivariate analysis of covariance. The changes in scores of SF-36 questionnaire and MBI after the implementation of the training program was evaluated and compared with the those of the control group.Findings: Stress management training led to a significant improvement in the QoL and a significant reduction in the OB of the personnel in the intervention group as compared with the control group (P < 0.001).Conclusions: Our results recommend the implementation of in-service stress management training programs by the organization followed by regular relevant evaluations to monitor the results in work and personal life, in order to improve the emergency services human resources performance.
https://ijhr.iums.ac.ir/article_66870_df46a83e976addaeb0395196a89e3614.pdf
Stress Management
Quality of Life
Occupational Burnout
Operational Personnel
Emergency Service
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-06-01
6
2
66
71
66871
Evaluation of Perception of Hospital Signs and its Relationship With Demographic Factors
Majid Yazdani
1
Roohollah Kazemi
2
Amirhossein Davudian Talab
davudi.amir@gmail.com
3
Faculty of Health Safety and Environment, Islamic Azad University, Ahvaz Branch, Ahvaz, Iran
Faculty of Health Safety and Environment, Islamic Azad University, Ahvaz Branch, Ahvaz, Iran
Department of Occupational Health, Behbahan University of Medical Sciences, Behbahan, Iran.
Background and Objectives: Safety signs will be useful if they are distinctive and attractive for individuals, and individuals can communicate with them, because they will not be able to identify the risks and actions necessary to avoid the risk if they do not understand properly. Therefore, this study aimed to determine the level of perception of hospital safety signs and related demographic factors.Methods: This descriptive cross-sectional study was carried out in 2 hospitals in Genaveh in 2017. The number of participants in this study was 120 employees and patients in the hospital. The inclusion criteria for this study were non-presence of dyschromatopsia, ages 15 to 55 years, and sufficient cognitive ability. The tools for this study were the International Organization for Standardization Questionnaire (ISO9186-1.2007) and the demographic information questionnaire. The 7 safety signs were used. The simple random sampling method was used. Data were analyzed using SPSS 16 and chi-square, the Kruskal–Wallis test and one-way analysis of variance (ANOVA).Findings: The highest level of perception of hospital safety signs was related to forbidden entry with 95% correct answers and the lowest level of perception of the signs was related to the pharmacy with 6.7%. The chi-square test showed that in more than 85% of the cases of safety signs, there was no significant relationship between age, gender and previous education with the safety signs (P < 0.05). Furthermore, Kruskal-Wallis test showed that there is no significant difference between the different job shifts in terms of perceptions among men and women (P < 0.05). However, the ANOVA showed that there is a significant difference between the different levels of education in terms of perception between the sample.Conclusions: The level of perception of hospital signs among staff and colleagues is relatively desirable. The results of this study showed that the only factor that can affect the perception of the signs of hospital safety is the level of education and other factors such as gender and work history, work shift, employee or client, and previous education are not factors influencing the perception of safety signs. Therefore, continuous training for staff and public education through public and localized media is suggested to improve the hospital safety culture.
https://ijhr.iums.ac.ir/article_66871_b57760c52e95776b27caf4226b15d195.pdf
Safety Sign
Hospital
Perception
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-06-01
6
2
72
84
49792
Simulation-Based Optimization for Improving Hospital Performance
Baghery Majid
baqery_m@yahoo.com
1
Hossein Pasha Abgarmi
h_pasha@ind.iust.ac.ir
2
Samuel Yousefi
s.yousefi@ine.uut.ac.ir
3
Azra Alizadeh
azra.alizadeh@yahoo.com
4
Hadi Mahmoudzadeh
hadi.mahmmoudzadeh@ine.uut.ac.ir
5
Faculty of Management and Accounting, Allameh Tabataba'i University, Tehran, Iran.
Faculty of Industrial Engineering, University of Kurdistan, Kurdistan, Iran.
Faculty of Industrial Engineering, Urmia University of Technology, Urmia, Iran.
Faculty of Urmia University of Medical Sciences, Urmia, Iran.
Faculty of Industrial Engineering, Urmia University of Technology, Urmia, Iran.
Background and Objectives: Nowadays health services affect a significant part of social, economic and political parts of each country. In this case, hospitals are considered as the important and final stage of health service supply chain. Consequently, quality of health services offered by hospitals has a straight impact on the safety of individuals. Methods: The application of efficient operations research tools plays a key role according to the purpose of enhancing the performance of this vital section of health service supply chain. This paper aims at developing a design of experiments model (DOE) model based on computer simulation for the sake of optimizing important factors such as queue length, patient waiting time, departure rate and productivity. The DOE technique utilized in this paper is response surface methodology (RSM) and the proposed simulation model considers all wards and their relationships as well as their interactions together. This approach is designed and implemented in Shomal hospital located in North of Iran. Findings: By taking advantage of the RSM technique by simultaneously considering optimum resource values, beneficial results have been obtained. For instance, risk mitigation of decision-making process by evaluating and analyzing different scenarios, reduction of queue length and patient waiting time could be mentioned as some satisfactory achievements. Conclusions: This research is aiming at determining optimum levels of input factors in a real system, but some data related to some unpredictable events (such as human errors while gathering data) were eliminated. In conclusion, future works may encompass other industrial cases besides applying more precise and developed DOE techniques, to mitigate the risks and limitations encountered in this study.
https://ijhr.iums.ac.ir/article_49792_d53a0e4d428688299d6a0bd9516f10ac.pdf
Hospital Performance
Medical Processes
Simulation
Design of experiments
Response Surface Methodology
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-06-01
6
2
85
89
49790
Potential Factors Affecting Medical Tourists’ Viewpoint About Healthcare Services Quality in Shiraz, Iran
Alireza Jabbari
jabbaria@mng.mui.ac.ir
1
Maryam Gholami
ghom5@yahoo.com
2
Zahra Kavosi
zhr.kavosi@gmail.com
3
Parisa Chamanpara
p.chamanpara@yahoo.com
4
Mehrnaz Gholami
mehrnaz.gholami@yahoo.com
5
Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Clinical Research Development Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Health Services Administration, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran.
Clinical Research Development Center, Shiraz University of Medical Sciences, Nemazee Hospital, Shiraz, Iran
Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Background and Objectives: Recently medical tourism as a new form of tourism has gained great popularity among the countries and a relatively large part of the world income is devoted to it. Since the high quality of service in the medical tourists' viewpoint has been a key factor in attracting and retaining them, the present study aimed to demonstrate which variables could affect the medical tourists' perspective about service quality. Methods: We applied univariate analysis and multiple regression to explore the variables affecting medical tourists’ viewpoint about service quality they received. In order to measure thequality of service, we used SERVQUAL scale based on a gap model. Findings: The findings showed nationality and type of therapy are the influential factors that affect patients' perspective. Conclusions: Understanding the demographic characteristics of medical tourists helps the authorities to make better decisions and change their strategies in offering services in order to raise medical tourists' attraction and trust and also develop this type of industry.
https://ijhr.iums.ac.ir/article_49790_623cdaafaf99cfe58245aa9790700933.pdf
Medical tourism
Servqual
linear regression
Hospitals
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-06-01
6
2
90
96
66872
Ranking an Comparing Factors Affecting the Establishment of Customer Relationship Management in the Hospitals Affiliated With Tehran University of Medical Sciences, Iran
Sedigheh Taghavi
1
Leila Riahi
l.riahi@srbiau.ac.ir
2
Amir Ashkan Nasiripour
3
Katayoun Jahangiri
katayounjahangiri@yahoo.com
4
Department of Health Services Management, Science and Research Branch of Tehran, Islamic Azad University, Tehran, Iran.
Department of Health care Services Management, Science and Research Branch of Tehran, Islamic Azad University, Tehran, Iran
Department of Health Services Management, Science and Research Branch of Tehran, Islamic Azad University, Tehran, Iran.
Department of Health in Disaster and Emergencies; School of Health, Safety and Environment; Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background and Objectives: Today’s world is customer-oriented and customer is the foundation of major activities of firms. The aim of the present study was to rank factors affecting the establishment of customer relationship management (CRM) in the hospitals of Medical Sciences in Tehran.Methods: A total of 290 managers of hospitals of Tehran University of Medical Sciences were surveyed by a reliable and validated questionnaire containing 46 questions related to various aspects of CRM. The collected data were analyzed by exploratory factor analysis (EFA) to extract the CRM dimensions. The extracted factors were validated by confirmatory factor analysis (CFA). Friedman test was used for ranking the factors.Findings: Communication management, mission, organizational commitment, teamwork, empowerment, change management, and organizational structure were identified as the CRM factors. Relationship management and organizational structure gained the highest and lowest ranks, respectivelyConclusions: Communication and change management play an important role in the implementation of the customer-orientation. Executive managers of hospitals can effectively enhance CRM by promoting relationship management and communication skills among employees
https://ijhr.iums.ac.ir/article_66872_fcce2265e2008fc66408c54e1e2094ab.pdf
Customer Relationship Management
Customer-orientation
Hospital
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-10-01
6
2
97
103
10.15171/ijhr.2017.15
74163
Factors Influencing Prioritization of Hospital Services for Outsourcing: A Fuzzy Analytic Hierarchy Process Ranking Model
Rouhangiz Asadi
r.asadi@modares.ac.ir
1
Pejman Shadpour
pshadpour@gmail.com
2
Fatemeh Semnani
shirinsemnani@yahoo.com
3
tarbiat modares university
Department of Urology, Iran University of Medical Sciences, Tehran, Iran
Hospital Management Research Center, Iran University Medical of Sciences, Tehran, Iran
Background and Objectives: Prioritizing the services to be outsourced is a crucial challenge toward efficient outsourcing of health services. In spite of fruitful efforts in improving the outsourcing process, there still remains room and need for developing more systematic approaches. The present paper introduces a novel multi-criteria decision making model based on the fuzzy analytic hierarchy process to determine and prioritize factors highly affecting outsourcing of services in the hospital setting.Methods: By reviewing the literature we identified 23 factors affecting selection of services to be outsourced. Out of these factors, the 17 most relevant were selected based on expert opinion, and grouped into 4 high-level domains, namely strategic/management, structural/organizational, supply/environmental, and service characteristics. A hierarchical model of the identified factors was developed and utilized to design dual comparative matrices. The collected data were analyzed and evaluated by a fuzzy hierarchical analysis approach and the weight and relative priority of each factor was determinedFindings: Cost, presence of skilled manpower, and existence of necessary substructures were identified as the highest priority considerations in outsourcing hospital services.Conclusions: The introduced model may be used as a decision support system to enhance the robustness of prioritization when embarking upon outsourcing in the health care services setting.
https://ijhr.iums.ac.ir/article_74163_e123b7617df46e07e961cc64f043b5eb.pdf
Hospital services
Outsourcing
Fuzzy Analytic Hierarchy Process (FAHP)
Decision support system
eng
Iran University of Medical Sciences
International Journal of Hospital Research
2251-8940
2322-2085
2017-10-01
6
2
104
110
10.15171/ijhr.2017.16
74166
Antagonistic Effect of Probiotics on Drug Resistant Pseudomonas aeruginosa Isolated From Burn Wound Infection
Mohadeseh Abasgholizade
1
Leila Fozouni
lili_kia@yahoo.com
2
Department of Biology, Gorgan Branch, Islamic Azad University, Gorgan, Iran
Department of Biology, Gorgan Branch, Islamic Azad University, Gorgan, Iran
Background and Objectives: Pseudomonas aeruginosa is an opportunistic bacterium and is one of the main causes of infection in burn patients. As this bacterium gets resistant to various types of antibiotics through different acquiring mechanisms, it can easily induce skin deformities and even patients’ death.Methods: This descriptive study was carried out on 200 patients with burn injuries hospitalized in specialized burn hospitals. Culture methods and diagnosis tests were used to separate and diagnose P. aeruginosa, and disk diffusion Agar method with the Kirby-Bauer standard was applied to determine the pattern of drug-resistance. The antagonist effect of lactic bacteria isolated from 14 samples of milk and yogurt on the growth of P. aeruginosa was also assessed using Agar well diffusion method.Findings: Out of 30 strains diagnosed and isolated as P. aeruginosa 45.2% were resistant to gentamicin, 51.6% to cefotaxime, 48.8 to imipenem, and 45.2 to ciprofloxacin. Study of probiotics revealed that Lactobacillus casei, with the average diameter of 20.3 mm, has the highest inhibitory effect against P. aeruginosa.Conclusions: The results of this study showed that the spread of P. aeruginosa resistant to medicine is very high in the surveyed hospitals, and that the isolated lactobacilli have a significant inhibitory effect on drug resistant P. aeruginosa strains. Our results hence suggest that, using probiotic products would help better control of P. aeruginosa infection in burn patients.
https://ijhr.iums.ac.ir/article_74166_f1738a3332f0b8e3b6966627bfdffb59.pdf
Pseudomonas aeruginosa
Drug resistance
Probiotic
Burn
Antagonistic effect