The Investigation of Cultural Factors Affecting the Sustainable Development in Yazd, Iran

Culture is the main factor and is regarded as the engine of sustainable development that without considering it, development programs would not be successful. Cultural factors play a vital role in sustainable development and sustainable development planning should be based on different cultures. Yazd in many years had considerable share in the field of cultural and religious in the country. But a glance at the current situation of the city that perhaps the cultural climate of the city has been neglected, the continuation of historical role and identity of the city, as well as improvement the lives of residents of the city without understanding the cultural factors affecting sustainable development does not seem possible. In the cultural issues, there are various indices that affect on development. In this paper, combining some of the models include the development of culture and the experiences of other countries and division of the Supreme Council of Cultural Revolution, four basic indicators with the sub- indicators for each indicator have been specified. Given the descriptive nature of the investigation, in order to collect required data and test questions the questionnaire has been used. The first part of questionnaire consisted of demographic questions. Other questions have been considered to measure the components and based on assumptions of the study. Questionnaires were distributed on the basis of statistical sampling in Yazd city. The research method is descriptive survey. The study population in our research included Yazd citizens over 18 years old with a history of more than two years residency in the city of Yazd. Based on the results of the questionnaires, the hypothesis of effectiveness of two indicators of identity and social order was accepted and effectiveness of the two indicators of involvement and cultural engagement and social capital was not approved. In the end, some strategies of urban management approach to effectiveness of affective cultural factors on sustainable development have been provided

Investigating the relationship between the implementation of the strategic plan and the performance of selected hospitals of Yazd University of Medical Sciences in 2018

Background and purpose: This research was conducted with the aim of determining the relationship between the implementation of the strategic plan and the performance of the hospital. The importance of knowing the factors affecting the implementation of the strategic plan and its identification leads to better planning and the correct implementation of the strategic planning process. Methods: The current research is a descriptive analytical research, in terms of cross-sectional time and practical results, and it was carried out in 2018. The research population is all the people who have played a role in the drafting of the strategic plan. This research has used the census, which filled the questionnaire in a high percentage of the statistical population. After collecting the data, the information was entered into the software and SPSS version 16 software was used to analyze the data. Findings: The relationship between the implementation of the strategic plan and the performance of the hospital is direct and strong. Among all parts of the strategic plan, customer management plays a more important role than other parts of the strategic plan in improving the performance of the hospital. Conclusion: In order to have optimal performance in a hospital, we need detailed strategic planning, and this plan must be implemented carefully and properly monitored so that it can bring us optimal performance

Identifying and Prioritizing Failure Factors of the Implementation of Health System Policies Using Failure Modes and Effects Analysis, Their Effects, and Analytical Hierarchy Process

Background: After the policies are formulated and approved, they are communicated to the managers for implementation. Several factors lead to the failure of health system policies. In this research, these factors have been identified and ranked. Methods: This was an applied research, and in terms of strategy, it was a survey. The research community consisted of 21 experts in the field of health in the Ministry of Health and universities of medical sciences, who were selected through random and targeted sampling. The tools of data collection were interviews and questionnaires, and to analyze data, Failure Modes and Effects Analysis (FMEA) and Analytical Hierarchy Process (AHP) were used. Results: In this research, 4 dimensions of failure factors regarding the implementation of the health system policy were identified, including governance, management, environmental and financial resources, and 23 components of the mentioned dimensions were identified. Moreover, the most important identified failure factors through AHP and FMEA were prioritized and evaluated. Conclusion: Knowledge of failure factors can help to improve the capacity of the implementation of health system policies

An analysis of factors affecting the reduction of bullying in the hospital emergency environment using structural-interpretive modeling

Background and purpose: Considering the dimensions of organizational bullying and the context of its creation in the emergency department of the hospital, the decrease in the quality of patient care and the increase in dissatisfaction with the services received and the limited research studies in this area, the research was conducted in the emergency department of a hospital of Yazd University of Medical Sciences. Materials and methods: To carry out this descriptive-analytical research, the interpretive structural modeling method was used. The experts included 30 doctors, nurses, and nurses who were either working in the emergency department of a Yazd University of Medical Sciences hospital or had experience of service in this department. From the extraction of these factors, they were returned to them for scoring, and the effects of these factors were measured from their point of view, and the final analysis was done by MATLAB software. Results: The results show that the greatest effect in reducing bullying is related to "adequate training for personnel to communicate" and "proper and courteous treatment in the face of clients" (with influence power of 5) and the least effect is related to "creating a suitable comfortable environment". and "Perform appropriate triage" (with penetration power of 1). Conclusion: Considering the destructive effects of bullying, creating appropriate mechanisms to reduce this phenomenon shown in this research and using the factors identified by the people involved in bullying can prevent this phenomenon, which occurs frequently in the emergency room of the hospital