فصلنامه مدیریت پرستاری
سال هفتم شماره 2 (پیاپی 24، تابستان 1397)

Today, commitment nurses in health care organizations are a vital element that they would be effect on patients. So, nursing shortage might be has negative effect on quality of care. For this reason assessing factors that effect on nurses commitment and on quality of care are important. Assessing the relationship between organizational support, trust and organizational commitment in nurses who work in Kermanshah hospitals in 2017. Material & Methods: This study was descriptive that 214 nurses selected randomly based on Morgan's table. For Data gathering were used these questioners; Eisenberger & et., al (1986) for organizational support, Alen & Meyer (1990) and Kanawattanachaii & Yoo for organizational trust. Their reliability by Alpha Chronbach were 0.88, 0.82 and 0.79 representatively. For analyzing Structural Equation Modeling was used. Analyzing data showed that there was significant relationship between organizational support and trust with organizational commitment. General effect organizational support on commitment was 0.89. It is recommanded to nurse managers and hospital administrators use strategies for staff support that it would be help their trust and commitment to organization.

The leadership of an organization needs specific features to adapt to changes. One of these features is nurse managers' emotional intelligence that should be identified and, if needed, learned to increase the competence of nursing managers. The purpose of this study was to investigate the relationship between emotional intelligence and professional competence of nursing managers. Material & Methods: This descriptive cross-sectional study was conducted on 105 nursing managers by census method in teaching hospitals in South Khorasan Province in 2016. Data were collected through demographic information questionnaire, managers' competence questionnaire Chase(2010) and Shering (1996) questionair's for emotional intelligence. The reliability of this questionnaire has been confirmed by experts through Alpha-Cronbach's coefficient (0.84) and its content validity. Data was analyzed by SPSS software 16 using descriptive and analytical methods (t-test, analysis of variance and Pearson correlation coefficient). The mean score of emotional intelligence in nursing managers was (105.25 ± 17.94), which indicates that most participants are in a good level in terms of emotional intelligence and the mean score of competency (280.10 ± 46.84) As a result, nursing managers are on average. There was a significant positive correlation between the emotional intelligence score of the participants in the research with their competencies (p <0.001). It is suggested to policy makers that they consider " emotional intelligent " as a main criteria for nurse manager selection. Also , they planning continuing education in this subject for nurse managers.

Organizational health is an important factor in the hospital effectiveness. Therefore, the study of factors related to organizational health with the aim of improving it means the success of the organization in the future. The aimed this study was investigate the role of social capital, organizational justice and organizational citizenship behavior in predicting organizational health from nurses' viewpoints. Material & Methods: This was a cross sectional study. The research population was included public sector nurses working in the hospitals of the Varamin city in 2017 year that based on Krejcie & Morgan table 200 nurses were selected by simple randomly sampling method. Data with using the questionnaires of social capital (Pajak, 2006), organizational justice (Niehoff & Moorman, 1993), organizational citizenship behavior (Smith & et al, 1983) and organizational health (Hoy & Feldman, 1987) that were given simultaneously to nurses were collected within a month and their reliabilities estimated by Cronbach's alpha was 0/84, 0/89, 0/77 & 0/86. Data were analyzed with SPSS-19 software and by Pearson correlation and multiple regression with enter model methods. The results showed social capital (r=0/296), organizational justice (r=0/507) and organizational citizenship behavior (r=0/214) have a positive and significant relationship with organizational health. Also the predicted variables significantly could predict 46/6 percent of variance of organizational health that the share of organizational justice was higher than other variables (p<0/01). The results indicated the importance of social capital, organizational justice and organizational citizenship behavior in predicting organizational health. Therefore, hospital administrators and managers can through observance of justice and fairness and enhancing the social capital and organizational citizenship behavior with workshop provide an enhancement of organizational health.

Satisfaction with the rights and benefits received and how it is distributed is one of the most important and most important dimensions of job satisfaction; in a way that has many effects on organization in the health system, quantity and quality. The aim of this study was to determine the knowledge and satisfaction of nurses about performance based payment (Qasedak plan) and its relationship with the quality of nursing care in hospitals affiliated to Bushehr University of Medical Sciences in 2018. Material & Methods: The present study was a descriptive cross-sectional correlation study that was performed on 150 nurses working in hospitals affiliated to Bushehr University of Medical Sciences through cluster sampling with proportional allocation. The data were collected using a researcher-made questionnaire on the validity and reliability of nurses' knowledge and satisfaction from performance-based payment (Alpha Cronbach 0.862) and a valid and reliable questionnaire on nursing care quality (Alpha Cronbach 0.94) of Rezaei et al. (2013), completed by nurses. Using SPSS software version 16, descriptive statistics (mean, standard deviation and frequency) and test (Pearson correlation coefficient and multiple linear regression model) and at the significance level of 0.05 were analyzed. Contributing nurses had performance-based payouts, high awareness (mean 58.55), and moderate satisfaction (mean 10. 20), and provided high quality nursing care (mean 208.08). There was a significant relationship between the mean score of nursing care quality in all aspects of psychosocial, communicative and physical aspects and nurses' knowledge about performance based payment. In other words, increasing awareness has increased the quality of nursing care. However, there was not a significant relationship between the mean score of nursing care quality and nurses' satisfaction with performance based payment (p> 0.05). Regarding the average satisfaction of performance-based payment method, nurses provided high-quality nursing care to patients, which could be due to the influence of spiritual factors and the high status of professional ethics in the performance of nurses despite the inadequacy of the salary and benefits.

Organizations need fundamental changes to survive in today's complex world. New information technologies can help achieve this goal through the creation of new structures and new organizational tasks. Therefore, organizations have investigated the extent and the factors for the acceptance and rejection of information technology in their organizations, and have tried to understand the factors that make the adoption of information technology more widely available. The field of transmission, publication and exploitation Provide information technology in a variety of organizational activities. This descriptive study was of correlational type. The statistical population consisted of all physicians employed in two hospitals affiliated with the social security system of Isfahan city (Shariati and Gharzee) with 260 people. Of these, using the Cochran sample size formula , By random sampling method, proportional to volume, 155 people were selected as the statistical sample. Data were analyzed using structural equation modeling in SmartPLS software Knowledge of computer use on perceived simplicity, the importance of standardization on perceived simplicity, the importance of documenting perceived usefulness, perceived simplicity on perceived usefulness, perceived simplicity on attitude toward application, perceived usefulness on attitude toward To application, the attitude towards application has an impact on the intention to accept, but the effect of the importance of information security on perceived usefulness was not approved. Determining the effective factors on the intention to adopt health information technology in order to better use of IT services and satisfaction of physicians in this field seems necessary.

Patient safety is a subset of organizational culture and is defined as a set of priorities, values, attitudes, and individual and organizational behaviors that seek to minimize the errors and damage caused by the patient's care delivery process. Through proper management errors can be taken to improve processes. This study was conducted to describe the experiences of the staff of the educational centers from the organizational culture of patient safety and error management. This research is a qualitative study with a phenomenological approach. A goal-based sampling method consisting of 17 queuing staff and a staff member of the health services provider was conducted in intensive care centers and interviewed by the participants. For analyzing information, a colayzi method has been used. Findings: The findings include 353 primary codes,14 subject categories and 7 main themes with headings: Principle reporting of errors against misleading; Penal culture and inspection versus encouraging culture in dealing with errors; Evaluating the causes of errors with individual approach versus system approach; Organizational learning and the sharing of mistakes; Establishment of an organizational mission based on patient safety standards and preventive corrective actions; the team's working culture and respect for the patient's legal rights. Considering the greater sensitivity and wider scope of the consequences of the error in the health system, the need for their control and management is necessary; therefore, the corrective actions of the senior managers of the organization in order to create, maintain and enhance the culture of the proper reporting of errors, lessons learned Sharing experiences of errors among employees, and ultimately developing a safety culture and improving quality are essential

High stress and frequent exposure with painful and agonizing conditions in the work environment of nurses can lead to Organizational Commitment in nurses, which can lead to mental injuries and adverse outcomes such as loss of quality and declined outcome. Given the importance of Coping Strategies in the face of adverse conditions, the aim of this study was Relationship between Coping Strategies and Organizational Commitment in Nurses. This research is a descriptive-analytic study in which 287 nurses working in special departments of the teaching hospitals affiliated with Birjand University of Medical Sciences were recruited by census method in 2017. Data were gathered using Lazarus – Folkman(1984) Coping Strategies Scale and Allen- Meyer(1993) Organizational Commitment Questionnaire. Descriptive and inferential statistics, i.e., Mann-Whitney, Kruskal-Wallis and Spearman correlation coefficient were used for data analysis through SPSS version 16. The average score of the nurses’ total organizational commitment was moderate (96.45 ± 9.67). The mean score of coping strategies of nurses was 107.47 ± 15.15.. Spearman correlation coefficient showed that there was a significant positive relationship between organizational commitment and coping strategies scores (p = 0.001, r = 0.33). Considering the rate of Organizational Commitment, more attention should be directed to the factors affecting Organizational Commitment. In addition, given the significant relationship between Coping Strategies and Organizational Commitment, it is recommended to incorporate Coping Strategies -promoting strategies into the nursing curriculum