Annals of Tropical Medicine and Public Health, 2017
Introduction: Error is an integral part of human life because most of the errors are derived from... more Introduction: Error is an integral part of human life because most of the errors are derived from natural psychological process (cognitive) and behavioral adaptations which are created by correct skill behaviors. The objective of this study was evolution of medication errors using self-reporting method and its relation with gender and work experience in nurses of one of the educational medical Centers of Kermanshah University of Medical Sciences in the second half of 2014. Research Methods: This is a descriptive-analytical single group and single-stage study. The study population included 540 nurses working in Imam Reza Hospital at the time of the study, and sample was calculated to be n = 225 using Cochran formula based on pilot study considering the average incidence of errors observed. Researcher-made questionnaire was the data gathering tool. Questionnaire was initially distributed in all sections and was then completed by nurses. Content validity and reliability were tested based on the evaluation of opinions of 7 experts and using retest method, respectively, in such a way that questionnaire was given to 20 nurses in 2 steps with an interval of 2 weeks. Reliability was calculated to be averagely 0.69 for these questions using kappa coefficient. Data were analyzed by SPSS 20 software. Results: There was no significant relation between 18 cases of medication errors evaluated using self-reporting method and work experience. From all evaluated errors, there was a significant relation between the error of lack of compliance with the time of prescription of medicine as well as giving a medicine more or less than the prescribed dose and gender. Discussion and Conclusion: Based on the obtained results, we suggest that parallelism and extensive studies be carried out in all hospitals in the province for identified of the highest cases of errors and providing suggestions for reducing those. On the other hand, the possible causes fear or negligence of nurses about reporting of errors is essential, and use of training, control, and close monitoring is necessary in the field of medication errors.
In recent decades, rates of cesarean delivery as a percentage of all live births have increased i... more In recent decades, rates of cesarean delivery as a percentage of all live births have increased in Iran. This study aimed to examine the effect of Health Sector Evolution (HSE) plan on prevalence and costs of different types of delivery in Ardabil University of Medical Sciences in 2015. Methods: This was a cross-sectional and retrospective study. The study population was all women who were admitted to the specialized hospital of obstetrics and gynecology of Ardabil University of Medical Sciences between May 2013 and May 2015. The sampling was done based on simple random sampling method and data was obtained by self-constructed checklist based on medical records. Also, data analysis was done by STATA software. Results: The descriptive results showed that about 55% of the participants were in age 25 to 30, 98% of them were married, and about 12% were covered by rural insurance, notwithstanding it shows their location. Analytical results showed that there was a significant difference between the prevalence of the Vaginal delivery (t=-7/987, p<0/001) and cesarean (t=6/988, p<0/001) before and after of HSE. Total cost of vaginal delivery and cesarean changed significantly before and after of HSE (p<0/001). Conclusion: This study showed that the prevalence of cesarean delivery was decreased, consequently we can understand that HSE had a positive effect on the prevalence of the cesarean and decreased it 0.79 relatively. Moreover, HSE decreased the cost of cesarean significantly but the cost of vaginal delivery was increased significantly after HSE implementation. We can conclude that the HSE achieved its objective greatly.
Background: The internet itself is a harmless technology. However, its overuse and misuse will ex... more Background: The internet itself is a harmless technology. However, its overuse and misuse will expose its users to internet addiction. On the other hand, diagnosis of students’mental dysfunction is of prime importance, and their progress and academic success in the future can be prevented by this technology if not properly handled. Methods: In this descriptive and correlational study, the statistical population consisted of all students at Kermanshah University of Medical Sciences, of which 447 students studying in the first and second semesters of the academic year 2017-18 were selected through Cochran's Sample Size Formula and Stratified Random Sampling. As for data collection, the Young's Internet addiction Test (IAT) and Goldberg General Health Questionnaire (GHQ-28) were utilized. Moreover, for data analysis, the descriptive statistics (percentage, mean, standard deviation) and inferential statistics (T-test, Pearson correlation coefficient, and multiple regression anal...
Background: To evaluate the effects of group logotherapy training on the Self-Esteem, communicati... more Background: To evaluate the effects of group logotherapy training on the Self-Esteem, communication skills, and dealing with event in elderly. Methods: The sample of this randomized controlled trial (RCT) includes 30 elderly individuals with unstable and weak self-esteem in an Daily Center for the elderly. The Samples are selected by convenience method and divided into two equal groups, i.e. the cases and controls. The Coopersmith Self-Esteem Inventory (CSEI), Weiss and Marmar’s Impact of Event Scale-Revised (IES-R), and Barton’s Communication Skills Questionnaire were instruments for data collection. After evaluating the baseline, the case group attended ten sessions of group logotherapy. During this period, the controls were only using the conventional programs of the center. At the end of the program, the baseline sessions were completed by all participants at 1 and 3-month follow-up. The collected data were analyzed using analysis of variance with repeated measures, independent ...
ABSTRACT Background: Work Ethics approval is an essential factor in the health care system so the... more ABSTRACT Background: Work Ethics approval is an essential factor in the health care system so the purpose of this study is to evaluate the work ethics status in the teaching hospitals in Kermanshah in 2014. Material &amp;Methods: This cross-sectional study was conducted 416 members and classified them in an orderly manner into three groups: administrative, clinical, and servicing, and 25 percent of each group were randomly selected. Demographic questionnaires were valid and reliable work ethics which have been used and had four aspects including: attachment and interest in the work, perseverance and hard work, healthy human relationships in the workplace, community spirit and participation in the formulation which was based on the Likert scoring method ( from 1 to 5).The data were collected by using the descriptive statistics (mean - standard deviation and variance) and inferential statistics (correlation, T-Test and Pearson correlation) and were analyzed by SPSS version 18. Results: 233 (30.14 ± 01.56) of the patients who were enrolled in the study were male and the rest of 183 (47.14 ± 99.43) were female. The study shows that there is a significant relationship (p = 0.001) between dimensions of attachment and desire to work with perseverance and hard work in the hospitals. The overall score of work ethic in the hospitals was low. Conclusions: The situation of the work ethics in the hospitals shows a lack of paying attention to the personnel of these centers. So we suggest to establish a Missioner&#39;s office in the hospitals
BACKGROUND: At present, the SERVQUAL model is one of the most significant tools for measuring cus... more BACKGROUND: At present, the SERVQUAL model is one of the most significant tools for measuring customers' expectations and perceptions in organizations. Determination of expectations and perceptions of students who are the main university customers from educational services can provide valuable information to the programmers to improve the condition of educational services. Therefore, this study aims to measure the quality of education services from the viewpoint of postgraduate students at Kermanshah Medical Sciences University using the SERVQUAL model in 2019. MATERIALS AND METHODS: This was a descriptive cross-sectional study. The population under the study consisted of 162 students at the postgraduate education section (Master's degree and Ph.D.) studying in the second semester of the academic year of 2019 at Kermanshah Medical Sciences University. The standard SERVQUAL questionnaire was used for data collection, which included five dimensions of the quality of educational services, and the random-stratified sampling method was employed. The data were analyzed using the SPSS Statistics software (version 23.0, SPSS Inc., Chicago, IL, USA), and descriptive and other statistical tests, including the Pearson correlation coefficient, and paired and independent t-tests were performed. RESULTS: Based on the students' perspective in the provision of service there was quality gap existed in all services, and the largest gap was in the reliability dimension (−0.37), and after that, empathy (−0.37), guaranty (0.27), and responsiveness (−0.24) dimensions, respectively, and the lowest one was in the tangible dimension (0.15). There was a statistically significant observed difference between the quality gap in different educational dimensions (P > 0.001). CONCLUSION: Research findings showed that students were not meeting their expectations from the presented educational services. Hence, holding a training workshop is suggested in the field of how to serve and enhance communication skills for employees and teachers.
Caesarean section without medical indication imposes many problems to families, personnel and med... more Caesarean section without medical indication imposes many problems to families, personnel and medical equipment causing some side effects to pregnant woman and foetus, compared to natural childbirth. The present study aimed to evaluate the interventions in reducing caesarean section in the world. This study was a systematic review using Embase, PubMed, Scopus, Web of Science, Science Direct, Magiran and SID databases and grey literature. All studies conducted during 2000-2018 were reviewed and finally the studies with inclusion and exclusion criteria were selected. A total of 19 studies were selected among 5,559 studies. The interventions conducted for reducing caesarean section included training the specialists and women by using Six Sigma method, changing the guidelines, reviewing the definition of natural childbirth various stages, encouraging the natural childbirth and expanding painless childbirth. All interventions were divided into educational strategy and managerial strategy. The interventions can be implemented to change the behaviour of physicians and attitude of pregnant women in order to reduce caesarean section. In this regard, the authorities are recommended to make more efforts.
This study aims to identify the impact of emotional intelligence on corporate entrepreneurship of... more This study aims to identify the impact of emotional intelligence on corporate entrepreneurship of Student Department of Tehran University. The study is applied, and the data collection method was descriptive and causal. The study sample included 250 employees of Student Department of Tehran University, among which, using simple random sampling method and Cochran formula, a total of 151 subjects were considered as population Data collection method was conducted based on standard questionnaires on emotional intelligence and corporate entrepreneurship. Reliability of the questionnaire using Cronbach's alpha was calculated 0/88 The analysis of the data obtained from the questionnaires was studied through correlation and regression in SPSS. The results showed that emotional intelligence and its components have positive significant influence on entrepreneurship of Student Department of Tehran University.
1 Department of Health Services Management, School of Health Management and Information Sciences,... more 1 Department of Health Services Management, School of Health Management and Information Sciences, iran University of Medical sciences, tehran, iran 2 health Management and economics research Center, department of health disaster Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 3 Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical sciences, tehran, iran 4 Pharmaceutical Management and Economics Research Center, Tehran University of Medical Sciences, Tehran, Iran
BACKGROUND the most important way to control diabetes is to follow a preventive lifestyle and if ... more BACKGROUND the most important way to control diabetes is to follow a preventive lifestyle and if a diabetic individual follows a preventive lifestyle which he or she has accepted. The main objective of the current study is to compare the factors affecting the lifestyle in patients suffering from Type II diabetes and the healthy individuals in Kermanshah City. METHODS this study is based on a case-control design where using simple random sampling, 110 patients suffering from type II diabetes are selected as the case group and 111 healthy subjects among the companions of other patients are selected as the control group from the Center for Diabetics in Kermanshah City. The average age of the participants is 48.8±11.0. The questionnaires used for collecting the data included the following: the demographic information questionnaire and the lifestyle questionnaire which covers diet, physical activity, coping with stress, and smoking. Software applications including STSTA14 and SPSS23 were...
International Quarterly of Community Health Education
Background The quality of life as a concept beyond physical health stands one of the protuberant ... more Background The quality of life as a concept beyond physical health stands one of the protuberant indexes, and various health-based studies required distinct measurements, which deemed necessary for their significant implications. The nurses fight at the front and play a leading role in providing services to patients at healthcare centers. They deserve a higher quality of life in catering to physical health services. This present study focuses on examining nurses' work-life quality standards and how demographic variables contribute to the hospital of Imam Reza in Kermanshah of Western Iran. Methods This descriptive-analytical study recruited a sample of 271 nurses affiliated with Imam Reza Hospital and Kermanshah University of Medical Sciences by incorporating the stratified random sampling in 2019. This study used a two-part questionnaire to collect data from the targeted respondents. The first part presented the participants' demographic profiles, and the second part showed...
Annals of Tropical Medicine and Public Health, 2017
Introduction: Error is an integral part of human life because most of the errors are derived from... more Introduction: Error is an integral part of human life because most of the errors are derived from natural psychological process (cognitive) and behavioral adaptations which are created by correct skill behaviors. The objective of this study was evolution of medication errors using self-reporting method and its relation with gender and work experience in nurses of one of the educational medical Centers of Kermanshah University of Medical Sciences in the second half of 2014. Research Methods: This is a descriptive-analytical single group and single-stage study. The study population included 540 nurses working in Imam Reza Hospital at the time of the study, and sample was calculated to be n = 225 using Cochran formula based on pilot study considering the average incidence of errors observed. Researcher-made questionnaire was the data gathering tool. Questionnaire was initially distributed in all sections and was then completed by nurses. Content validity and reliability were tested based on the evaluation of opinions of 7 experts and using retest method, respectively, in such a way that questionnaire was given to 20 nurses in 2 steps with an interval of 2 weeks. Reliability was calculated to be averagely 0.69 for these questions using kappa coefficient. Data were analyzed by SPSS 20 software. Results: There was no significant relation between 18 cases of medication errors evaluated using self-reporting method and work experience. From all evaluated errors, there was a significant relation between the error of lack of compliance with the time of prescription of medicine as well as giving a medicine more or less than the prescribed dose and gender. Discussion and Conclusion: Based on the obtained results, we suggest that parallelism and extensive studies be carried out in all hospitals in the province for identified of the highest cases of errors and providing suggestions for reducing those. On the other hand, the possible causes fear or negligence of nurses about reporting of errors is essential, and use of training, control, and close monitoring is necessary in the field of medication errors.
In recent decades, rates of cesarean delivery as a percentage of all live births have increased i... more In recent decades, rates of cesarean delivery as a percentage of all live births have increased in Iran. This study aimed to examine the effect of Health Sector Evolution (HSE) plan on prevalence and costs of different types of delivery in Ardabil University of Medical Sciences in 2015. Methods: This was a cross-sectional and retrospective study. The study population was all women who were admitted to the specialized hospital of obstetrics and gynecology of Ardabil University of Medical Sciences between May 2013 and May 2015. The sampling was done based on simple random sampling method and data was obtained by self-constructed checklist based on medical records. Also, data analysis was done by STATA software. Results: The descriptive results showed that about 55% of the participants were in age 25 to 30, 98% of them were married, and about 12% were covered by rural insurance, notwithstanding it shows their location. Analytical results showed that there was a significant difference between the prevalence of the Vaginal delivery (t=-7/987, p<0/001) and cesarean (t=6/988, p<0/001) before and after of HSE. Total cost of vaginal delivery and cesarean changed significantly before and after of HSE (p<0/001). Conclusion: This study showed that the prevalence of cesarean delivery was decreased, consequently we can understand that HSE had a positive effect on the prevalence of the cesarean and decreased it 0.79 relatively. Moreover, HSE decreased the cost of cesarean significantly but the cost of vaginal delivery was increased significantly after HSE implementation. We can conclude that the HSE achieved its objective greatly.
Background: The internet itself is a harmless technology. However, its overuse and misuse will ex... more Background: The internet itself is a harmless technology. However, its overuse and misuse will expose its users to internet addiction. On the other hand, diagnosis of students’mental dysfunction is of prime importance, and their progress and academic success in the future can be prevented by this technology if not properly handled. Methods: In this descriptive and correlational study, the statistical population consisted of all students at Kermanshah University of Medical Sciences, of which 447 students studying in the first and second semesters of the academic year 2017-18 were selected through Cochran's Sample Size Formula and Stratified Random Sampling. As for data collection, the Young's Internet addiction Test (IAT) and Goldberg General Health Questionnaire (GHQ-28) were utilized. Moreover, for data analysis, the descriptive statistics (percentage, mean, standard deviation) and inferential statistics (T-test, Pearson correlation coefficient, and multiple regression anal...
Background: To evaluate the effects of group logotherapy training on the Self-Esteem, communicati... more Background: To evaluate the effects of group logotherapy training on the Self-Esteem, communication skills, and dealing with event in elderly. Methods: The sample of this randomized controlled trial (RCT) includes 30 elderly individuals with unstable and weak self-esteem in an Daily Center for the elderly. The Samples are selected by convenience method and divided into two equal groups, i.e. the cases and controls. The Coopersmith Self-Esteem Inventory (CSEI), Weiss and Marmar’s Impact of Event Scale-Revised (IES-R), and Barton’s Communication Skills Questionnaire were instruments for data collection. After evaluating the baseline, the case group attended ten sessions of group logotherapy. During this period, the controls were only using the conventional programs of the center. At the end of the program, the baseline sessions were completed by all participants at 1 and 3-month follow-up. The collected data were analyzed using analysis of variance with repeated measures, independent ...
ABSTRACT Background: Work Ethics approval is an essential factor in the health care system so the... more ABSTRACT Background: Work Ethics approval is an essential factor in the health care system so the purpose of this study is to evaluate the work ethics status in the teaching hospitals in Kermanshah in 2014. Material &amp;Methods: This cross-sectional study was conducted 416 members and classified them in an orderly manner into three groups: administrative, clinical, and servicing, and 25 percent of each group were randomly selected. Demographic questionnaires were valid and reliable work ethics which have been used and had four aspects including: attachment and interest in the work, perseverance and hard work, healthy human relationships in the workplace, community spirit and participation in the formulation which was based on the Likert scoring method ( from 1 to 5).The data were collected by using the descriptive statistics (mean - standard deviation and variance) and inferential statistics (correlation, T-Test and Pearson correlation) and were analyzed by SPSS version 18. Results: 233 (30.14 ± 01.56) of the patients who were enrolled in the study were male and the rest of 183 (47.14 ± 99.43) were female. The study shows that there is a significant relationship (p = 0.001) between dimensions of attachment and desire to work with perseverance and hard work in the hospitals. The overall score of work ethic in the hospitals was low. Conclusions: The situation of the work ethics in the hospitals shows a lack of paying attention to the personnel of these centers. So we suggest to establish a Missioner&#39;s office in the hospitals
BACKGROUND: At present, the SERVQUAL model is one of the most significant tools for measuring cus... more BACKGROUND: At present, the SERVQUAL model is one of the most significant tools for measuring customers' expectations and perceptions in organizations. Determination of expectations and perceptions of students who are the main university customers from educational services can provide valuable information to the programmers to improve the condition of educational services. Therefore, this study aims to measure the quality of education services from the viewpoint of postgraduate students at Kermanshah Medical Sciences University using the SERVQUAL model in 2019. MATERIALS AND METHODS: This was a descriptive cross-sectional study. The population under the study consisted of 162 students at the postgraduate education section (Master's degree and Ph.D.) studying in the second semester of the academic year of 2019 at Kermanshah Medical Sciences University. The standard SERVQUAL questionnaire was used for data collection, which included five dimensions of the quality of educational services, and the random-stratified sampling method was employed. The data were analyzed using the SPSS Statistics software (version 23.0, SPSS Inc., Chicago, IL, USA), and descriptive and other statistical tests, including the Pearson correlation coefficient, and paired and independent t-tests were performed. RESULTS: Based on the students' perspective in the provision of service there was quality gap existed in all services, and the largest gap was in the reliability dimension (−0.37), and after that, empathy (−0.37), guaranty (0.27), and responsiveness (−0.24) dimensions, respectively, and the lowest one was in the tangible dimension (0.15). There was a statistically significant observed difference between the quality gap in different educational dimensions (P > 0.001). CONCLUSION: Research findings showed that students were not meeting their expectations from the presented educational services. Hence, holding a training workshop is suggested in the field of how to serve and enhance communication skills for employees and teachers.
Caesarean section without medical indication imposes many problems to families, personnel and med... more Caesarean section without medical indication imposes many problems to families, personnel and medical equipment causing some side effects to pregnant woman and foetus, compared to natural childbirth. The present study aimed to evaluate the interventions in reducing caesarean section in the world. This study was a systematic review using Embase, PubMed, Scopus, Web of Science, Science Direct, Magiran and SID databases and grey literature. All studies conducted during 2000-2018 were reviewed and finally the studies with inclusion and exclusion criteria were selected. A total of 19 studies were selected among 5,559 studies. The interventions conducted for reducing caesarean section included training the specialists and women by using Six Sigma method, changing the guidelines, reviewing the definition of natural childbirth various stages, encouraging the natural childbirth and expanding painless childbirth. All interventions were divided into educational strategy and managerial strategy. The interventions can be implemented to change the behaviour of physicians and attitude of pregnant women in order to reduce caesarean section. In this regard, the authorities are recommended to make more efforts.
This study aims to identify the impact of emotional intelligence on corporate entrepreneurship of... more This study aims to identify the impact of emotional intelligence on corporate entrepreneurship of Student Department of Tehran University. The study is applied, and the data collection method was descriptive and causal. The study sample included 250 employees of Student Department of Tehran University, among which, using simple random sampling method and Cochran formula, a total of 151 subjects were considered as population Data collection method was conducted based on standard questionnaires on emotional intelligence and corporate entrepreneurship. Reliability of the questionnaire using Cronbach's alpha was calculated 0/88 The analysis of the data obtained from the questionnaires was studied through correlation and regression in SPSS. The results showed that emotional intelligence and its components have positive significant influence on entrepreneurship of Student Department of Tehran University.
1 Department of Health Services Management, School of Health Management and Information Sciences,... more 1 Department of Health Services Management, School of Health Management and Information Sciences, iran University of Medical sciences, tehran, iran 2 health Management and economics research Center, department of health disaster Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 3 Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical sciences, tehran, iran 4 Pharmaceutical Management and Economics Research Center, Tehran University of Medical Sciences, Tehran, Iran
BACKGROUND the most important way to control diabetes is to follow a preventive lifestyle and if ... more BACKGROUND the most important way to control diabetes is to follow a preventive lifestyle and if a diabetic individual follows a preventive lifestyle which he or she has accepted. The main objective of the current study is to compare the factors affecting the lifestyle in patients suffering from Type II diabetes and the healthy individuals in Kermanshah City. METHODS this study is based on a case-control design where using simple random sampling, 110 patients suffering from type II diabetes are selected as the case group and 111 healthy subjects among the companions of other patients are selected as the control group from the Center for Diabetics in Kermanshah City. The average age of the participants is 48.8±11.0. The questionnaires used for collecting the data included the following: the demographic information questionnaire and the lifestyle questionnaire which covers diet, physical activity, coping with stress, and smoking. Software applications including STSTA14 and SPSS23 were...
International Quarterly of Community Health Education
Background The quality of life as a concept beyond physical health stands one of the protuberant ... more Background The quality of life as a concept beyond physical health stands one of the protuberant indexes, and various health-based studies required distinct measurements, which deemed necessary for their significant implications. The nurses fight at the front and play a leading role in providing services to patients at healthcare centers. They deserve a higher quality of life in catering to physical health services. This present study focuses on examining nurses' work-life quality standards and how demographic variables contribute to the hospital of Imam Reza in Kermanshah of Western Iran. Methods This descriptive-analytical study recruited a sample of 271 nurses affiliated with Imam Reza Hospital and Kermanshah University of Medical Sciences by incorporating the stratified random sampling in 2019. This study used a two-part questionnaire to collect data from the targeted respondents. The first part presented the participants' demographic profiles, and the second part showed...
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