per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
7
14
article
Similar to Me Effect among managers of Tehran University of Medical Sciences
N Khalesi
1
P Bastani
2
S Darzi ramandi
3
S Sohrabi zadeh
4
R Kalhor
r.kalhor@yahoo.com
5
Introduction: According to the importance of selecting the best people for governmental organizations and their influence on effectiveness and performance, this study was conducted to investigate the impact of similar to me effect among top and middle managers of Tehran University of Medical Sciences. Methods: It was a cross- sectional study on 130 top and middle managers affiliated with Tehran University of Medical Sciences. A valid and reliable questionnaire was applied for data collection. Pearson correlation was used analyzing data. Results: Main findings were implied statistical significance among similar to me effect and groupthink (p=0.005), and also similar to me effect and functional conflict ( p=0.001 ) and narcissism as well ( P<0.0001 ). Conclusion: According to significance of variables in the studied model among managers affiliated with Tehran University of Medical Sciences, it is recommended to inform managers about Inappropriate impacts of similar to me effects through educational courses and cultural changes.
http://jha.iums.ac.ir/article-1-1209-en.pdf
Similar to Me Effect
Functional Conflict
Narcissism
Groupthink
Tehran University of Medical Sciences
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
15
25
article
ClimateQual, Organizational Climate Assessment new tool in Medical Libraries: A Case Study of Mazandaran and Babol Medical Universities
M Yaminfirooz
yaminfirooz@yahoo.com
1
F Noshinfard
2
N Hariri
3
S Mohammad Esmaeil
4
Introduction : ClimateQual is International tool for Assess organizational climate in Libraries That was created by the Association of Research Libraries in 2009 . This study aimed to assess the organizational climates of the libraries of Mazandarn & Babol medical universities based on ClimateQUAL indicators. Methods: The study conducted as an analytical survey in 2012. Research population included all library staff in the libraries of Mazandaran & Babol Medical university. A researcher-made questionnaire was used for data collection based on 9 indicators included in ClimateQUAL. ANOVA and t-test were applied for data analysis. Results: Average of Organizational Climate's libraries in Mazandaran and Babol University of Medical Sciences was 96/97 and 84/108 respectively. The climate of Creativity and innovation, Teamwork, Continuous learning, Psychological Safety and Management in the libraries was Inappropriate. T-test showed that organizational climates of the studied libraries were significantly different (P=0.012). ANOVA results indicated that the organizational climates the employee attitudes was significantly different (p= 0.026). Conclution: ClimateQual, can to be used by Medical libraries to assess organizational climate. In order to determine the current status of climate libraries also used strategies for promoting healthy work environment for employees in the library.
http://jha.iums.ac.ir/article-1-1208-en.pdf
ClimateQUAL
Organizational Climate
Medical Libraries
Academic medical Center
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
26
36
article
Effect of educational program on quality of life in diabetic patients
J Saeid pour
1
M Jafari
2
M Ghazi Asgar
3
H Dayani Dardashti
4
E Teymoorzadeh
5
Introduction : Among the chronic diseases as a public health problem, diabetes has a major importance as a silent disease . Since the quality of life is generally the primary goal of treatment, self care ing is required. This study was done to assess the effect of the educational program in promoting quality of life of diabetic patients
Methods: This pseudo research was done on 60 patients suffering from diabetes by easy sampling and random counting in two multitudes of case and control .A medias including standard questionnaires of measuring quality of life which were completed via face to face and The educational program based on patients educational needs was designed. The data was analyzed by using SPSS-17 and Paired t-test.
Results: In both groups of case and control, among 60 patients which have been under study, 45 women were with average age of 50±3.2: The average change of the quality of life was 65±5.8 in case group and 41±3.5 in control group that showed a statistical meaningful difference (p=0.001).
Conclusion: according to the results this study showed that the educational program was effective in improving quality of life of patients with regard to physical health and self-assessment of their health status.
http://jha.iums.ac.ir/article-1-1227-en.pdf
Quality of Life
Diabetes
Self Care Education
Health Promotion
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
37
50
article
Increase Learning in Organizations by playing the role of transformational leadership ( Isfahan University of Medical Sciences)
H Choupani
h.choupani64@gmail.com
1
SA Siadat
haidar_chopani@yahoo.com
2
M Kazempour
kazempourmaryam26@gmail.com
3
R Rahimi
rahimirauf.phd@gmail.com
4
M Maleki Hasanvand
5
University of isfahan
University of isfahan
University of Tehran
University of isfahan
Introduction: studies show that organizations using transformational leadership, achieve high levels of growth and development. For this reason, in recent decades, transformational leadership has become an unavoidable necessity, because through transformational leadership organizations can improve their competitive advantage such as organizational learning. Therefore, the main purpose of this paper is to investigate the relationship between transformational leadership and organizational learning at Isfahan University of Medical Sciences. Methods: Research method was descriptive-correlative. To collect data, 117 employees at Isfahan University of Medical Sciences were surveyed. Research instruments were to questionnaires: 1) Bass and Avalio’s transformational leadership, and 2) Neif’s organizational learning. Reliability coefficients were.87 and .88 respectively, using Chronbach’s formula. The collected data were analyzed using one- sample t-test, and Pearson correlation. Results: Findings showed that there are a positive and significant relationship between transformational leadership and its components (Idealized Influence, Inspirational Motivation, Intellectual Stimulation, and Individualized Consideration) with organizational learning.T test results showed that transformational leadership and organizational learning are in a rather good status. Conclusion: according to the findings, it can be suggested that the existence of transformational leadership can result in the improvement of organizational learning.
http://jha.iums.ac.ir/article-1-1230-en.pdf
organizational learning
transformational leadership
Isfahan University of Medical Science
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
51
60
article
Determining the Rate of Catastrophic Health Expenditure and Its Influential Factors on Families in Yazd Province
H Amery
hamery7@yahoo.com
1
A Jafari
2
M Panahi
3
yazd university
Introduction: The high rate of catastrophic health care expenditure is a challenging problem societies face today. Identifying the influential factors on the expenditure is an important measure which should be taken to control them. In this study, the catastrophic health expenditure and its influential factors were examined. Methods: Within the framework of Health Center Province, 400 households wereselected in winter 2011. The WHO’s health questionnaire was completed for them by the researchers. The incidence of catastrophic health expenditure was evaluated in accordance with the World Health Organization definition and influential factors on the expenditures were investigated by using Stata software 11. Results: It was found that 8.3 Present of the families of Yazd province were exposed to catastrophic health expenditure. The use of inpatient services was shown to have the largest amount in paid-out-of-pocket expenditure and their relationship to incidence of catastrophic health expenditure was found to be significant. It was, moreover, found that the relationships between family sizes, persons below 5 years old in the families, and the use of medical services and diagnosis with catastrophic health expenditure were significant. Conclusion: The variables of medicine, diagnosis, inpatient services and persons below 5 years old in household and family size should be seriously taken into account by policy makers to control Catastrophic Health Expenditure
http://jha.iums.ac.ir/article-1-1263-en.pdf
Health payments
Catastrophic Health Expenditure
Yazd province Household
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
61
72
article
Usability Evaluation of an Emergency Information System: A Heuristic Evaluation
R Khajouei
r.khajouei@yahoo.com
1
AA Azizi
amirabbasazizi@gmail.com
2
AR Atashi
atashia901@mums.ac.ir
3
Kerman University of Medical Sciences
Mashhad University of Medical Sciences
Mashhad University of Medical Sciences
Introduction : Owing to t he critical importance of emergency department activities in saving lives, information systems of this department should be free of fault to prevent the incidence of errors. Usability evaluation methods are used to assess this quality measure. Heuristic evaluation is one of the methods which identifies usability problems with minimum amount of time, cost and resources. The objective of this research was to evaluate the usability of emergency department admission subsystem of health information systems in Mashhad University of Medical Sciences . Methods: Using Nielsen’s 10 usability principles, three trained evaluators, independent of each other, evaluated the corresponding subsystem and determined the severity of identified problems. All the problems, identified by independent evaluators, were collected in a single list and the mean severity of each problem was calculated. Results: A total of 163 usability problems were identified. The lowest mismatch with usability principles was related to “error prevention” (3 %) and the highest was related to “consistency and standards” (27 %). The average severity of problems varied from 2.3 (minor problem) concerning “system's visibility” to 2.9 (major problem) concerning “help users recognize, diagnose, and recover from errors”. Conclusion: Heuristic Evaluation can be used to identify a high number of usability problems related to health information applications in health care systems. If remain unsolved, these problems may waste users’ and patients’ time, increase errors, reduce data quality, and in general, threaten patient’s safety.
http://jha.iums.ac.ir/article-1-1269-en.pdf
Usability
Heuristic Evaluation
Hospital Information System
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
73
85
article
A Model for Evaluation and Validation of Different Dimensions of Accountability in Teaching Hospitals in Iran: 2012
M Mahboubi
mm59m@yahoo.com
1
S J Tabibi
sjtabibi@yahoo.com
2
F Ghahramani
ghahramani@sums.ac.ir
3
A A Nasiripour
drnp20@yahoo.com
4
M R Gohari
m-gohari@sina.tums.ac.ir
5
Kermanshah University of Medical Sciences, Kermanshah, Iran
Azad University of Tehran, Tehran,Iran
Shiraz University of Medical Sciences, Shira, Iran
Department of Health Services Management,Science and Research Branch,Islamic Azad University,Tehran,Iran.
Hospital Management Research Center, Tehran University of Medical Sciences, Tehran,Iran
Introduction: Monitoring and assessing the quality of health services in relation to accountability is the first step in providing proper services in hospitals which as the most important health organizations entail the need for evaluation . The aim of this study was to validate the ethical, legal , financial, operational , political, structural , cultural and information dimensions of accountability ( notification rules of hospital ) in teaching hospitals .
Method: This was a method validation study . A sample of 580 participants, working in teaching hospitals, was selected by quota random sampling using Krejcie - Morgan formula . An 8 item questionnaire with 34 indicators on the basis of Likert scale was distributed among the staff. The data were analyzed by the Lisrel software using confirmatory factor and path analysis and multiple regressions.
Results: The findings showed that comparative fit index of different dimensions of the questionnaire, showing the degree of consistency of the model with real data, was equal to 1. This suggests the strength of the one- dimensional model. Cronbach's alpha for the internal consistency of different dimensions was 0.791 for financial and 0.901 for information aspects.
Conclusion: The present study provides a systematic process and model to validate and assess different dimensions and components of accountability for managers . The innovations and special features of this study will help present a new model to identify better dimensions and indicators for improving accountability in health care sector.
http://jha.iums.ac.ir/article-1-1295-en.pdf
Fitting
Validation
Accountability
Educational Hospitals
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2013-07
16
52
86
94
article
Peer-Centered Retraining Management of the Nurses in Intensive Care Units
AA Ebrahimian
ebrahimian.aa@gmail.com
1
A Fakhremovahedi
alimovi@yahoo.com
2
M Hossain saeidi
parisan.saeidi@yahoo.com
3
Semnan University of Medical Sciences
Semnan University of Medical Sciences
Semnan University of Medical Sciences
Introduction: Retraining programs for nurses are usually run as workshops and group discussions causing challenges as limitations on the number of participants, long lasting duration and high costs. Since most of these programs are taught by instructors working outside of clinical setting , it is necessary to use a method to train large groups of nurses in a short time. The purpose of t his study was to determine the effects of lecture-based training delivered by the peer nurse on the EKG interpretation knowledge of critical care nurses . Methods: In this experimental study, two out of seven intensive care units of Semnan University of Medical Sciences were randomly selected as the experimental and control groups with 11 nurses each. Data collection on nurses’ knowledge about electrocardiogram (ECG) interpretation in the experimental and control groups was done through a questionnaire containing 25 questions . Then, one of the nurses in the experimental group who obtained an acceptable score was selected and was considered as a lecturer in the same group after receiving additional training on interpreting ECG. She taught ECG interpretation principles to nurses in one session. After one week, nurses’ knowledge on ECG interpretation in two groups was measured. Data were analyzed using descriptive and inferential statistics. Results: Significant difference was observed in the total scores and areas of ECG interpretation between pre and post test in the experimental group (P< 0.01). A significant difference was also found in the mean of changes of mean scores in total scores and areas of ECG interpretation in the same group (P< 0.01). Conclusion: Lecture-based training delivered by a colleague can be considered as a cost effective and efficient method for ECG interpretation education therefore, it is suggested that health care managers concentrate on empowering their personnel and invite them to teach in retraining programs.
http://jha.iums.ac.ir/article-1-1300-en.pdf
Critical care
Retraining
Nurse
Peer- centered