مجله پیاورد سلامت
سال هفتم شماره 4 (مهر و آبان 1392)

Information technology acceptance model predicts acceptance based on end-users'' perceived usefulness and ease of use of technology for a specific purpose. The aim of this study is to understand nursing staff’s adoption of clinical information systems based on information technology acceptance model. This descriptive- analytic study was conducted on 316 nurses in hospitals affiliated with Semnan University of Medical Sciences (SUMS) and those affiliated with the Social Security Organization (SSO). The data collection tool was a valid and reliable questionnaire. The d ata were analyzed by descriptive statistics، Mann-Whitney and chi-square tests. Some 73 % of nurses agreed that the nursing information system provides them with correct information. Besides، 55. 7% of nurses had accepted the information system. The results showed that male nurses had admitted clinical information systems more than female ones (P<0. 05). Moreover، nurses who were aware of their duties towards the computer program or those who were aware of the goals of computer applications had adopted information technology more (P <0. 05). Most of the nurses had accepted the clinical information system in their daily work. However، issues such as inadequate number of computers، content design، system c apability problems، and nurses'' computer skills and knowledge should be seriously examined. Moreover، several interventions should be planned and developed in technical and individual areas such as enhancement of nurses'' IT knowledge، teamwork culture، organizational position، team cooperation، and updating and upgrading the network.

Employees suggestion plan (ESP) is designed to encourage and improve employees’ participation in developmental planning. The establishment of this system needs cultural، individual and structural preparedness. This study is aimed to determine organizational preparedness in Tehran University of Medical Sciences (TUMS). This research was a cross-sectional، descriptive and analytical study conducted in TUMS headquarters in Tehran، Iran. The heterogeneous sample of this study consisted of 155 employees. They were asked to fill out a researcher-made questionnaire to assess their attitude towards organizational preparedness for ESP establishment. The validity and reliability of the questionnaire were confirmed. The data were analyzed by SPSS، and descriptive results were presented. The data were also analyzed by Friedman and ANOVA statistical methods. Most of the employees had a positive attitude towards the existence of individual and cultural preparedness for ESP establishment in TUMS. However، they believed the desired structural preparedness for this process did not exist. The desired organizational preparedness for ESP establishment exists in TUMS، although structural preparedness is not desirable. Therefore، it is suggested that necessary modifications should be made in TUMS organizational structure for effective ESP implementation.

Despite all inherent advantages of information technology in health sector، its implementation still faces many problems. One of the most important barriers is people’s resistance. This study was carried out to survey the factors affecting the acceptance of information technology by Health Information Management (HIM) staff of Tehran University of Medical Sciences (TUMS) hospitals based on Technology Acceptance Model (TAM) in 2011. It is a descriptive-analytical survey. The population of the study consisted of the HIM staff (363 members) of TUMS hospitals. As the sample، 123 employees were selected. The data gathering tool was a questionnaire the validity and reliability of which were confirmed. The data were collected and analyzed by SPSS software، descriptive statistical methods and Spearman Test. The results showed that there was a positive direct relationship between perceived ease of use (PEOU) on the one hand and the staff’s attitude and their application of IT on the other hand (R=0. 14، P= 0. 05; R=0. 36، P=0. 05). Also، perceived usefulness (PU) had a significant direct effect on the staff’s attitude and their application of IT (R=0. 22، P= 0. 05; R=0. 37، P=0. 05). Perceived ease of use (PEOU) and perceived usefulness (PU) are the factors affecting the acceptance of information technology by the HIM staff of TUMS hospitals. Therefore، it is suggested that the above two principles be considered when designing and implementing the IT systems.

Stewardship and delivery of health services are considered as the most important areas in the healthcare system of the Islamic Republic of Iran in 1404. This study was conducted to investigate the main challenges in medical education stewardship because of its importance in the management and leadership of education from the viewpoint of education process providers. This qualitative research was conducted using thematic and framework analyses to obtain the collective view of faculty members of Medical Sciences Universities in Iran. The data were collected applying deep semi-structured interviews. To increase the acceptability of the study، four criteria of Lincoln and Gupta were used. Codes، categories and themes were extracted by expert researchers of qualitative studies who had no conflict of interests with the topic. Of the 24 faculty members interviewed، 7 were females and 17 were males. They comprised 5 full professors، 8 associate professors، 9 assistant professors and 2 lecturers. The findings of the interviews were categorized in three main lines of stewardship in health system in the form of main and sub themes so that there were 2، 2 and 5 main themes in each line، respectively. Since many of the challenges extracted from the present interviews are considered as essential interventions for achieving the stewardship functions of health system – and، as a result، medical education –، it is important to pay more attention to these challenges and at the same time conduct more complete studies to get more practicable solutions to these problems.

Development of information and communication technology has led to enormous changes in different areas. Electronic medical records system is valuable to access patient data in hospitals. This study aimed to investigate and compare the educational hospitals of Uemia University of Medical Sciences in case of technical، organizational and legal to establish the system. The study was a descriptive cross-sectional study. The study population consisted of 98 senior and central managers. In this study population census was used and the entire population were considered as the sample. A questionnaire was used for data collection، which included two sections in order to determine the level of research community awareness and to analyze the standards related requirements for the implementation of the system. Validity and reliability were assessed and the data was analyzed by SPSS. Sample awareness in 5 hospitals of this study was moderate. In terms of requirements، there was a significant difference between the means of Electronic Medical Records in terms of three variables between hospitals «D» and the rest of the hospitals. And no significant difference was seen among other hospitals. Three hospitals، «a»، «c» and «b»، among five studied hospitals are in preparation for the deployment of electronic medical records. Other two hospitals were not prepared. However، the implementation of electronic medical records، increases health care quality، patient safety and patient care and also decreases health costs. So it is suggested that hospitals do necessary efforts to establish EMR.

Motivation and satisfaction of manpower are the most important variables in the field of organizational behavior and because of the strong relationship between these two variables with the job and organization productivity، it’s necessary to look job characteristics as increasing factor of employee satisfaction and performance in redesigning jobs. The objective of this study was determining motivating potential score (MPS) of the jobs and survey the relation between MPS and job satisfaction in staff employees of educational and research deputy of TUMS (Tehran University of Medical Science). This was a cross-sectional and descriptive-analytical study. The research context was to staff employee of education and research deputy of TUMS. Sampling frame of the study was simple random sampling. Data collection method was a questionnaire. Reliability of the questionnaire was ascertained with pilot study with and confirm with Cranach''s Alpha. T-test and Pearson correlation were the analytical methods. The results showed the jobs of the study population have skill variety، task identity، task significance and potential motivation but haven''t job authority and feedback. The findings showed there was significant relation between motivating potential power and its dimensions with the job satisfaction (P<0. 05). The job characteristic have great impact on the job satisfaction so this model can be used for redesigning the jobs to increase job satisfaction.

Accreditation is one of the evaluating health care organization tools especially in hospitals and is also one of the priorities of Ministry of Health in Iran. The aim of this study was to examine the impact of accreditation on health service delivery in hospitals from perspective views of experts. This qualitative study was conducted by semi-structured interviews and opinions of 12 experts at Isfahan University of Medical Science in the field of hospital accreditation in 2012. After transcription of each interview، content analyses was used to minimize and structuring qualitative data. According to this study، 10 main theme and 72 sub- themes were identified. Main themes included: Necessity، implementations priorities and mechanisms of Accreditation effect، accreditation impact on service quality and organizational performance، patient satisfaction، commitment and job satisfaction of staff، reducing factors the impact of accreditation، confounder factors the effect of accreditation and the executive proposals in order to implement accreditation program in Iran. Accreditation could be properly implemented through setting Conditions، selecting the appropriate accreditation model، justify stakeholders about the necessity of accreditation، monitoring، establishment of appropriate information systems، information transparency and changing the general attitude of the organization. It would take positive effects to achieve hospital goals and improve the quality of services.

The Effectiveness and success of an organization depends on two factors; one is the employees’ Performances and the other is the level of understanding between managers and employees in prioritize of different job motivators. The aim of this study was to determine factors that affect staffs’ performances in Qazvin teaching hospitals based on the Herzberg’s theory. This research was a descriptive study. To achieve the main aim of this study، one hundred and ten employees were selected through a multi- stage sampling method. In this study، for data collection a self-report questionnaire was used. The five-point Likert scale was used to determine the degree of importance of any hygiene and multinational''s factors affecting the performance of the employees. Among hygiene factors، the prevailing place was for Job security with an average 4/39 and then followed by a suitable salary with an average 4/38 of 5 scores. Among multinational''s factors، job responsibility with an average 4/38 and job interest with an average 4/38 were placed as the most important factors in employees’ performance. %70/8 employees mentioned that two factors of suitable salary and job security are the most important obstacle for improvement of employee’s performance. The data of this study reveals that، Attention and Planning in providing proper salary and job security as hygiene factors and sense of responsibility and success as motivational factors، may play a more effective role in improving employees’ performance than any other factors.

FRBR is one of the models considered in cataloging and work-to-work relationships are introduced as types of bibliographic relationships present in this model. This study examines the distribution of dispersion relationships in medical subject areas based on FRBR model in Persian medical sources published from 2006 to 2010. This study is a descriptive survey. Data were obtained from Iranian OPAC (online public access catalog). To determine the areas of medical sciences، both LC (Library of Congress) and Dewey Classifications were applied. For data analysis، Excel 2007 was used. Using descriptive statistics، the researcher presented the results in the form of tables and graphs. According to Dewey Classification، ‘diseases’ was the subject area having the highest number of bibliographic relationships and the lowest frequency belonged to ‘experimental medicine’. The analysis based on LC Classification، however، showed that ‘internal medicine’ had the highest number of bibliographic relationships; Botanic، Thomsonian، Eclectic Medicine، Chiropractic and Alternative medicine subject matters had the lowest bibliographic relationships. Distribution of work-to-work bibliographic relationships in Persian medical sources based on Dewey and LC Classifications is heterogeneous. Despite the obtained apparently heterogeneous results، such a difference cannot be due to differences in the frequency of bibliographic relationships of medical topics because the classification criteria of medical sciences are different in these two systems.