مجله تصویر سلامت
سال چهارم شماره 4 (زمستان 1392)

Since a major part of the budget for the health system is devoted to hospitals, continuous and constant supervision and evaluation of hospitals using performance indicators is a necessary undertaking. Therefore, the purpose of this study was to investigate the relationship between changes in the grade rating of hospitals and performance indicators of the university hospitals in Kermanshah. This research was a descriptive-analytic study with all those university hospitals in Kermanshah as its statistical community whose grade ratings have changed during the past ten years. Due to the limited volume of this community, the statistical method was used. The documents related to performance indicators and certificates of grade rating of the hospitals were the tools used for collecting information.Finally, for determining the relationship between research variables, Pearson regression coefficient and SPSS version 21 were used. Our findings in this research showed that in general, there were no statistically significant relationships between any of the performance indicators and the grade ratings, except for a significantly negative relationship between the indicator of the rate of hospital bed occupancy and grade ratings. There were negative relationships between grade ratings and the average length of stay of patients in hospitals, their mortality rate and their turnover rate of hospital beds while there was a positive relationship between grade ratings and the bed turnover interval. Results of our research show that the evaluation system was inefficient in the past and that rating hospitals is not a sufficient criterion of desirability of services offered by hospitals. It is felt that a new system together with a financing system is needed to investigate the efficiency and the qualitative and quantitative performance of hospitals.

Quality of delivered care is a mainindicator in health care services which leads to optimum response regarding customer needs. This study aims atassessing delivered care service quality in Inflammatory Bowel Disease from the patient's perspective. This cross sectional study was conducted with participation of 94 patients with Inflammatory Bowel Disease using valid and reliable questionnaire and random sampling in EmamReza hospital and Golgahst clinic. Generally, Service quality was calculated using SQ=10 – (Importance ×Performance) based on patient's perspective. Data were analyzed using SPSS 17. The results showed that total service quality score was 7.21which is lower than acceptable point(9).From the service quality aspects, the continuity of care, choice of provider and confidentiality achieved highest scores and aspects of prevention, support groups and safetyscored lowest respectively. In this study, thequality of basic amenities and confidentiality had the highest importance and performance respectively. The study indicates that total service quality and the majority of its dimensionshave not got acceptable status and there is a notable gap between the customer's expectations and provider's performance.

The handover is transferring of patient care from one health care provider to another and depending on how it is done, it can be life saving or health threatening. The aim of this study was to audit the nursing handover in Emam Reza & Madani hospitals in Tabriz by FOCUS PDCA method.

This study is a clinical audit. Two hospitals which are Emam Reza and Madani, were selected by easy sampling method. The degree of compliance with the standards of nursing handover were examined at the 15 shifts in the 3 wards. The data collection tool was a self-made researcher checklist. The questionnaire validity was confirmed qualitatively using Delphi method by 10 experts and its reliability was confirmed based on Cronbach’s alpha index. Data were analyzed by Spss 11.5.

Nursing handover is done orally in these hospitals. Before the intervention, the average percentage of compliance with handover standards was %29/3 and the time spent for the delivery was 12 minutes. After the intervention in ENT ward (the selected field for intervention), these values increased from %22 and 12 minutes to %63 and19 minutes.

The handover process in the hospitals studied does not follow a specific standard. Training nurses on how to handover shifts, can improve the process.

Patient safety leadership walk-rounds are proper techniques to the contribution of executive managers and other staffs to improve the safety in hospitals. The aim of this study was to evaluate the patient safety leadership walk-rounds that were held in ShahidMahallati hospital.

This is a descriptive, triangulated (qualitative and quantitative) study. All the records of patient safety leadership walk-rounds in 2013 were analyzed by content and the usefulness of taken actions were assessed with research-made form.

During 1 year period, 31 patient safety leadership walk-rounds were held in 19 different areas of the hospital and 236 safety issues were identified, of which 75% were completely resolved.

Patient safety leadership walk-rounds are useful methods to express the executive manager's commitment to safety and to attract other staffs contribution to improve the safety.

Health care organizations require clinical accreditation standards for improving high quality, assured and safe services. Considering importance of clinics in hospitals’ quality improvement and lack of accreditation measures in adapted model for clinics, this study is aimed at developing accreditation measures for the adapted model and accredited the clinic of Tabriz Aali Nasab hospital using this model.

This is a descriptive study which was conducted at autumn 1391. Measures were developed for the standards of the adapted model. Accreditation team used these measures for accrediting the clinic of Tabriz Aali Nasab hospital. Data were collected by interviews, observation and surveying documents.

Findings showed that the clinic of Tabriz Aali Nasab hospital got the 65% of the scores. This clinic in 6 standards in the fields of clinical effectiveness, referral, transfer, discharge and registration of patients achieved less than 25% score, full score in 9 standards, and in 21 standards got upper than 75% score in respect, authority, safety, accessibility, complaint system and prevention of hazards.

The Study results showed that the clinic of Tabriz Aali Nasab hospital is in a mediocre condition in observing standards which can be improved with a proper planning.

One of the basics in human resources management to create incentives, is recognizing influenced factors in job satisfaction. Understanding influencing factors in job satisfaction, can create necessary motivation for employees to do their best. This study is aimed at investigating influencing factors in job satisfaction in hospitals of Uremia University of medical sciences.

This is a descriptive- analytical study. A validated and evaluated Likert- based questionnaire was designed to collect data. 203 personnel working in hospitals of Urmia University of medical sciences were investigated. Collected data were analyzed using SPSS and described by Pearson correlation, independent T test, and ANOVA

The results of the study illustrate factors influencing job satisfaction, job security, increasing wage, gratitude, respect from management, proper working conditions, a sense of belonging to the organization, incentive leave, respecting colleagues, a favorable climate of success, suitable for the growth and promotion, admired by others, interesting job, understanding and sympathizing colleagues, ability to influence other colleagues and overtime working were recognized as affective factors of job satisfaction respectively.

Results of the study defined a significant and positive relation between job experience, job security and job satisfaction. Consequently, policy makers and managers are advised to consider mentioned factors.

Knowledge transfer is a major issue in health promotion performance in the field of health education. Yet، there is still a big gap between the knowledge generated by research and knowledge being used in practice. This paper is a review of the published literature، linked websites and prestigious universities around the world in the field of health knowledge transfer. This study is a non-systematic review of the available relevant literature. This paper is a descriptive study of published articles، linked websites، and websites of reputable universities around the world in the field of health knowledge transfer. The results of the study showed that health knowledge transfer is discussed further in the following fields: health knowledge transfer from university to community، industry and commerce، politicians and knowledge transfer within the organization. According to this research، 4 types of health knowledge transfer models are including: Models of research- development and distribution of health knowledge- problem solving of health knowledge models- health models connections and models of social interaction of health knowledge. The final model of health knowledge is recurrent interaction between researchers and users which is a suitable model. According to the review of health knowledge transfer processes between the two systems (researchers and users)، a six-step process is proposed which includes: - health knowledge generation-knowledge application-disseminating of health knowledge - health knowledge receiving- Compliance of knowledge health –Use of health knowledge. The results of the study show that precise and logical consideration in the processes of health knowledge transfer in different fields and role of intermediary factors in health knowledge transfer around the world in prospering universities will help us to identify the most effective approaches and we must consider its localization and establish the best interactions in transfer of health knowledge. Clearly، the role of mindful and cogitative in logical interaction of health knowledge transfer process and preventing unilateral exploitation and focus on priorities will be very important and it is necessary to prevent abuse.