مجله پیاورد سلامت
سال ششم شماره 6 (بهمن و اسفند 1391)

Focus on organizational health could ensure the future success of any organization. Considering the fast changing conditions of hospitals and the necessity of effectiveness, employees are required who can show voluntary behavior towards the organization and customers. Therefore, this study mainly aims to survey the relationship between organizational health and organizational citizenship behavior in selected hospitals of Tehran University of Medical Sciences(TUMS). This cross-sectional, descriptive-analytic study was conducted in 2010. The population of the study comprised the entire staff of TUMS selected hospitals. In total, 312 employees were selected. The researchers gathered their data using questionnaires of organizational health and organizational citizenship behavior. For data analysis, both descriptive statistics(percentage, mean, standard deviation and variance) and inferential statistics(Pearson correlation and regression) were applied. The data were analyzed using SPSS18 software. The correlation between the organizational health and five dimensions of organizational citizenship behavior(Conscientiousness, Altruism, Helping Behavior, Civil Virtue, Sportsmanship, and Courtesy) was significant(p = 0/0001). Given this significant correlation between organizational health and organizational citizenship behavior, organizations can make improvements in employee's behavior. This can be achieved by creating harmony among members and through continuous improvement and growth.

Financial reforms in the healthcare system go back to 1384. This study aims to analyze and summarize the most important strengths of implementing the first phase of the reform in units affiliated with the Ministry of Health and Medical Education from the experts'' point of view at middle and operational levels. In this qualitative research study، 15 coaches of the new financial health management reform along with 8 financial managers of Medical Universities were selected purposefully to participate in expert panels to be interviewed. Data were saturated following the interviews. The data analysis process was conducted applying Kruger method with one of the researchers having no conflicts of interest with the topic. Human resources enabling، effective trainings، integrated information system، dynamic culture، structural appropriateness، efficiency and effectiveness، and perfect facilities were the seven themes extracted from the content analysis of the interviews; each theme was further divided into some sub-themes. Recognition of the strengths of the first phase of health system''s financial management reform may help bring about the possibility of more correct and exact planning to direct these changes and maintain the achievements as well as designing a long-term horizon and determining an ideal vision for the next phases of the reform.

Regarding the importance of communicators'' presence in health programs and the fact that in recent years، we have witnessed a decrease in their cooperation or a cut in their relationship with the headquarters. This qualitative study was performed to clarify communicators and instructors'' administrative-recreational experiences in breaking off with the headquarters. This qualitative study was carried out on 60 healthcare communicators، 20 ex- communicators and 35 instructors selected through purposive sampling. The data were collected using focus discussion groups and semi-structured interviews with the participants. For data analysis، qualitative content analysis was employed. The findings of data analysis revealed two main levels: recreational and administrative. The key themes of the former included medical facilities، gifts، employment، futurism and camp and of the latter consisted of credit resources، instructors'' conditions، organizational posts and orientation. Expressing what is expected from communicators when selecting them can play a significant role in keeping them up with their jobs. Holding meetings between authorities and communicators'' representatives to discuss their problems and present solutions، holding reward ceremonies، preparing the grounds for attracting financial resources to support communicators'' programs، appreciating them and enhancing the communicators and instructors'' academic level، and creating organizational posts for instructors can be effective in maintaining their presence and enhancing health communicators'' program.

Based on theories and researches، two variables effective in the continuous improvement of services are trust in and identification with hospital goals. The present study aims to explore the relationship between such variables among nursing staff members in private hospitals of Shiraz. This research is a cross-sectional correlation study. Some 340 nurses (58 males and 282 females) were selected using the stratified sampling technique. Three questionnaires for the assessment of identification with hospital goals، measurement of continuous improvement، and determination of trust in hospital were used. The reliability of data collection devices turned out to be 0. 70، 0. 70 and 0. 79، respectively. Besides، the construct validity was confirmed through factor analysis. Data were analyzed inferentially using Pearson''s correlation test and hierarchical regression analysis. The findings show that the relationship between identification with hospital goals and trust and nurses'' effort to improve continuously is positive and significant. Moreover، the results of hierarchical regression analysis show that after controlling gender، age، experience and education، first identification with hospital goals and then trust in hospital play a significant role in the effort to improve continuously. Nurses'' effort to improve continuously is mostly influenced by identification with hospital goals rather than trust in hospital.

According to the objectives of the information systems and to avoid duplication and help to improve the quality of care and reduce costs، HIS ongoing evaluation should be conducted to achieve these goals. This study has evaluated hospital information systems in selected hospitals with the use of «integrated hospital information system evaluation criteria-2011». This study was a descriptive-sectional research. The study population consisted of information systems in Shohada، Rsool Akram، Khatamolanbia، Imam Khomeyni and Milad hospitals. The data collection tool was a checklist of HIS indicators. Checklist was completed with direct observation and interviews with HIS users in selected hospitals. Data was analyzed by SPSS statistical software، and results were presented in statistical tables and charts. In the studied hospitals most of the subtypes of organizational and server components of the hospital information system has been set up and used. However، pharmacy، decision support، medical services، communication services and telemedicine information systems، are not yet fully set up in the studied hospitals. Most subtypes of organizational and server components، currently exist in all fields in the studied hospitals.

Dental caries in children caused by repeatable consumption of sweet product especially at night، that itself mostly depend on economic and cultural background of the society and family. One of the most common diseases of human being is dental caries، which are caused by many factors، such as microorganisms، dieting، passing time، and the host itself. Among the microorganisms Streptococci mutants play the major role in causing dental caries. The aim of this research was to investigate the role of Streptococci mutants in dental caries between two groups of children sensitive and resistance to caries. This was a cross-sectional research، in which 120 children (60 susceptible and 60 resistance) aged between 3 to 5 referred to Tehran University dental school were selected randomly. The selection criteria for the sensitive and resistance dental caries were dmfs > 5 and dmfs < 10 respectively. None of the groups had used any drug or fluoride products before sampling. Saliva of both groups were collected، and transferred to the specific culture media (Mitis Salivarious Agar). After incubation at 37 oC colonies of S. mutans were counted. There was a significant difference between the number of colony counting (cfu/ml) with age and consumption of repeated sugar product، while. there was no significant difference between (cfu/ml) sex، oral hygiene، and nutrition period during infancy. The results of this study showed that the consumption of sugar product in childhood results in dental carries.

Citation is one of the journals ranking factors. Self-Citation rates regarding journals `performance، especially in international databases، is important. The aim of this study is to examine the effect of Journal self-Citation on Impact Factor of Iranian English medical journals indexed in the Web of Science and Islamic World Science Citation Center.

The Impact Factor of 12 journals in WoS and 26 in ISC were studied during years 2006-2009 using citation analysis and Journal self-Citation. Self-Citation rate were calculated using cited journals and citing journals tables in ISC. Wilcoxon test and Mann-whiteny test were used for comparison of self-citation rate between two databases. In order to determine any correlation between journal self-citation and IF in WoS، Pearson test was used. In ISC، Spearman test was performed. For comparison of two correlations test، Covariance test was used.

No significant difference between Journal self-citation rates in two databases was noted (p>0. 05). There was a significant correlation between Journal self-citation and Impact Factor in WoS (p=0. 007، r=0. 64). The correlation was not statistically significant in ISC (p>0. 05، rsp =0. 23). There was not any significant difference between the relations of Journal self-citation and impact factor in two databases (p=0. 526).

Attention to the Journal self-citation rates for comparison of Journal Impact Factor in WoS is more important than attention to the comparison of these journals between two Databases.

The Emergency Medical services (EMS) is a community-based health management system that has coordinated with the entire health care system and the employees are the most important asset of it. The purpose of this study was to identify the stressful factors that cause dissatisfaction of employee in the pre-hospital EMS in Kerman. This study was a qualitative study and sampling was targeted. Acception criteria for the study was more than three years of experience as a technician operating in urban and road sites in the EMS. In this study، semi-structured interviews were conducted with 15 personnels and data was analyzed using «frame structured analysis» was used. This study identified four main axis and fifteen sub axis. The main issues related to the tensions and dissatisfaction include the employees personal problems، organizational problems، poor coordination، and problems with the community. Considering Psychotherapy for staff and the creation of job rotation between the bases are the constructive suggestions for improving employee performance and improve the system of EMS is Kerman.