6. A Comparison of Service Quality in Teaching and Non-teaching Hospitals: The Gap Analysis

Abstract

Introduction

: Service quality is a judgment that the customer compares his/her expectations by this judgment, with the perception of the received services. The purpose of this study was to compare service quality in teaching hospitals with non-teaching hospitals in Kerman city.

Methods : This cross-sectional study has been done on 166 hospitalized patients and the standard SERVQUAL questionnaire with an approved validity and reliability was used. Data analysis was performed using SPSS software version 19.

Results : The results show that the service quality from the patients’ perception in non-teaching hospitals is more than the teaching hospitals (p=0.002). Most of the service quality gap is in the tangibility dimensions and also in providing amenities for patients and their companions.

Conclusion : Teaching setting of the hospital typically can cause poor subjectivity in patients about the quality of services provided and it is recommended that authorities identify factors causing these kind of thinking and solve them. Also the negative scores indicate a need for improvement in all aspects, especially the tangibility dimensions having the maximum gap.

آدرس: http://www.ijtmgh.com/article_33167.html

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7. The Study of Effect of Distributive Justice on Organizational Citizenship Behavior Using Structural Equations Modeling (SEM) Between Nurses in a Military Hospital in Iran

Abstract:  Justice and its implementation is one of the fundamental and innate needs of the human existence of which has always provided an appropriate framework for the development of human societies throughout the history. Accomplished researches show that distributive justice is a variable which predicts most of the organizational variables. The issue of organizational citizenship behavior is one of these variables which is of great importance in today’s organizations, therefore, this study aims to investigate the relationship between distributive justice and organizational citizenship behavior among nurses in a military hospital in Iran. This study is a descriptive-correlational research. The research society is the group of nurses in a military hospital and has been carried out using stratified random sampling method. Data were collected through two questionnaires including Beugre OJ scale and the OCB questionnaire made based on Organ dimensions of citizenship behavior (conscientiousness, altruism, courtesy, sportsmanship, civic virtue). The Structural Equations Modeling (SEM) was used to determine the effect of the variables. Data analysis method was SEM and the softwares SPSS and Amos have been used. Distributive justice had the greatest impact on civic virtue and sportsmanship and the final model of the impact of distributive justice on organizational citizenship behavior has been approved. Based on the findings of this study, if the hospitals increase the sense of justice among their nurses, the nurses will pay more attention to concepts such as organizational citizenship behavior too.

DOI: 10.36478/sscience.2016.311.316

URL: https://medwelljournals.com/abstract/?doi=sscience.2016.311.316

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           The effective compatible in-service training: a structured review of8.  literature

ABSTRACT

Background & Aim:  Undoubtedly, the knowledge and skills of the employees lead to the survival of the organization. The purpose of this study is to investigate the important issues in designation and implementation of staff in-service training models to determine a framework for designing the efficient nursing continuing education models.
Methods & Materials:  This study is a structured review based on Cochrane five-step protocols, in which18 qualitative articles from six English, and three Persian databases were extracted and analyzed using seven-step process of Noblit and Hare method in meta-synthesis without any limit of time. The English databases included “Science Direct, PubMed, Google Scholar, EBSCO, Proquest, and SAGE Journals” and Farsi databases were “Noormags, Iran Doc, and SID.” A standardized protocol along with specified criteria was used to study selection.
Results:  In the initial analysis of findings four themes were extracted: process for staff training, method for staff training, educational effectiveness, and specific model for staff training. The final analysis of findings showed that the models presented in the field of staff training can be generally divided into three categories: (a) Models that deal with the designation of processes and functions of staff training, (b) models that focus on the effectiveness of staff training, and (c) models that deal with both aspects.
Conclusion:  This study highlights the important role of effectiveness strategies as well as compatible training functions in designing the nursing staff in-service training models. In this way, the staffs motivate to participate actively in the organizational trainings.

آدرس: https://npt.tums.ac.ir/index.php/npt/article/view/53

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9. Determination and priority of socioeconomic determinants of health in Iran: a9.  mixed methods study

Abstract:  

The socioeconomic factors have crucial effects on health inequality. The unequal distribution of socioeconomic factors may lead to the health inequality. This study aimed to determine and give priority to the socioeconomic factors affecting health in Iran in the experts’ point of view. This study was a sequential mixed methods research conducted in quantitative and qualitative phases. The study population consisted of 16 policymakers and experts in the field of economic and social determinants of health. The purposive stratified non-random sampling method was employed. The qualitative data were collected in a semi-structured interview and giving priority to factors was conducted using multiple criteria decision making with the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) method. The qualitative phase showed that the main socioeconomic factors determining health were the economic factors, income, education, sex, social class, and employment. The data analysis in TOPSIS technique showed that priority parameters were income, employment, and economic factors with coefficient of 0.66, 0.60, and 0.55, respectively. Paying attention to the socioeconomic factors may result in the increased equity and eventually the promoted public health. It is essential for policy makers to take this approach into account and improve the socioeconomic factors for attaining the promoted health outcomes.

آدرس: http://jrh.gmu.ac.ir/article-1-776-en.html

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10. A Comprehensive Analysis of Dispatching of Traumatic Brain Injuries in the Fifth Period at the RAJAIE Hospital in Ghachsaran

ABSTRACT Introduction: increasing car accidents in young group and head-stroke mechanisms in developing country is are the main cause of brain lesions and injuries related to trauma, so that traumatic severe brain lesions and injuries and uncontrollable hemorrhage are the major cause of mortality and morbidity due to trauma. Statistical analysis and factors along with main injuries can give us useful information in the field of injury management, patient dispatching management, proper scheduling, and patients dispatching to appropriate centers. Materials & Methods: This research is a retrospective descriptive study with trend method in which data such as age, sex, mechanism of injury, severity of injuries, the kind of lesion, dispatching indications, hospital, dispatching physician were extracted and analyzed by SPSS software in a five-year period from 2009-2013 using the files of patients referred to emergency department of Shahid Rajayi hospital of Gachsaran due to brain trauma. Results: From total 760 patients, 455 People (% 9.67) were male, and 215 (%1.32) were female. The highest rate of dispatching has been related to the year 2012 with 213 (%3.18) People. The most prevalent age group was 20 to 45 years old with 308 people dispatched. The most common type of traumatic mechanisms was due to bikes and cars injuries (%79.7) and then other various factors such as: falling from height (%16.9) and dispute and contention (%3.4). 66.9 percent of these injuries were slight. There was significant relationship between distribution of lesions severity resulted from trauma and the kind of injury mechanism (p

آدرس: https://www.researchgate.net/publication/306286132_A_Comprehensive_Analysis_of_Dispatching_of_Traumatic_Brain_Injuries_in_the_Fifth_Period_at_the_RAJAIE_Hospital_in_Ghachsaran

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Factors affecting sentinel events in hospital emergency department: a qualitative study

Abstract

Purpose A sentinel event is an unexpected occurrence resulting in death or serious physical or psychological injury or the risk thereof. The purpose of this paper is to investigate the influencing factors of sentinel events in the emergency department of a military hospital in Tehran to find out some of the effective solutions. Design/methodology/approach In this qualitative study with content analysis approach, 20 hospital healthcare personnel participated as participants from the fields of medicine and nursing. Purposive random sampling and semi-structured interviews were used for data collection. Atlas.ti software version 5.2 was used for data analysis. Findings Four themes and 32 subthemes were identified by numerous revisions and combining the codes. The four main themes of sentinel events were: causes, incidence barriers, cause prevention solutions, and barriers' improvement solutions. Moreover, these main factors were related to these issues: staff and patients' education, communication, assessment, patients and their companions, employee rights, leadership, care continuum, human factors, physical environment, information management and medication use. Some solutions were also suggested according to these factors and a policy was recommended. Practical implications Hospital managers and authorities should try to find the main causes of sentinel events by periodical analysis to find ways to prevent them in the future, using logical and reasonable solutions. Originality/value This study confirms that strategies to reduce the sentinel events in emergency departments should focus on empowerment of all staff.

آدرس: https://pubmed.ncbi.nlm.nih.gov/29954270/

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What Factors affect Education Quality in Higher Education

Abstract   :  Assessing the work quality of faculty member as the teachers of higher education of the country is one of the most important issues considering factors affecting the effectiveness of teaching. Hence, this study aimed to determine the factors affecting the teaching quality.In the present review study conducted by systematic method, the studies during the years 2000- 2014 AD were collected, reviewed, systematized and then compared. Finally, 56 articles related to the purpose of the study were identified and selected. The 56 selected articles were carefully studied and the factors effective in educational evaluation of professors were extracted. Based on the systematic review results, 14 dimension have been effective in educational evaluation of professors.

آدرس:   http://ijmas.iraj.in/paper_detail.php?

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paper_id=10933&name=What_Factors_affect_Education_Quality_in_Higher_Education

A Comprehensive Formula for Calculating the Infusion Rate of Medications Diluted with Infusion Solution

آدرس: https://benthamopen.com/FULLTEXT/TONURSJ-13-136