فصلنامه پژوهش های سلامت محور
سال دوم شماره 2 (پیاپی 5، تابستان 1395)

Hospitals are the most important organizations in the field of healthcare services that require skilled personnel, necessary equipment, and suitable facilities; therefore, special attention to new and intelligent methods and also maximum use of intellectual abilities of individuals and organizations to increase hospitals agility seem to be necessary. The aim of this study was to examine the relationship between organizational intelligence and organizational agility in teaching hospitals of Yazd Shahid Sadoughi University of Medical Sciences.
In this analytical cross-sectional study, a total of 370 administrative and medical staff were included using stratified-random sampling. The required data were collected using Albrecht organizational intelligence questionnaire and organizational agility questionnaire.
The results showed that organizational intelligence had effect on organizational agility (path coefficient=0.537). Mean scores of organizational intelligence and organizational agility of the hospitals were 2.29±0.66 and 2.29±0.37, respectively. Age had effect on both organizational intelligence (path coefficient=0.693) and organizational agility (path coefficient= 0.55).
The findings showed that increasing the organizational intelligence of the organization provides the context for having an agile organization and the organization will reach its organizational goals faster.

Cardiovascular diseases are the main causes of mortality and disability in the world. Many risk factors are involved in cardiovascular diseases including hypertension, high cholesterol, overweight and obesity, smoking, diabetes, inadequate physical activity, unhealthy diet. The aim of this study was to evaluate cardiovascular diseases risk factors and the relationship between knowledge level and preventive behaviors for cardiovascular diseases among women in Kerman.
This descriptive-analytical cross-sectional study was performed on 400 women in Kerman. Participants were selected using multistage cluster sampling method. Data were collected using demographic questionnaire and a questionnaire about cardiovascular disease risk factors, knowledge, nutritional behavior, and physical activity. Data were analyzed using Pearson’s correlation, Spearman, one-way ANOVA, Kruskal wallis test and Mann-Whitney U test by SPSS 21.
The average age of women was 42.11±1.40 years. Daily stress (71.75%) and inadequate physical activity (62.75%) were the most common risk factors among the participants. There was a significant positive relationship between knowledge and nutritional behavior (P The results showed that there is a relationship between knowledge level and preventive behaviors for cardiovascular diseases; therefore, increasing knowledge level through appropriate interventions may effectively prevent cardiovascular diseases.

Effective Leadership is an essential factor for success of an organization. In new century, it is believed that using transformative leadership style by managers cause increase of organizational commitment by the employees. Therefore, this research is aimed to determine the relationship of transformative leadership style of managers with organizational commitment of employees in Tehran University of Medical Sciences (TUMS) at 2015.
The study was a cross - the cross on the 70 managers and 225 staff were made at various levels. Multifactorial questionnaire transformational leadership and organizational commitment Allan Mayer questionnaire was used. To calculate descriptive statistics such as mean and standard deviation and analytical tests such as t-test, and Pearson correlation coefficient was used statistical software SPSS version 19.
The headquarters managers had desired transformative leadership style, and also the employees had moderate organizational commitment. Moreover, There was significant relationship between the managers’ transformational leadership style with employees’ organizational commitment (P=0.007).
Concerning with significant relationship between transformative leadership style with organizational commitment, it is expected that with paying attention to using transformative leadership, it is used for selection of headquarters managers in order to improvement of the employees organizational commitment as an one of the important factor.

Employees’ job satisfaction has a significant effect on providing high quality services to patients. The aim of this study was to examine the impact of quality management on job satisfaction of Operating Theatre Department employees of Valiasr Hospital in Tehran in 2014.
This participatory action research was performed on employees of Operating Theatre Department of Valiasr Hospital in Tehran in the first six months of 2014. Employees’ job satisfaction was measured using a reliable questionnaire and the causes of employees’ dissatisfaction were determined. Then, the employees’ working processes and job satisfaction were improved using a ten-step quality management model provided by Mesdagh Rad. Employees’ job satisfaction was statistically compared before and after the quality management intervention using SPSS 18.
Employees’ job satisfaction was 51.2 percent. High work pressure, compressed shift schedule, high job stress, lack of organizational justice, reward system, and inappropriate encouragement, and lack of attention to the employees’ needs, especially on the night shift, were the main causes of employees’ dissatisfaction. Employees’ satisfaction after intervention was 59.2 percent. The results showed that quality management improved employees’ satisfaction by 15.6 percent. Employees’ job satisfaction before and after the intervention was significantly different (P=0.000). Quality management principles such as management commitment, employees’ empowerment, teamwork, trust and cooperation, effective communication, continuous training and learning, customer focus, and continuous quality improvement have positive effect on employees’ job satisfaction.
Implementing an appropriate quality management model enhances job satisfaction of hospitals employees.

Self-assessed health is the most commonly used measure to rate mental health status in the elderly people because this method assesses different aspects of health such as physical health, anxiety, depression, and social function in elderly people. The aim of this study was to study Self-assessed health among elderly people of Shiraz in 2015.
This descriptive-analytic cross-sectional study was performed in 2015. A total of 400 elderly people of Shiraz were included in the study using cluster random sampling method and data (about 8 variables) were collected using a health Self-assessment questionnaire. Data were statistically analyzed by SPSS 20 using descriptive and inferential statistics.
In this study, 60.3% of elderly people reported average health status. There was significant relationship between demographic variables (age, education, employment status, socioeconomic class, and medical history) and Self-assessed health. There was no significant relationship between gender and Self-assessed health. There was significant relationship between sociocultural variables (health behaviors, social support, Self-esteem, communication and intimacy with children and friends (P=0.000) and number of children (P=0.017), and Self- assessed health (P=0.017).
Policy makers can design a program called Health Survey of Elderly People and monitor their health status in the society every year and also provide programs tailored to the community conditions and health status of elderly people.

One of the managers’ characteristics that lead to the success of the modern organizations is managers’ intelligence. The intelligence that enable managers to make strategic decisions in these organizations is spiritual intelligence. Another characteristic of managers that lead to the success of the organizations is how to apply the effective leadership styles. The aim of this study was to investigate the relationship between leadership styles and managers’ spiritual intelligence in Kerman University of Medical Sciences in 2016.
This descriptive-analytical study was performed on 71 managers of Kerman University of Medical Sciences in the three levels of management who were selected using census method. In this study, spiritual intelligence was measured using King Questionnaire and leadership style was measured using Metzcus & Burdens questionnaire. Data were analyzed using SPSS 16. Then Structural Equation Modeling (SEM) was used by Smart PLS 2.0.
The results showed that managers of Kerman University of Medical Sciences often use task-oriented leadership style (67%). There was a significant positive relationship between the spiritual intelligence and leadership styles and also between the spiritual intelligence and education level of managers (P=0.01). It was also revealed that the managers who use the combination of leadership style, have higher level of spiritual intelligence.
Due to the condition of modern organizations which are always faced with different challenges, managers are recommended to raise the level of their spiritual intelligence by reinforcing their beliefs and values and using the combination of leadership style for leading the organization.

Children with chronic disease make some problems in the family that have negative effect on the family members’ quality of life, especially mother’s. Promoting the sense of coherence and capability of mothers to adapt and manage the problems of children with chronic disease and their family seems necessary.
This descriptive-analytical study was performed on 300 women (150 mothers with healthy children and 150 mothers of children with chronic disease). Convenience sampling was used for mothers of children with chronic disease, and random sampling for mothers of healthy children. Data were collected using the valid and reliable Antonovsky's sense of coherence scale. Data were analyzed using descriptive statistics (the frequency, mean, standard deviation) and analytic statistics (Pearson’s correlation coefficient and Mann-Whitney U test) by SPSS 18.
There was a significant difference in the total score of mothers’ sense of coherence between the groups. There was also a significant difference in the three components of mothers’ sense of coherence (comprehensibility, manageability, and meaningfulness), so that mothers with healthy children had higher scores in all cases (P=0.0001).
It seems that a comprehensive program of empowerment that promotes the mothers’ sense of coherence, can be very effective in reducing the problems of compatibility, management, and care of mothers of children with chronic disease, and subsequently, promotes the Health-related quality of life (HRQOL) in family members.

Surgical ward is one of the main wards of each hospital that its efficiency is a leading factor in determining the hospital costs. Health care reform plan has been implemented to increase the public satisfaction with health care system and reduce the hospital costs. The aim of this study was to evaluate performance of the operating rooms, before and after implementation of the health care reform plan.
In this descriptive-analytical study, the extracted information from hospital records of all patients (64370 cases) who had undergone surgery from July 2013 to March 2015, were recorded in a researcher-made checklist. Data were statistically analyzed using paired t-test by SPSS 19.
The average number of surgical procedures performed in all wards of the teaching hospital was increased after implementation of the health care reform plan. There was also statistically significant difference between all the inpatient surgeries and all the scheduled and unscheduled ones (P Health care reform plan had a significant effect on supply and demands for services in the teaching hospital that can be due to financing through the plan that increased the demand for surgical service delivery.