Payavard Salamat
Year:2016 | Volume:10 | Issue:SUPPL.|Papers Count:14

Background and Aim: With regard to the effect of environmental health for employees, and with regard to the lack of a proper plan for identifying and controlling harmful occupational factors, it is necessary to create workplace health identification cards. The aim of this research is to design an identification card, which includes all the information about the workplace health of the employees of administrative section of a ministry, which could be updated in specific time intervals.Materials and Methods: The present research was an applied, descriptive and observational study which was conducted in 2015 in 100 work stations which were randomly selected in a governmental ministry through designing of two forms, including the information about workplace building, and the health information of the work station. The employees were also interviewed in order to collect data about each workstation regarding the machines for measuring the light, sound, temperature, ventilation, and rays. The opinions of four experts in the fields of environmental health, public health, occupational health, and civil health was used to analyze the data.Results: A workplace health identification card was designed and determined through using the data obtained in this research. The following issues from this identification card, including standardizing the workplace of administrative employees, creating a data bank from the information, related to workplace health.Conclusion: Workplace health identification card will be created and the standard management procedure will be designed for the purpose of health inspections of the workplace of administrative employees through the data extracted from this research.

Background and Aim: For more than forty years, telemental health services have been used as a successful mean in various fields such as treatment and preventive interventions. This study was aimed to determine the viewpoints of health information management (HIM), and mental health professionals about telemental health services for veterans with mental disorders.Materials and Methods: This cross-sectional survey was conducted in 2013.The study population consisted of two groups: the first group included mental health professionals working in psychiatric hospitals in Tehran and the second group comprised HIM professionals. The data were collected using a questionnaire that its validity was confirmed by experts and the reliability was estimated through test-retest method. The data analysis was performed using SPSS 17.0 and descriptive statistics.Results: The findings showed that from the mental health experts' viewpoints, highest impact of the use of telemental health services related to medical travel costs with average 4.37 and the lowest impact replacement with the face to face treatment with average 2.68.Conclusion: In general, the groups participating in this study stated that in situations where access to care was difficult, telemental health services could be used as a reliable alternative for the war disabled care needs. Therefore, it is suggested that Iranian foundation of Martyrs and Veterans Affairs and the health system administrators take more serious measures for the implementation of telemedicine for veterans.

Background and Aim: Considering the elements of knowledge management (availability, creation, and transfer of knowledge) is very important in digital libraries websites and makes the performance better. So this paper aim to identify the knowledge management criteria in Iranian selected digital library's websites and study of observance scale Materials and Methods: The research method was descriptive survey and from applied research type. Data collecting has been based on check list according with K-ACT model (Knowledge- Access Creation Transfer). The population of this study was 7 digital library websites, including Noor, Payame noor, Islamic Parliament, Tebyan, DID, National Digital Library of Iran and Astan Quds Razavi that were selected based on accessibility.Results: This research findings showed that use of knowledge management criteria in the selected digital libraries websites is moderate and the access to website criteria is highest and lowest is online participation criteria. Tebyan DL earned first rank among seven libraries with 56 percent compliance with the standards of knowledge management in the digital library's web sites.Conclusion: Study of knowledge management criteria in the selected digital library websites has shown that these criteria has not been favorably applied that it stems from criteria incompatible with the principles, rules and standards. Due to these problems, designers of digital libraries can be effective in promoting these websites and enhance the quality of digital library services with aware of users’needs and attention to use of these criteria.

Background and Aim: Caring about workers is important due to protect human capital and economic growth. Understanding health priorities is one of the main challenges of health management. The aim of this research was to priorities health promotion behaviors of female workers.Materials and Methods: This study was conducted in 2012 and had a triangulation design with sequential qualitative-quantitative method based on "integrated model of planned behavior and self-efficacy". In the qualitative phase of the study, a content analysis approach was done to develop the questionnaire, based on the model and psychometric properties were assessed. Then, the educational intervention was conducted in an experimental study with randomized sampling in 70 female workers (35 intervention group, 35 controls). The pretest and posttest was compared.Results: Content analysis demonstrated 6 main themes, including the main constructs of the research model: attitude, subjective norm, perceived behavioural control, self-efficacy, intention and behaviour in 4 domain (nutrition, exercise, cervical and breast cancer screening, cope with stress). Scale level content validity index was 0.93. Confirmatory factor analysis showed CFI=0.97, GFI=0.95, IFI=0.96, NNFI=0.98, NFI=0.97, RMSEA=0.05. Concurrent validity versus the Health-promoting lifestyle profile II showed r=0.60. Cronbach alpha was 0.75–0.93 across the subscales. Test–retest reliability revealed no significant differences. After educational intervention there was a significant increase in attitude, subjective norm, perceived behavioral control, self-efficacy, intention and behavior of female workers in intervention group. Also, effect of intervention program was mostly in self-efficacy construct.Conclusion: With regards to working conditions economic and socio-cultural barriers in female workers, health policy making is essential in this group to promote health.

Background and Aim: Inter Professional Education (IPE) and collaboration is an inseparable part of professional team work to render efficient patient care. In addition, the readiness of medical students to take part in Inter Professional (IP) activities and considering IPE in undergraduate medical curriculum positively affects the IPE. This descriptive cross-sectional study aims to adapt the RIPLS for these contexts.Materials and Methods: Permission to translate the questionnaire was secured from its developers (Parsell and Bligh). The questionnaire was translated to Persian and its face and content validity was confirmed by an expert panel (N=10). The adapted version was distributed among a random group of senior medical students of Tehran University of Medical Sciences (N=40). Finally, Test- retest was performed and Cronbach’s alpha coefficient was applied to assess reliability and internal consistency of the instrument. The Cronbach’s alpha’s cut-off point was 0.7 in this study.Results: Experts confirmed face and content validity of the questionnaire, and it was internally consistent. The Cronbach’s alpha was 0.92. The intra-class correlation (ICC) was above 0.7 in each subscale.Conclusion: This study indicates that Farsi version of RIPLS questionnaire is valid and reliable and it can be used to assess interprofessional readiness in Iranian contexts.

Background and Aim: Requisite to achieve a correct understanding of the meaning and purpose traditions In addition to the general regulations of understanding human speech, the application of certain rules and regulations "Methodology of understand traditions" can be interpreted. The Principle of methodology of understand those traditions at odds with the theory (philosophical hermeneutics) who believe that the text should not be understood to mean the process of achieving text through the systematic understand. But, the interpreter has always been faced with a prior grasp with text and following the disclosure of the before understanding had about the text.Materials and Methods: This was a review study that induced by library texts and search engines in order to identify and analysis of the related different references.Results: Refer readers to specific individuals by the Ahl al-Bayt to achieve the correct meaning and intent and lawful of traditions the best evidence of systematic understanding of the traditions and the traditions of medicine.Conclusion: Proof the above principle as the basis to understand the traditions must have a hand in self- traditions, both internal and external characteristics including "there are different levels of meaning", "similarity", "manuscripts", "application" and other characteristics have to searched. On the other hand, return to the traditional reasons that to explicitly methodology of understand of these religious texts were approved. Traditions indicating the logic of understanding that is includes traditions such as "supply of mutashabihat on the mhkmat", "supply of traditions on the verses and certain of traditions". The narrative implies the use of Ahl al-Bayt from the principles of common sense is the some of these reasons.

Background and Aim: The first step in reducing patient dose can be administered at the radiological examinations are taken. Since physicians request radiological tests, this study examined physicians' knowledge of the risks of radiological examinations.Materials and Methods: This descriptive, analytical and cross-sectional study was conducted in 160 general practitioners and specialists' physicians. Based on the estimated dose posterior-anterior hand X-ray, and put it as a single exposure, medical information of physicians about the patient dose in diagnostic radiology tests were examined. The validity of the questionnaire was confirmed by expert panel, and its reliability was 0.80 by Alpha-Cronbach technique.Results: Most of the general practitioners and specialists did not estimate correctly the radiation dose received by patients in the posterior-anterior hand Xray, and majority of them underestimated the radiation dose of other radiological examination. The results showed that 48% of General Physician and 5/53% of specialist physicians were familiar with the unit dose.Conclusion: Training of physicians in the field of radiology patients received doses can be an effective measure for reducing doses to patients.

Background and Aim: Patient safety is a critical element of health care quality, and is a priority of health system that pursue to improve the quality of health services. This study aims to determine the attitude the nurses about patient safety in hospitals of Tehran University of Medical Sciences.Materials and Methods: Nurses employed in 7 emergency and intensive care ward specialty and subspecialty hospital affiliated with Tehran University of Medical Sciences was invited to anonymously complete safety attitudes survey.Reliability of the questionnaires was evaluated by calculating Chronbach’s alpha.ANOVA were used to compare the score means between the wards. Spearman correlation test was used to analyze the correlation between the safety dimensions and the outcome variables.Results: The results showed that the highest score was dedicated to stress recognition, and the lowest score was related to management perception and working conditions. No significant difference was between the perceptions of emergency department nurses and intensive care nurses with various aspects of safety culture in hospitals.Conclusion: Patient safety status described as acceptable in emergency and intensive care wards. There is a need to understanding of the atmosphere and the culture of safety by hospital executives deeply.

Background and Aim: Hospital complaining is an important dimension of clinical governance. This study aimed to determine the impact of clinical governance program on patients’ complaint in Shiraz public hospitals.Materials and Methods: This applied study was conducted as descriptive analytical in 2012 in Shiraz. The population studied was 10 public hospitals in Shiraz and the patients complaints were studied during 5 years. Data collected through Iranian Ministry of Health standard checklist of clinical governance. The data entered to SPSS version 21, and analyzed using descriptive statistics and analytical tests such as Chi-square.Results: Registered complaints had increasing trend during the execution of the program and were 1905. Moreover, 60.5% of the complaints have been made by family members. There was significant relationship between complaints registered with the hospital wards (P=0.000) and gender (P=0.000). Therefore, both genders and in all departments of the hospital complaints of poor quality and inappropriate behavior of the staffs was greater than other complaint.Conclusion: The number of complaints has increased in recent years. It is proposed to reduce the number of complaints attention to improve communication between physicians and patients, medical ethics, cut non-conventional financial relationaship between physicians and patients, and increased scientific and technical knowledge and skills.

Background and Aim: Today, regarding the role of accurate final information, and decision-making, designing and implementation of a sound costing system that can detect, identify and calculate the exact cost of the delivered services is of great importance. The aim of this study is to estimate the final cost of student education in the School of Allied Medicine, Tehran University of Medical Sciences, through Activity-Based Costing method in 2013.Materials and Methods: This research was a descriptive and applied study. The study population included School of Allied Medicine. The consumed costs in financial year 2012-2013 was investigated with costs classification, and finalized costs by activity based costing method. After identification of calculated costs and changed to allocation costs, The accumulated costs according to shared basic principle was given to all of delivered services. Finally, the finalized costs for student education based on the number and kind of courses collected and calculated by Excel software 2010.Results: The results indicated that the final cost for student education in PhD-level was 118, 312, 679 Rials, which was the highest amount, and was 76, 714, 824 Rials in MSc. level, and the lowest amount was related to BSc. student as 42, 312, 537 Rials.Conclusion: Paying attention to activity-based costing system with complete flexibility reveals the drawbacks of the traditional programs used by universities.The reason for higher costs in higher levels is due to the fewer number of students, particular facilities in these level and their own special expenses.