فهرست مطالب

  • Volume:6 Issue: 4, 2019
  • تاریخ انتشار: 1398/07/09
  • تعداد عناوین: 5
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  • Nahid Tavakoli *, Hamid Reza Peikari, Elham Dehghan Pages 133-137
    Objective

    The aim of this study is to identify the security status of information on three dimensions: managerial, technical, and physical in the information systems of the hospitals affiliated to Isfahan University of Medical Sciences.

    Method

    This is an applied descriptive study conducted in 2017-2018. The study population comprised 35 Information Technology Department Managers(ITDM). The instrument for data collection was a questionnaire comprising managerial, technological, and physical dimensions, designed on a Likert scale. The data were collected by visiting the hospital, making observations, and inquiring from the ITDM and then analyzing using SPSS version 22.

    Findings

    From the viewpoint of ITD, the information security at the Hospital information systems was unsatisfactory: 1.37%, 1.28%, and 1.218% on managerial, technological, and physical dimensions respectively at the hospital information systems. 

    Conclusion

    In this study, the information security on the managerial, technological, and physical dimensions of hospital information systems, development and execution of security policies and administration of training courses for users, aimed to improve the security of health information seems essential. Furthermore, to improve the physical security for this purpose, hospitals need to devise means to physically control the resources, create security fences for areas containing such information as the server room, using physical protection to counter human damages, natural disasters such as power cuts. To improve technological security, it is recommended that technological arrangements be made to verify the person requesting access to electronic information prior to permitting it.

    Keywords: Security, Hospital Information System, Information Technology
  • Mohsen Torabi *, Mohammad Mehdi Ghochani, Iman Zohoorian Nadali, Mohammad Reza Fathi Pages 138-144
    Background

     Regarding the importance of health care providers such as nurses who have always been in stressful environment, it is clearly important for the hospital administration to employ supportive behaviors and create much more supportive atmosphere for the nurses who are reportedly sensitive and responsive to the situation in which they work. So the conclusions are particularly useful for Hospitals.

    Objectives

    The aim of this study is to test an exploratory model by investigating the mediating effect of organization engagement in relationship between perceived supervisor support and intention to leave.

    Methods

    This is a cross sectional quantitative study. To test some proposed hypotheses, a random sample of nurses working at Faghihi Hospital (n=179) completed a standard survey questionnaire consisting of questions about their perceived supervisor support, intention to leave as well as organization engagement. For testing the hypotheses of the study, results were analyzed through Confirmatory Factor Analysis and Structural Equation Modeling using LISREL 8.8 based on t-value significant levels of higher or lower than respectively +1.96 and -1.96.

    Results

     The data revealed high reliability and validity thus suitable for further analyses. SEM revealed that supervisor support is indirectly and negatively related to intention to leave through organization engagement. The proposed direct link between supervisor support and intention to leave was not proven significant (-1.96≤t-value≤+1.96). Conclusions- This article contributes to the literature by being the first to study the mediating effect of organization engagement on perceived supervisor support and intention to leave in the context of a Hospital in Shiraz.

    Keywords: Perceived supervisors support, intention to leave, organization engagement, Faghihi Hospital, Iran
  • Mehrdad Askarian *, Nahid Hatam, Marzie Farmanifar, Charles Palenik Pages 145-155
    Introduction

    Actions of healthcare workers paired with the use of complex forms of technology can have positive diagnostic and restorative effects, but also can produce negative outcomes. The aim of this study was to implement and then assess the WHO’s 9 patient safety solutions. We also attempted to identify ways to improve compliance in our hospital’s pediatric cardiology and neurology departments.

    Methodology

    In this study, a form was designed to collect information regarding the current state of implementation for each of the 9 patient safety solutions. Forms were distributed among Nemazi Hospital nurses for initial evaluation, and analyzed by SPSS Statistics, Version 18.0. The two solutions with the lowest compliance scores were selected for intervention. These included “assuring medication accuracy at transitions in care” and “avoiding catheter and tubing misconnections.” To improve these two solutions, an interventional program was designed. 

    Results

    Compliance scores from the cardiology department concerning “assuring medication accuracy at transitions in care” solution increased from 34.16% to 75.00% after intervention. In the neurology department compliance scores increased from 36.66% to 68.33%. Regarding the “avoiding catheter and tubing misconnections” solution, scores increased from 46.87% to 72.91% in the cardiology ward and 40.27% to 67.53% in the neurology department.

    Conclusion

    Results indicate that interventions, such as training courses, checklists and reporting forms concerning medication reconciliation improved compliance. This was also true for use of checklists to improve compliance in the proper catheter and tubing connections solution area.

    Keywords: World Health Organization, Patient Safety, Pediatrics, Cardiology, Neurology
  • Mahnaz Yadollahi * Pages 156-162
    Background

    Trauma is an important and inevitable part of the health of the community. The incidence rate of accidents in Fars province is high. Identifying patterns of traffic accidents and reporting to authorities to prevent and control more accidents can be helpful.

    Method

    In this retrospective cross-sectional study, information about traffic accidents in Shiraz from 21 March 2017 to 20 March 2018 was used and information about 35406 Emergency calls was investigated. The variable studied includes age, gender, holiday, time of traffic accidents, outcome, etc.  Data was extracted as an Excel file and analyzed according to research hypotheses using SPSS software.ResultsThe maximum number of accidents occurred in summer (10939) and in September (3797). From the days of the week, most accidents occurred on Thursday (15.09%).The most accidents occurred at 16:00 to 20:00 Pm. At 00:00 to 04:00 Am and 04:00 to 08:00 Am, the accidents leading to death were more than the accidents that people survived.

    Conclusion

    The rate of accidents in Fars province is high due to its tourist attractions, historical sites and the weather condition. The findings of this study indicate that the number of traffic accidents differs in different times. Due to the high traffic accidents in the last months of the summer and at sunset, traffic police need to have more precise traffic control to prevent road accidents.

    Keywords: Traffic accident-Time-Statistical Distribution
  • Elham Heidari, Fahimeh Keshavarzi * Pages 163-170
    Introduction
    The aim of study was to explain the mediating role of organizational citizenship behavior variable in the relationship between abusive supervision and innovative self-efficacy. 
    Methods
    The research method is a correlational descriptive research using structural equations modelling. The research sample consisted of 200 staff employees of Shiraz University of Medical Sciences who were selected by stratified random sampling method. The basic tools of this research included 3 scale that include Tepper’s abusive supervision, organizational citizenship behavior Lin et al and employees’ innovative self-efficacy scale Tierney & Farmer and Dörner. To examine the validity and correlational analysis, the SPSS software (version 22) was used. For structural ‎equation modeling (SEM) and also for the model fitness, the Lisrel (version 8.1) was used. 
    Result
    Findings indicated that there is a significant relationship between all variables. Also, there has a negative and significant effect on employees’ organizational citizenship behavior (t-value= -3.96. sig= 0.0001). In addition, organizational citizenship behavior has a positive and significant effect on employees’ innovative self-efficacy (t-value= 5.10. sig= 0.0001). Therefore, organizational citizenship behavior has a mediating role in the relationship between abusive supervision and employees’ innovative self-efficacy.
    Keywords: Abusive Supervision, Innovative Self-efficacy, Organizational Citizenship Behavior, health management Behavior