Readiness of Teaching Hospitals to Attract Medical Tourists Based On Organization-Oriented Standards of Joint Commission International (JCI):
a case study
Zarei Ehsan¹, Ahmadi Kashkoli Sadegh²*, Khezeli Mohammad Javad³, Fazli Ouchhesar Farasat⁴, Azizi Audeleh⁵, Shamsadini Lori Abbas⁶
 

 

  The Effect of Job Success Training on Affective Capital and Flow at Work in Hemophilic Patients
Golparvar Mohsen¹*, Zareiy Majid²

<sup>1. Associate Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Isfahan, Khorasgan, Branch, Isfahan, Iran. 
2. PhD, Department of  Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Isfahan ,Khorasgan Branch, Isfahan, Iran
*Correspondence: Department of Psychology, Faculty of Psychology and  Educational Sciences, Islamic Azad University, Isfahan, Khorasgan, Branch, East Jey St,  Arghavanieh Ave, Islamic Azad Ave, Isfahan, Iran.
Tel: 00983135354001                                               Email: drmgolparvar@gmail.com</sup>

Abstract:
Background & Objectives: One of the areas where hemophilic patients need help to improve their affective health is in strengthening their affective capital and flow at work experiences. The aim of this study was to determine the effect of job success training on affective capital and flow at work of hemophilic patients.
Methods: The present study was an interventional, descriptive-analytic study. In the first phase, 20 hemophilic patients selected through random sampling were divided into the two groups of experimental and control groups (n= 10). The experimental group received job success training package in eleven 2-hour sessions. The members of both groups were asked to complete the affective capital and the flow at work experiences questionnaires before the intervention, after the intervention and in a follow up, 45 days after the intervention. Data analysis was performed using repeated measures analysis of variance and through SPSS 21.
Results: Mean age of participants was 32.4 years. There was a significant difference between experimental and control groups in affective capital and flow at work experiences in both the post-training phase and follow-up phase. This means that the job success training package was effective on the affective capital and the flow at work experiences for experimental group.
Conclusion: The job success training package can be used to improve the affective capital and flow at work of hemophilic patients and consequently the capacity of these patients.
 
Key­words: Job success package, Affective capital, Flow at work, Hemophilia patients, Training
 
Citation: Golparvar M, Zareiy M. The Effect of Job Success Training on Affective Capital and Flow at Work in Hemophilic Patients. Journal of Health Based Research 2018; 3(4): 309-322.

 

Factors Affecting the Hospital Brand Identity Based on the Kapferer Model: a case study in Tehran
 
Zarei Ehsan¹, Madani Donyani Masoumeh Sadat ²*

2. MPH Student, Department of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
*Correspondence: Center for Occupational Health and Work, 11th Floor, Block A, Headquarters of the Ministry of Health and Medical Education, Iran's Simay Avenue, between South Falamak and Zarafshan, Shahrak-e Gharb, Tehran.
Tel: 0098 2181454153                                               Email: cbi_ir@yahoo.com
Abstract:
Background & Objectives: One of the most valuable assets of any organization is its brand because it causes more profit margins, better cooperation channels and other benefits for the organization. The aim of this study was to investigate the factors affecting brand identity of hospitals in a semi- governmental hospital in Tehran/ Iran.   
Methods: In this descriptive-analytic study, 403 hospitalized patients in a semi-governmental hospital were selected by available sampling method in 2016. The data gathering tool was a researcher-made questionnaire based on the Kapferer model (including 30 questions in 6 domains of brand personality, brand physique, brand culture, relationship, self-image and reflection). Data were analyzed using one-sample t-test in SPSS 16 software.
Results: The highest mean scores were attributed to the importance of service quality (4.21), known cases (4.15) and easy access (4.02). The least mean scores belonged to patients' mental and psychological needs (2.31), the distinctive character (2.45) and happy and motivated staff (2.63). There was a significant relationship between total mean score (3.51) and brand personality, brand physique and brand culture (P<0.05). 
Conclusion: Hospitals cannot survive without attention to the patients' demands. Therefore, by implementing any of the factors affecting the hospital brand identity, it is possible to improve the hospital brand status in the minds of the patients as a superior and valuable brand.
 
Key­words: Hospital brand, Kapferer Model, Semi-Governmental Hospital, Patients 
 
­Citation: Zarei E, Sadat Madani Donyani M. Factors Affecting the Hospital Brand Identity Based on the Kapferer Model: a case study in Tehran. Journal of Health Based Research 2018; 3(4): 357-366.

The Incidence Rate and Causes of Neonatal Deaths in Neonatal Intensive Care Units: a case study
 
Akbarian Bafghi Mohammad Javad¹, Etemadi Sina²*, Ghafarian Malmiri Zahra³,
 Sotoudehfar Fatemeh³, Zare Hossien⁴
 

*Correspondence: Kerman University of Medical Sciences, Haft Bagh Alavi Blvd, Kerman, Iran
Tel: 00983431325700                             Email: Sina.etemadi007@gmail.com
 

Abstract:
Background & Objectives: Infant mortality rate is one of the main indicators in the assessment of community health. Around 65% of deaths in children under one year of age is related to the infancy period and undoubtedly the first step in promoting this index is to identify the causes of mortality at this period of life. The present study was conducted to determine the incidence rate and causes of infant mortality in the Neonatal Intensive Care Unit of Shahid Sadoughi Hospital in Yazd/ Iran.
Methods: This descriptive-analytic study was performed on 243 infants admitted to the neonatal intensive care unit of a selected educational hospital in Yazd from 21st March 2006 to 21st March 2007. A checklist was used for data collection. Data were analyzed using ANOVA and Chi-square tests and through SPSS 19.
Results: From 243 studied infants, 39 ones (16.4%) died. Prematurity was the first cause of neonatal death (56.4%) followed by cardiac arrest (47.5%). Neonatal death showed significant reverse relationship with infant’s weight and age at admission and maternal gestational age (P =<0.0001).
Conclusion: Mother and child care should be given more importance in health programs and policies and measures should be taken to prevent the probable factors affecting infant death.
 
Key­words: Infants, Dead, Neonatal Intensive Care Unit, Educational Hospital, Causes of Death
 
Citation: Akbarian Bafghi MJ, Etemadi S, Ghafarian Malmiri Z, Sotoudehfar F, Zare H. The Incidence Rate and Causes of Neonatal Deaths in Neonatal Intensive Care Units: a case study. Journal of Health Based Research 2018; 3(4): 388-397.

 

Evaluation of Burnout among Primary Health Care Providers in Markazi Province
 
Zarei Ehsan¹, Daneshkohan Abbas¹, Khodakarim Soheyla², Abbasi Reza^3*

<sup>1. Assistant Professor, Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3. Assistant Professor, Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4. MSc Student, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Correspondence: School of Management and Medical Education, Parkway Valiasr Street, Tehran, Iran
Tel: 00982126215328                                               Email: abbasireza1500@gmail.com</sup>
Abstract:
Background & Objectives: Nowadays, burnout as a psychological syndrome is a major problem, especially in health services, that has been identified in a large number of health care providers. The aim of this study was to determine the extent of burnout and the relationship between demographic characteristics and burnout dimensions among primary health care providers.
Methods: This cross-sectional descriptive-analytic study was conducted in 2019. The statistical sample included all primary health care providers (n=335) working in one of the medical colleges in Markazi province. Data were collected using Maslach Burnout Inventory (MBI). Simple and multiple regression tests were used. Data were entered into SPSS version 23 software.
Results: The mean score of emotional exhaustion, depersonalization, and personal accomplishments was 15.5, 4.9, and 33.8, respectively. Among health care providers, 21.8% had high emotional exhaustion, 23%, high depersonalization, and 47.5% had low personal accomplishments. The results of multiple regression tests indicated a significant relationship between gender, work experience, and place of service with burnout.
Conclusion: Some strategies such as conducting training courses, providing advisory services, and optimizing human resources management, especially for women, urban employees, and those with high work experience, are suggested to reduce burnout.
 
Key­words: Burnout, Emotional exhaustion, Depersonalization, Personal accomplishment, Primary health care providers
 
Ÿ­Citation: Zarei E, Daneshkohan A, Khodakarim S, Abbasi R. Evaluation of Burnout among Primary Health Care Providers in Markazi Province. Journal of Health Based Research 2018; 4(2): 135-45. [In Persian]
 

<sup>1. Assistant Professor, Department of Health Policy Management and Economics, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2. MSc Student of Health Service Management, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3. MSc of Health Service Management, Shariate Hospital, Tehran, Iran
*Correspondence: Shariati Hospital, North Kargar Ave, Tehran
Tel: 00982177878589                                               Email: fazli.farasat66@gmail.com</sup>        
 

^{Abstract:
Background & Objectives: Ethical values act as the most powerful factors influencing citizenship behaviors. This research was conducted to investigate the relationship between ethical climate and organizational citizenship behavior in nurses of hospitals affiliated to Shahid Beheshti University of Medical Sciences.
Methods: This descriptive-analytical study was performed on 307 nurses selected through random sampling in 2016. Data gathering tools were two questionnaires of ethical climate and organizational citizenship behavior. Data analysis was done through SPSS20 and using descriptive statistics, t-test, One- Way ANOVA, correlation and multiple regression tests.
Results: Mean scores of ethical climate and citizenship behavior were respectively 3.51 ±0.55 and 3.49 ± 0.45 that reflects the favorable view of nurses towards ethical climate and citizenship behavior. Head nurses had the highest mean scores in the dimensions of ethical climate. Among the dimensions of citizenship behavior, the dimension of conscience gained the highest mean score among nurses. There was a significant relationship between employment status and ethical climate (P<0.001) and also a positive and significant correlation between ethical climate and citizenship behavior (P<.0.001).
Conclusion: Promotion of ethical climate enables nurses to respond better to ethical stress, to adapt to other causes of workplace dissatisfaction and consequently showing citizenship behaviors. Some meetings are required to be held in order to improve the relationship between physicians and nurses, to create alignment and understanding among staff and consequently to improve citizen behaviors.
 
 
Key­words: Ethical climate, Organizational citizenship behavior, Nurses, Teaching hospital
 
­Citation: Zarei E, Damiri S, Bagheri A, Fazli Ouchhesar F. The Relationship between Ethical Climate and Organizational Citizenship Behavior of Nurses in Selected Hospitals Affiliated to Shahid Beheshti University of Medical Sciences. Journal of Health Based Research 2019; 5(2): 175-186. [In Persian]}

 

The Relationship of Quality of Services Provided to Type 2 Diabetic Patients with Self- assessment in Comprehensive Health Service Centers

 
Daneshkohan Abbas¹, Zarei Ehsan¹, Sadegh Tabrizi Jafar², Ranjbar Fatemeh^3*

<sup>1. Assistant Professor, Department of Health Management, Policy and Economics, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2. Professor, Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz Health Services Management Research Center, Tabriz, Iran
3. MSc in Health Service Management, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
* Corresponding Author: Fatemeh Ranjbar
Address: Shahid Beheshti University of Medical Sciences, School of Public Health, Chamran Shahid Highway, St. Yemen, Tehran, Iran
Tel: 00982122432040                                             Email: fatemeh_ranjbar@sbmu.ac.ir</sup>

Abstract:
Background & Objectives: Ensuring high quality care for diabetic patients is a challenge for healthcare systems throughout the world. The aim of this study was to evaluate the relationship of quality of services provided to type 2 diabetic patients with self- assessment in comprehensive health service centers.
Methods: This descriptive-analytic cross-sectional study was conducted on 203 patients with type 2 diabetes referred to ten comprehensive health service centers of south Tehran/ Iran in 2018 selected through convenience sampling method. Data collection tool was a questionnaire for comprehensive assessment of quality of health services. Data were analyzed through SPSS22 and using t-test, ANOVA and logistic regression statistical tests.
Results: From the perspective of patients, mean score of quality of services was 7.47. Among different health services, the highest mean score of quality was related to trust and continuity of service while, support and prevention gained the lowest mean score of quality. There was a significant statistical relationship between the quality of service and self-assessment of diabetes control in the past 12 months (P= 0.007). Also, a significant relationship was found between the quality of service and diabetes complication (P = 0.04). With each unit increase of the quality of service, the odds of a standard visit increased by 27% (P = 0.013). 
Conclusion: Design and implementation of interventions in order to increase the social support of patients and sharing their experiences with each other as well as improving the dimensions of prevention and safety in care are essential.
 
Key­words: Service quality, Type 2 diabetes, Comprehensive health service centers, Importance, Performance
 
­Citation: Daneshkohan A, Zarei E, Sadegh Tabrizi J, Ranjbar F. The Relationship of Quality of Services Provided to Type 2 Diabetic Patients with Self- assessment in Comprehensive Health Service Centers. Journal of Health Based Research 2019; 5(2): 187-201. [In Persian]

The Effect of Education Based on Health Belief Model on Health-Promotion Behaviors in Middle-Aged Women
 
Fahimi Hesari Fateme¹, Zendetalab Hamidreza^2*, Zare Masoud³, 
Behnam Vashani Hamidreza⁴ 
 

2. Lecturer, Department of Community Health, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3. Lecturer, Department of Community Health, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
4. Lecturer, Department of Pediatrics, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
*Correspondind Author: Hamidreza Zendetalab
Address: Faculty of Nursing and Midwifery, Ibn Sina St, Doctora Crossroad, Daneshgah St, Mashhad, Khorasan Razavi, Iran
Tel: 00985138591511                                               Email: zendetalabhr@mums.ac.ir
Abstract:
Background & Objectives: Creating and developing health-promoting behaviors in middle-aged women has a potential impact on promoting their health and quality of life. Therefore, it is necessary to design appropriate educational interventions in this group. The objective of this study was to determine the effect of education based on health belief model on health-promotion behaviors in middle-aged women.
Methods: This descriptive-analytical study was performed as an intervention in 2019 on 64 middle-aged women referring to two comprehensive health services centers in Mashhad. Data collection tools were a standard questionnaire of health-promotion behaviors and a researcher-made questionnaire based on the health belief model that was completed before and after training in two intervention and control groups. Independent t-test, paired t-test and Mann-Whitney U test were used.
Results: Before the intervention, the two control and intervention groups were identical in terms of the mean overall score of health-promotion behaviors, however, one month after the intervention, the mean overall score of health-promotion behaviors and its dimensions in the intervention group was significantly higher than that in the control group.
Conclusion: Education based on the health belief model can improve health-promotion behaviors. Thus, it is necessary for health care providers in health centers to be trained on using models of behavior change.
 
Key­words: Health Belief Model, Health-Promotion Behaviors, Middle-Aged Women, Education
­Citation: Fahimi Hesari F, Zendetalab H, Zare M, Behnam Vashani H.  The Effect of Education Based on Health Belief Model on Health-Promotion Behaviors in Middle-Aged Women. Journal of Health Based Research 2020; 6(1): 83-98. [In Persian]