JOURNAL OF HEALTH ADMINISTRATION
Year:2018 | Volume:20 | Issue:70 |Papers Count:12

Introduction: this study aimed to determine and compare the viewpoints of nurses in the field of patient safety culture in the hospital Mostafa Khomeini in Tehran. Methods: This cross-sectional descriptive study in 1394 by using the questionnaire "Hospital Survey on Patient Safety Culture" was performed. The study population consisted of all nurses working in university hospitals control. Data analysis was conducted in two levels of descriptive and inferential statistics. Results: 94 of 120 nurses participated in the study. Dimension scores patient safety culture was related to the department of nurses (61/2), patient safety (39/2), safety Hospital (26/2), communications (21/2), the frequency of reporting of adverse events (14 / 2), and the lowest supervisor department (85/1), respectively. Overall, the mean scores of all dimensions at a low level (less than 5. 2 average) have been reported. The strongest correlation was found between the department of nurses and supervisors (p=0. 000, r=0. 44). Conclusion: Senior management support of patient safety, teamwork approach, measure the effectiveness of changes of patient safety, and personnel dealing respectfully with each were of the strengths of the hospital in the field of patient safety culture. Also according to the results Blame culture, lack of personnel, long working hours, lack of encouraging a culture of patient safety, lack of attention to personnel suggestions, the absence of a culture of prevention, inadequate coordination among hospital departments and units were weaknesses that affecting to reduce patient safety culture dimensions. Such studies can clear the way for improved patient safety culture and seeks to improve the quality of health services.

Introduction: Knowledge is the source of wealth, ability and wisdom, and can lead to national development when produced, published, managed and applied. This systematic review aimed to examin the establishment and implementation of knowledge management elements in academic libraries in Iran. Methods: All indexed articles in national and international valid databases were reviewed using related keywords. Articles meeting the inclusion criteria then underwent an assessment for study quality; the selected articles were classified and the results were completely described. Results: From the initially identified 860 articles, 28 met the initial inclusion criteria. Concerning the application and implementation of knowledge management, half of the libraries ranked below average while less than half ranked average. Only two libraries had a satisfoactory status and ranked above average. Conclusion: Generally, the establishment and implementation of knowledge management elements in academic libraries in Iran are relatively poor, but medical libraries are in a better condition; therefore, knowledge management awareness is the first step towards improving and removing the barriers to its implementation. Knowledge management, if monitored and integrated at national level, can prevent the wate of intellectual capital resources.

Introduction: The concept of quality of work life has currently changed into a major social issue. This study aimed to determine the relationship between two important variables, spiritual intelligence and social capital, and quality of work life. Methods: The population of this applied, non-experimental study consisted of 284 employees of Islamic Azad University of Medical Sciences. Considering Morgan sample table, the sample size (162) was determined using stratified random sampling based on gender. The tools used for data collection consisted of King’ s spiritual intelligence, Walton’ s quality of work life, and Nahpyt and Ghoshal’ s social capital questionnaires the content validity of which were confirmed and their reliability scores were 0. 89, 0. 82, and 0. 86%, respectively. Data were analyzed using Pearson correlation and regression. Results: There was a significant relationship between spiritual intelligence and quality of work life (r=0. 70, p=0. 000), and between social capital and quality of work life (r=0. 83, p=0. 000). Therefore, these variables can predict the quality of work life. Conclusion: Spiritual intelligence and social capital predict quality of life differently. According to the findings, social capital can predict 0. 64 of changes in the quality of work life while spiritual intelligence can predict 40% of those changes.

Introduction: Hospitals are among the most important centers at the time of disasters. Knowing the factors affecting disaster management is essential to face with disasters successfully. The purpose of this study was to identify and prioritize effective factors of disaster management in Hormozgan province hospitals. Method: This study is an applied descriptive survey conducted in three stages in 2016. In order to identify the main components of disaster management in hospitals, a literature review followed by a Delphi method were used to identify the factors affecting disaster management. The instrument of the study was a researcher-made questionnaire based on a 5-point Likert scale. The validity of the questionnaire was assessed by the expert judgment method and the reliability of the questionnaire was measured by Pearson correlation method (0. 89). Moreover, Analytical Hierarchy Process (AHP) method was used to prioritize the effective factors. Results: The most important factors influencing in prevention, preparation, response, and the reconstruction stage were the standardization of medical facilities (weight 0. 02975), development of a strategic response plan in the treatment area of province (0. 02895), creation of an advanced treatment area at the site of the accident (weight 0. 02834), and the pursuit of staff and health facilities reconstruction and modernization (weight 0. 02865), respectively. Conclusion: The findings of the study suggest to develop a strategic response plan in priority programs for further preparation and planning against disasters. The effective factors identified for this research can be used as a guide to achieve preparedness against disasters.

Introduction: There are many problems to achieve the adoption of electronic dental record systems. Limited functionalities are one of the most important barriers to the use of electronic dental records. Therefore, this study aimed to identify and compare features and functionalities of specialized electronic dental record systems. Methods: This descriptive-comparative study was conducted in 2016. Using previous published materials, 140 electronic dental record systems from different countries were identified. The websites of these systems were reviewed. The systems without a website or identified as software for general dental clinics were excluded from the study. Finally, 23 specialized electronic dental record systems were included. We developed a checklist based on a literature review. The content validity of the checklist was confirmed by experts. Using this checklist, researcher studied the features and functions of these systems based on the information available in websites and Demo versions of the systems. Descriptive statistics and comparative tables were used for data analysis. Results: The most common features of the systems were: visiting management (73. 9%), drawing different clinical charts (60. 9%), tracking financial issues of the office (56. 5%), providing reminders for administrative affairs (43. 5%), providing various alerts for clinical issues (34. 8%), generating various reports (30. 4%), tracking the insurance claims electronically (30. 4%), capturing patients’ oral images and radiographic studies (26%), and managing the payment and reimbursement processes (23. 7%). Conclusion: Lack of attention to features of electronic dental record systems may result in problems in the adoption of such systems by dentists. Developing appropriate functions and features based on the dentists’ needs is a must for software developers to resolve the systems issues and fulfill the administrative and clinical requirements.

Introduction: Data sharing accelerates research activities and production of science. It has numerous benefits for the stakeholders. However, researchers withhold it for different reasons. Accordingly, the present study examined the challenges refusing data sharing among Iranian researchers of medical sciences. Method: The present survey study sought to identify data sharing challenges from the medical sciences researchers’ perspectives using a questionnaire. The sample population included 400 researchers in the field of medical sciences, who had published articles in WoS databases in 2016. Descriptive and analytical statistics (independent samples t-test, one-way ANOVA and Friedman test) were used in this study. Results: Based on the mean ranks, concerns about the misuse and misinterpretation of the data (9. 02), earlier publication of the shared data by others prior to their publication by the main researcher (8. 71) and lack of appropriate motivational mechanisms (8. 6) are the most important data sharing challenges from the viewpoints of Iranian researchers in Medical Sciences. There was a significant difference in data sharing rate between males and females (p=. 003), on the one hand, and clinical and non-clinical groups of researchers in medical sciences (p=. 014) on the other hand. Conclusion: The findings indicate that it is essential to familiarize the researchers with data capabilities in order to change their attitudes toward data sharing. Knowing about the benefits of sharing data facilitates the movement toward data-based research studies.

Introduction: Recent years has witnessed a great use of web2 tools in scientific societies, and Altmetrics method has received more attention by social media as a means of measuring the impact of scholarly documents. This study aims to explore the impact of Iranian pediatrics articles using Altmetrics method. Methods: In this descriptive-analytic study, a scientometric analysis method was used. The study population consisted of 1332 research articles, review articles and conference abstracts published from Iran in the field of pediatrics at Science Citation Index Database, during 2010-2016, that 256 of them received Altmetric score. Altmetrics indicators of articles were collected using Webometric Analysis software and altmetric. com API, and the collected data were analyzed using SPSS19 software. Results: According to the findings, 256 articles out of 1332 articles in the field of pediatrics from Iran, had altmetrics score and were mentioned in 10 social media, i. e. Mendeley, CiteULike, Weblogs, Mainstreams, Twitter, Reddit, Facebook, Pinterest, Google plus and Faculty1000. The average rank of Iranian pediatrics articles with regard to Altmetrics score was 0. 43. Conclusion: Although there were a good number of articles on pediatrics, they were heterogeneous concerning quality and Altmetrics score. Writing international articles has an important role in increasing the impact of articles. It seems that writers in this field should be more careful in selecting journals to publish their articles.

Introduction: Successful adoption and use of information technology increase the quality of healthcare delivery. This study aimed to investigate the role of organizational learning capability on acceptance of information technology by nurses of teaching hospitals. Methods: A cross-sectional study was conducted in 2016, employing a research model based on technology acceptance theories. The study population included nurses in three teaching hospitals in Kerman University of Medical Sciences (N = 788). The sample size, 258 nurses, was estimated by using the Cochran's formula. The participants of the study were 177 nurses. The instruments used in this study included the user acceptance of information technology scale, and organizational learning capability scale. Internal consistency coefficients of. 77 and. 72 for scales were obtained, respectively. Confirmatory factor analysis demonstrated construct validity of scales, and path analysis was used to test the hypotheses. Results: Results indicated that influences of performance expectancy (β =. 271, p<. 01), effort expectancy (β =. 191, p<. 05), and social influence (β =. 195, p<. 01) on behavioral intention were positive and significant. The organizational learning capability had positive and significant influence on performance expectancy (β =. 378, p<. 01), effort expectancy (β =. 389, p<. 01), and social influence (β =. 267, p<. 01); However, the direct effect of organizational learning capability on behavioral intention (β =. 085, p>. 05) was not significant. Conclusion: The organizational learning capability can affect major determinants of behavioral intention to use information systems and, thereby providing the context to acceptance and use of information technology by nurses of teaching Hospitals.