ORIGINAL_ARTICLE
Equitable distribution of neonatal intensive care unit: a healthcare planning case study
Background and objectives: The regionalization is a suitable approach to reduce the cost of health services and to increase the number of patients covered by special services. Since the establishment of the Neonatal Intensive Care Unit (NICU) needs expensive equipment and experts, it is critical to find the optimal number and location for NICU beds and referral networks.Methods: The geographical access to NICU beds was investigated by collecting the annual demand and the distance between cities at first. The demand consisted of the number of neonates that were born under 32 weeks of gestational age or having less than 1500 gram birth weight in one province of Iran. Next, the location of the available hospital has defined on the map. A maximizing coverage model was developed to find the optimal location for NICUs by ArcMap software. Scenarios of reducing NICU centers were built to simulate real situations for policymakers. Coverage and average traveled distances were then calculated for each scenario. The results were compared with the natural journey of pregnant women and the available distribution of resources in the province.Results: The results revealed that reducing the number of NICU centers has had no direct impact on average traveled distance. A comparison of the optimal result with the natural journey of pregnant women represented a long distance traveled. The data also showed that 64% of neonates were born outside of their residential cities, and 31% of them were born outside of their provinces, although the occupation rate of available NICU was less than 50% on average.Conclusion: The effect of reducing NICU centers on total coverage and average transportation was studied in this paper. The proposed methodology with the objective of equity in access can be used as a referral model to other resource allocation cases in health care.
https://ijhr.iums.ac.ir/article_112866_41251c027793d860287dadc147496d14.pdf
2020-05-01
Regional Health Care
Location-allocation Problem
Equity of Access
Neonatal Intensive Care Unit
Resource distribution
Zahra
Mohammadi Daniali
zm.daniali@yahoo.com
1
Department of Industrial Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Mohammad Mehdi
Sepehri
mehdi.sepehri@modares.ac.ir
2
Department of Healthcare Systems Engineering, Faculty of Industrial and Systems Engineering, Tarbiat Modares University, Tehran, Iran
LEAD_AUTHOR
Farzad
Movahedi Sobhani
fmovahedi@iau.ac.ir
3
Department of Industrial Engineering, Science and Research branch, Islamic Azad University, Tehran, Iran
AUTHOR
Mohammad
Heidarzadeh
heidarzadeh_2013@yahoo.com
4
Department of Pediatrics, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
ORIGINAL_ARTICLE
Evaluation of the Effectiveness of ACT on Resilience in Iranian veterans with Mental Disorders in Hospitals
Background and Objectives: Psychiatric veterans need effective psychological interventions to improve quality of life and promote resilience to problems. The aim of this study was to evaluate the effectiveness of acceptance and commitment group therapy on the resilience of psychiatric veterans. Methods: This study was a pilot study using a pre-test and post-test design with a control group. The statistical population was all psychiatric veterans of Iran in 1399 which was selected by multi-stage cluster sampling in Dezful city of Khuzestan province and randomly. Out of 200 people, 40 were selected who received the highest score from Connor Davidson's resilience test, and 30 of them had the necessary criteria and were replaced in two groups of 15 experimental and control. The experimental group participated in 12 group training sessions based on the acceptance and commitment program for 12 weeks while the control group did not receive any intervention. Results: The Connor and David Sean Resilience Questionnaire was used to collect data. ACT was performed on the experimental group in eight two-hour sessions per week, then the questionnaire was administered to both experimental and control groups (post-test). The results showed that acceptance and commitment training significantly improves the quality of resilience of psychiatric veterans.(p = .000, F =26.630) Conclusion: The analysis of covariance and regression showed that the post-test scores of the experimental group who were treated with ACT increased and this treatment improves the resilience of veterans.
https://ijhr.iums.ac.ir/article_113712_d41d8cd98f00b204e9800998ecf8427e.pdf
2020-05-01
Act
veterans with mental disorders
Resilience
mental hospitals
Simin
Farshadi
alnassar.wala.ismael@gmail.com
1
Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates
LEAD_AUTHOR
Hossein
Fathi
hossein.fathi888e@gmail.com
2
Shahid Rajaie University of Dezful
AUTHOR
ORIGINAL_ARTICLE
The Effectiveness of an Integrated Indigenous Intervention Model on Improving the Mental Health through the Specialists in Psychiatric Hospital
Background and Objective: Humans have so many worries, tensions, concerns and problems. There are suitable exit ways for solving these problems by psychologist specialists.
Method: What coping models do the world's existing approaches consider appropriate? In general, according to the investigations conducted by the researcher in psychiatric hospital, no comprehensive model has been done yet regarding the simultaneous effect of indigenous therapies in Kerman, that the present research can create the ground for research in this field. If the effectiveness of the above model is confirmed in this research, this treatment can be useful along with other therapies or even prior to cognitive-behavioral therapy.
Results: Therefore, according to the mentioned points and the importance of the psychiatric hospital, the effectiveness of the indigenous treatment model on mental health in female can be evaluated and a step can be taken to solve it, and the results of this research can be used in the fields of education and life. Methodologically, the use of mixed (qualitative-quantitative) research method to compile an integrated-indigenous model makes it possible to accurately investigate cultural factors in the form of a theoretical model.
Conclusion: After compiling an educational package based on the model of integrated indigenous intervention in Kerman in accordance with the needs of Kerman, at this stage its effectiveness on mental health was evaluated. This stage was performed in a quasi-experimental manner, and pre-test and post-test with the experimental and control groups were used in it.
https://ijhr.iums.ac.ir/article_113900_91cac921d3f401a7025d8d1a23a08a69.pdf
2020-05-01
Psychologist Specialists
Psychologist Hospital
Integrated Indigenous
mental health
Afsaneh
Mohammad Ebrahimi
mohammad.brahim.afi@gmail.com
1
Department of Educational Sciences and Psychology, Islamic Azad University, Yazd, Iran
AUTHOR
Saeed
Vaziri Yazdi
rasoolesmailzadeh78@gmail.com
2
Department of Educational Sciences and Psychology, Islamic Azad University, Yazd, Iran
LEAD_AUTHOR
Mohammad Hosein
Fallah Yakhdani
mohammadhfy33@gmail.com
3
Department of Educational Sciences and Psychology, Islamic Azad University, Yazd, Iran
AUTHOR
ORIGINAL_ARTICLE
A developed Model of Human Resource Management and Dynamic Evaluation System of Iran Hospital Personnel - Case Study: Hasheminejad Hospital
Background and Objective: The purpose of this study is to provide a developed model of human resource management and the model of staff evaluation. Especially nurses in clinical wards in Shahid Hasheminejad Hospital.Method: The research method is qualitative-descriptive which has been done in two stages: 1- reviewing the current situation and 2- presenting the developed model. In the first phase, 32 unstructured and open interviews were conducted with officials of different units and senior managers of the hospital. Also, the current evaluation documents of the hospital were reviewed and analyzed using the content analysis technique. In the second stage, were presented, the models using the brainstorming technique in the panel of experts and using the analysis of the previous stage.Results: According to the presented model, in specialized committees with the presence of officials, based on the needs of the hospital, hospital jobs and positions are defined and a description of the duties of each position and the minimum capabilities required to obtain positions are compiled separately. The description of tasks developed over time, based on the strategic goals of the organization, instructions and programs of superior organizations such as accreditation is variable and dynamic. Human resources manager through superior organizations to attract the appropriate staff. After 3 months of recruiting a pilot, a test is taken to determine whether to continue working with him. Finally, based on the results of 4 evaluations, educational priorities are determined based on the score of each process and per person, and the educational path is presented and implemented.Conclusion: Based on the implementation of the model provided in one of the clinical wards of the hospital, it was observed that in addition to comprehensive evaluation of staff, the model provides continuous improvement in staff performance and subsequently increases the quality of services and patient satisfaction. Is. Also, due to the participation of staff in the evaluation, their satisfaction has increased.
https://ijhr.iums.ac.ir/article_114360_f0ddea921d6b75cead7179d2337bb10a.pdf
2020-05-01
Human Resource Management
Staff Performance Evaluation
Hospital
Rouhangiz
Asadi
r.asadi@modares.ac.ir
1
Hasheminjad Kidney Center (HKC), Iran University of Medical Sciences ( IUMS), Tehran, Iran
AUTHOR
Fatemeh
Semnani
shirinsemnani@yahoo.com
2
Hasheminjad Kidney Center (HKC), Iran University of Medical Sciences ( IUMS), Tehran, Iran
LEAD_AUTHOR
Maryam
Sofali
roya.amini62@yahoo.com
3
Hasheminjad Kidney Center (HKC), Iran University of Medical Sciences ( IUMS), Tehran, Iran
AUTHOR
ORIGINAL_ARTICLE
Empathic communication in outpatient clinics: validity and reliability of Consultation and Relational Empathy (CARE) Measure in Iran
Background and Objective: Physician empathy is an essential component in every primary health care consultation and has the pivotal role in patients- physician relationship. Physician with good empathic communication, will be able to find insight toward patients' experiences. We investigated the psychometric properties of an Iranian version of the Consultation and Relational Empathy (CARE) Measure in outpatients' clinics of teaching hospitals.Method: Thisresearchwas carried out as cross-sectional study at outpatient clinics of teaching hospitals in Zanjan city in 2018. The study population included 285 outpatients selected by systematic sampling. The Iranian version of CARE measure was used for the data collection. SPSS (version 16) for Windows was used to analyze the data. Statistical analyses included descriptive: mean, percentages and frequency and analytical statistics: Pearson’s correlation and factor analysis (construct validity), Cronbach’s alpha (internal consistency), factor analysis and Independent samples t-test and ANOVA. P values less than 0.05 were assumed statistically significant.Results: The factor analysis on ten items of CARE measure leaded to one prominent factor with an eigenvalue of 6.04 that explained 61.04 percent of the variance. Correlations of Items-total CARE measure score ranged from 0.64 to 0.77. Reliability of the Measure was 0.93 that higher than minimum accepted value (0.7). Overall mean of CARE Measure score was (28.5± 8.7). Difference in mean of CARE Measure score was statistically significant on the base of education characteristics (f = 2.89, p = 0.036). There were statistically positive and significant association between the CARE items scores and outpatients' overall satisfaction (r = 0.63, p <0.001) and recommending physician to their relatives (r = 0. 51, p <0.001). Majority of the outpatients (72percent) agreed with item" physicians really listen". In contrast, less than a half of the outpatients (40.9 percent) agreed with item" physicians fully understanding their patient concerns ".Conclusion: The findings of present study showed that patients' perceived relational empathy from physicians was at average and high average level. Thus, there is room for improvement of empathic communication skills during consultation process for health care team (especially physicians).
https://ijhr.iums.ac.ir/article_114982_0d4ac2ec4257aeaf7b32823ceb5b0420.pdf
2020-05-01
Physician Empathy
Outpatient
CARE measure and Empathic communication
Ali
Mohammadi
ali@zums.ac.ir
1
Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran.
AUTHOR
Koorosh
Kamali
kkamali71@yahoo.com
2
Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran.
LEAD_AUTHOR
ORIGINAL_ARTICLE
Evaluation of the Effectiveness of Acceptance and Commitment Therapy on Happiness in Iranian veterans with Mental Disorders in Psychiatric Hospitals
Background and Objectives: In this study, considering the existence of psychiatric veterans and in order to help solve their problems, the effect of acceptance and commitment-based psychotherapy on psychiatric veterans is investigated in mental health hospitals.Methods: This quasi-experimental study with pre-test and post-test experimental design into two experimental and control groups among all psychiatric veterans of Dezful hospitals in the spring of 2020 in which 30 people were selected by random sampling and 15 of them were selected as experimental group and 15 people another control group that is considered random. Oxford Happiness test was taken as a pre-test from both groups and the experimental group was trained in acceptance and commitment based psychotherapy in eight sessions of two hours per week and the control group was not trained at all. Finally, Oxford happiness test was taken again from both groups. (Post-test), then with statistical tests Kolmogorov-Smirnov and Shapiro-Wilk and t-test were performed for two independent groups with SPSS software and statistical analysis was performed and the results are as follows.Results:Happiness post-test scores were significantly different between the experimental and control groups and in the experimental group the happiness score was higher, ie the intervention in Mani is effective based on acceptance and commitment. These findings were obtained with 95% confidence.Conclusion: Therapeutic intervention based on the method of acceptance and commitment is effective in promoting the happiness of psychiatric veterans and is an effective help for their mental health and standard of living
https://ijhr.iums.ac.ir/article_115240_a211bca0c7ec26423545a27b450da308.pdf
2020-05-01
Psychiatric disorders
Cognitive therapy
Happiness
mental disorders
psychiatric hospitals
Simin
Farshadi
alnassar.wala.ismael@gmail.com
1
Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates
AUTHOR
Mohammad
Hatami
mohammad.hatami4545@gmail.com
2
Faculty of Psychology, Kharazmi University, Kara University, Tehran, Iran
AUTHOR
Maryam
Kalhor Nia Golkar
maryamlgolkark89@gmail.com
3
Faculty of Psychology, Islamic Azad University, Karajh
LEAD_AUTHOR
ORIGINAL_ARTICLE
The Diagnosis of Patients Suspected to Bone Marrow Metastasis based on Multivariate Control Chart
Background and Objectives: One of the currently important and widely used research subjects in the healthcare area of cancer patients is the diagnosis procedure of cancer tumors and metastases in magnetic resonance imaging such that it has a high level of accuracy and also be a support for doctors in interpreting and diagnosing medical data. To this aim, a multivariate Hotelling’s T2 control chart is used.Methods: Using a two-dimensional discrete wavelet transform, some features of the image texture are extracted by using statistical and transform methods. Then, to reduce the data dimensions and feature selection, a genetic algorithm is used. Afterward, two methods including fuzzy c-Means clustering algorithm and a multivariate Hotelling’s T2 control chart are used to diagnose bone marrow metastasis patients.Results: From 204 bone marrow samples, 76 features are extracted from which six ones are selected and a 204×6 feature vector matrix is generated. Finally, the performance of the proposed two methods is compared. The results show that the diagnosis and accuracy measures of multivariate Hotelling’s T2 control chart are better than the other method.Conclusions: In the context of cancer, one of the current concerns for healthcare providers is to use non-invasive, short response time, and highly accurate methods in diagnosing tumors and metastases. The proposed method appropriately addresses these requirements.
https://ijhr.iums.ac.ir/article_115241_9bf2614a5808ff489b240bdb50a173bd.pdf
2020-05-01
Bone marrow metastases
Multivariate Hotelling’s T2 control chart
Fuzzy Clustering
Feature Extraction
Mahmood
Shahrabi
msh_kapis@yahoo.com
1
Department of Industrial Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran
AUTHOR
amirhosseinَ
amiri
amiri@shahed.ac.ir
2
Department of Industrial Engineering, Faculty of Engineering, Shahed University, Tehran, Iran.
LEAD_AUTHOR
Hamidreza
Saligheh Rad
hamid.saligheh@gmail.com
3
Department of Medical Physics and Biomedical Engineering, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Sedigheh
Ghofrani
s_ghofrani@azad.ac.ir
4
Department of Electrical and Electronic Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran
AUTHOR
ORIGINAL_ARTICLE
Estimating ventilation and replacance needs based on sensory pollution load to improve perceived air quality in therapeutic spaces - Case study: inpatient wards of a hospital
Background and objectives: The study of the sensory pollution load and perceived air quality has been introduced as one of the methods of evaluating indoor air quality in non-industrial environments. This method is also used to estimate ventilation needs. This study aims to recommend the required ventilation rate according to the SPL to improve the PAQ in a therapeutic space.Methods: Ventilation rate and time which is required for 98% of the old air to be exhausted at that rate were calculated in 9 rooms in inpatient wards of a hospital. High dissatisfaction had been reported from these spaces. The SPL of individuals, building materials, and ventilation systems were estimated using the Fanger model. The required ventilation rate was recommended and compared with the existing ventilation rate, WHO, AIA, and ASHRAE standards.Results: In the studied spaces, the measured flow rates and air changes per hour were from 28 (minimum) to 178 (maximum) l/s and 2 to 7 ACH. These values were in accordance with the AIA standard, less than the values calculated through the ASHRAE (39-117 l/s) and WHO (80-560 l/s) standards, and Fanger model (51-393 l/s & 3-13 ACH).Conclusion: It seems that considering sensory pollution loads is a practical, simple, and fast method for estimating ventilation needs to improve perceived air quality and users’ satisfaction and performance while reducing the energy consumption required to meet the ventilation rate. It does not have some shortcomings and limitations of other standards and methods. In existing hospitals, it can be used as a method to evaluate the effectiveness of the ventilation systems as well as the perceived air quality. Besides, the importance of adopting some strategies to reduce the sensory pollution load was emphasized.
https://ijhr.iums.ac.ir/article_117559_252c70fd4e7f7b7a7607717b8af5a875.pdf
2020-05-01
Perceived air quality (PAQ)
Sensory pollution load (SPL)
Replacance
Indoor air quality
Ventilation
Health care facilities
Marzieh
Gholampour
gholampour.marzieh@yahoo.com
1
Department of Architecture, Faculty of Art and Architecture, Shiraz Branch, Islamic Azad University, Shiraz, Iran
AUTHOR
Malihe
Tagipour
taghipour@iaushiraz.ac.ir
2
Department of Architecture, Faculty of Art and Architecture, Shiraz Branch, Islamic Azad University, Shiraz, Iran
LEAD_AUTHOR
Alireza
Tahavvor
tahavvor@iaushiraz.ac.ir
3
Department of Mechanical Engineering, Shiraz Branch, Islamic Azad University, Shiraz, Iran
AUTHOR
Saeed
Jafari
saeed_jafari@sums.ac.ir
4
Department of occupational health engineering, school of health, Shiraz University of medical sciences, Shiraz, Iran
AUTHOR