in the Selected Teaching Hospitals Affiliated with Shahid Sadoughi University of Medical Sciences, Yazd

The Relationship between Spiritual Leadership and Employee Involvement in the Selected Teaching Hospitals Affiliated with Shahid Sadoughi University of Medical Sciences, Yazd Milad Shafii1, Alireza Dehghan Muriabadi2, Roohollah Askari1, Khatere Khanjankhani3* 1- Assistant Professor, Department of Health Services Management, School of Public Health , Shahid Sadoughi University of Medical Sciences , Yazd , Iran 2- BSc, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 3- MSc, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran *Correspondence: Shahid Sadoughi University of Medical Sciences Campus, Shohada-e-Gomnam Boulevard, Professor Hesabi Boulevard. Yazd, Iran. Tel: 0353820910 Email: [email protected] Abstract: Introduction: Organizational and social changes have made organizations to adapt to the environment. Spiritual leadership and job involvement have significant role in these changes. The aim of this study was to investigate the relationship between spiritual leadership and employee involvement in the selected teaching hospitals affiliated with Shahid Sadoughi University of Medical Sciences, Yazd. Methods: This descriptive-analytical study was conducted on 236 administrative and clinical staff who were selected using stratified random sampling in selected teaching hospitals affiliated with Shahid Sadoughi University of Medical Sciences, Yazd. Data were collected using valid and reliable questionnaires consisting of spiritual leadership and job involvement. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (t-test, Mann-Whitney test, ANOVA, and Kruskal-Wallis test) by SPSS 17. Results: The average score of spiritual leadership in hospital A and B were 2.51 and 2.55, respectively. The average scores of job involvement in the hospitals was 2.55. The level of variables in both hospitals were intermediate. There was a direct relationship between spiritual leadership and job involvement (P=0.00); in other words, improvement of the spiritual leadership level increased employee involvement. Conclusion: Managers of the organizations involved in healthcare in addition to focusing on various aspects of spiritual leadership, should strengthen the sense of job security in employees in order to improve employees work commitment and job involvement. Key¬words: Job Involvement, Spiritual Leadership, Teaching Hospitals, Administrative Staff, Clinical Staff. ¬Citation: Shafii M, Dehghan Muriabadi A, Askari R, Khanjankhani K. The Relationship between Spiritual Leadership and Employee Involvement in the Selected Teaching Hospitals Affiliated with Shahid Sadoughi University of Medical Sciences, Yazd. Journal of Health Based Research 2016; 2(3): 249-258

Effect of Geometry and Fluid Viscosity on Dynamics of Fluid-Filled Cracks: Insights From Analog Experimental Observations

Fluid-filled volumes in geological systems can change the local stress field in the host rock and may induce brittle deformation as well as crack propagation. Although the mechanisms relating fluid pressure perturbations and seismicity have been widely studied, the fluid-solid interaction inside the crack of a host rock is still not well understood. An analog experimental model of fluid intrusion in cracks between planar layers has been developed to study stress conditions at the margins and tips. A combined high-speed shadowgraph and a photoelasticity imaging system is used to visualize the fluid dynamics and induced stresses on the solid matrix. Cavitation, as well as bubble growth and collapse, occurs along the sawtooth crack margins, which produces a highly localized stress concentration to initiate new subcrack systems. The presence of the bubbles at the crack tip during fluid pressure perturbation can enhance crack propagation

Developing and validating a checklist for assessing the performance of air ambulance services

Objective: The purpose of this study was to develop a checklist for assessing the performance of air ambulance services. Method: This is a qualitative study. The first phase involved a review of existing documentation about air emergency standards to create a checklist of the most critical factors and components affecting the performance of air ambulance services. The second phase required experts to complete a performance evaluation checklist from the previous phase. The third phase utilized the Delphi technique to validate the performance evaluation checklist for air ambulance services. The experts in this study were 24 pundits with a vested interest in the subject. Results: A total of 31 items exist in the area of helipad-related facilities, 17 items in the area of process requirements for medical centers with helicopter landing areas, 15 items in the category of human resources for air ambulances, 10 items in the category of human resources for receiving or delivering patients from air ambulances to medical centers, 27 items in the area of base equipment, 17 items in the area of helicopter equipment, and requirements, 14 items in the category of technical, communication, and safety equipment for use inside the helicopter, 1o items dealing with time standards, 11 items dealing with road and urban base requirements for air ambulance operations. Experts approved two items in the area of utilizing other rescue and law enforcement agencies to assist and cooperate with air emergency flights and two items in the area of comfort for conscious patients to alleviate stress during flight. Conclusion: A performance evaluation checklist is an effective tool for evaluating the quantity and quality of emergency helicopter services provided and measuring their performance

Evaluation of Various Data Acquisition Scenarios for the Retrieval of Seismic Body Waves from Ambient Noise Seismic Interferometry Technique via Numerical Modeling

Seismic interferometry is often proposed as a cost-efficient technique for reservoir monitoring including CO2 sequestration due to its low cost and environmental advantages over active source imaging. Although many studies have demonstrated the ability of seismic interferometry to retrieve surface waves, body wave imaging remains challenging due to their generally lower amplitudes of body waves in seismic interferometry data. An optimum data acquisition strategy can help retrieve low amplitude body waves better, however, rare attempts have been made to evaluate various data acquisition strategies. In this study, we use numerical modeling to examine three different acquisition schemes to evaluate the retrievability of P waves from seismic interferometry data. From our numerical results, we observe that (1) positing receivers beneath the attenuated weathered layer improves the data quality and signal to noise ratio, but additional processing steps including predictive deconvolution and Radom transform filter are necessary to remove the downgoing surface multiples, artifacts that are generated from this data acquisition; (2) vertical seismic profiling (VSP) alongside with the conventional surface seismic acquisition improve the target zone detection; and (3) crosswell acquisition of seismic interferometry is an ineffective means to obtain reflection events due to the non-similarity of ray paths from the noise sources meaning that the required stationary phase theory is not fulfilled

میزان رضایتمندی گیرندگان خدمت از مراکز مدیریت حوادث و فوریت های پزشکی شهرهای یزد و بیرجند؛ یک مطالعه مقطعی

Introduction: The satisfaction rate of patients is a valuable tool for evaluating the quality of providing health care and gives important data regarding the expectations of patients and the degree to which they are being met. Considering the importance emergency medical service (EMS) centers in providing proper care, this study was carried out aiming to evaluate the satisfaction rate of those receiving services from EMS centers of Yazd and Birjand. Methods: The present cross-sectional study was carried out on 150 of EMS recipients registered on the list of EMS centers of Yazd and Birjand in 2012. Systematic sampling was used and required data were gathered using the standard questionnaire of satisfaction for EMS center recipients that consisted of 2 parts; demographic data and 16 questions regarding satisfaction of recipients. Data were analyzed using SPSS 18 and descriptive tests. Results: 150 participants were studied (56.7% male). The most common reason for calling was trauma due to motor vehicle accidents (32%) in Yazd and weakness and nervous system diseases (18%) in Birjand. 10% of the participants in Yazd province had low satisfaction, 39% had intermediate, and 51% had high satisfaction. In Birjand satisfaction rate was intermediate in 16% and high in 84% of those studied in Birjand. The highest satisfaction rate in Yazd was regarding cooperation of emergencies center with the patient and their manners in facing them. The lowest satisfaction rate belonged to following the condition of the patient until the arrival of ambulance and the waiting time for ambulance arrival. In Birjand, the lowest satisfaction rate belonged to the quality and existence of equipment in the emergency team. Conclusion: The results of the present study showed that satisfaction level of EMS recipients in Yazd and Birjand was intermediate. The lowest satisfaction rate belonged to following the condition of the patient until the arrival of ambulance and the waiting time for ambulance arrival in Yazd, and the quality of equipment in Birjand. مقدمه: میزان رضايتمندي بيماران ابزار سنجش مهمي براي ارزیابی كيفيت ارائه خدمات بهداشتي درماني است و اطلاعات مهمي راجع به انتظارات بيماران و ميزان برآورده شدن آنها فراهم مي كند. با توجه به اهمیت و جایگاه مهم مراکز مدیریت حوادث و فوریت های پزشکی و ارائه موثر خدمات از سوی آنها، این مطالعه با هدف بررسی میزان رضایتمندی گیرندگان خدمات از مرکز مدیریت حوادث و فوریت های پزشکی در شهرستان های یزد و بیرجند انجام پذیرفته است. روش کار: مطالعه مقطعی حاضر در سال 1391 بر روی 150 نفر از گیرندگان خدمت موجود در لیست مرکز مدیریت حوادث و فوریت های پزشکی شهر های بیرجند و یزد انجام پذیرفت. نمونه گیری به صورت سیستماتیک و اطلاعات مورد نیاز توسط پرسشنامه استاندارد رضایتمندی گیرندگان خدمات از مرکز مدیریت حوادث و فوریت های پزشکی که شامل دو قسمت؛ مشخصات دموگرافیک و 16 سؤال مربوط به رضایتمندی گیرندگان خدمت بود، جمع آوری گردید. داده ها با استفاده از نرم افزار SPSS 18 و آزمون های توصیفی مورد تجزیه و تحلیل قرار گرفتند. يافته ها: 150 نفر مورد مطالعه قرار گرفتند (7/56 درصد مرد). شایعترین دلیل برقراری تماس در شهر یزد، ترومای ناشی از تصادفات رانندگی (32درصد) و در شهر بیرجند ضعف و بیحالی و بیماری عصبی (18درصد) بود. 10 درصد از پاسخگویان در استان یزد رضایتمندی کم، 39 درصد رضایتمندی متوسط و 51 درصد رضایتمندی مطلوبی داشتند. به همین ترتیب 16 درصد از پاسخگویان در شهر بیرجند رضایتمندی متوسط و 84 درصد رضایتمندی مطلوب داشتند. بالاترین میزان رضایتمندی در استان یزد از همکاری مرکز فوریت ها با بیمار و رفتار پرسنل با بیمار بود. همچنین کمترین میزان رضایتمندی نیز متعلق به پیگیری وضعیت بیمار تا رسیدن آمبولانس و زمان انتظار بیمار تا رسیدن آمبولانس بود. در شهر بیرجند نیز کمترین میزان رضایتمندی مربوط به کیفیت امکانات و تجهیزات تیم اورژانس بود. نتيجه گيری: نتایج حاصل از این مطالعه نشان داد که میزان رضایتمندی گیرندگان خدمات از مراکز مدیریت حوادث و فوریت های پزشکی، در شهر یزد و بیرجند در سطح متوسطی بوده است. کمترین میزان رضایتمندی از خدمات مرکز مدیریت حوادث و فوریت های پزشکی در شهر یزد مربوط به حیطه پیگیری وضعیت بیمار تا رسیدن اورژانس و نیز زمان انتظار بیمار تا رسیدن آمبولانس و در شهر بیرجند مربوط به کیفیت امکانات و تجهیزات بود

Investigating medical tourism development indicators in Yazd Reproductive Sciences Institute: A cross-sectional study

Background: Paying special attention to the development indicators of medical tourism (MT) can lead to the further development of this industry and tourists’ satisfaction. Objective: This study aimed to investigate MT development indicators in Yazd Reproductive Sciences Research Institute, Yazd, Iran in 2021. Materials and Methods: In this cross-sectional study, 430 medical tourists referred to the Yazd Reproductive Sciences Institute, Yazd, Iran in 2021 were studied. A researcher-made questionnaire with 46 questions and 10 dimensions was used in both internal and external environments to collect data. The Spearman correlation coefficient was also used to assess the correlation between the quantitative factors. Results: The reliability and validity of the scale were confirmed. The mean ± SD of the advertising and marketing index scored was lower than the other internal environmental indices (15.05 ± 2.16). Also, the economic factors and tourism infrastructure were lower than the other external environmental factors (9.8 ± 1.99, 8.53 ± 2.11, respectively). Conclusion: Given the importance of MT, top managers and relevant authorities should pay close attention to the criteria of advertising, marketing, and tourism infrastructure. MT demand can be improved by increasing the importance of advertising, implementing realistic advertising strategies, and developing adequate urban infrastructure and services. Key words: Medical tourism, Infertility, Advertising, Marketing, Indicators, Reagents

Relationship between organizational intelligence and performance indicators of teaching hospitals: a case study in Iran

Background: One of the greatest managerial challenges is how to generate  intelligent organizations that can quickly adopt themselves according to environmental changes to guarantee their success and survival in a turbulent external environment.Objectives: Study objective was to assess the relationship between organizational intelligence and performance indicators of teaching hospitals affiliated by Shahid Sadoughi University of Medical Sciences (YUMS) in 2015.Design: This was a descriptive, cross-sectional study conducted in three teaching hospitals affiliated by YUMS in 2015. Data were collected using a standard questionnaire developed by Albrecht and analyzed by SPSS 16 using descriptive and correlation statistical tests.Setting of the study: Hospitals affiliated by Shahid Sadoughi University of Medical Sciences in Yazd, Iran.Subjects/ participants: A sample of 300 personnel working in under study hospitals who’ve been selected through stratified random sampling method.Results: Results confirmed that scores of organizational intelligence in understudy hospitals were in the optimum status. Conditions of three performance indicators including average length of stay, bed turnover and bed occupancy rate were analyzed to be appropriate. A significant statistical correlation between organizational intelligence and bed occupancy rate, total number of admitted and discharged patients and finally number of patients’ death was seen (p<0.05).Conclusion: Having an appropriate plan or decision strategies to strengthen organizational intelligence can play an effective role in hospital performance improvement

Thermal conduction simulation based on reconstruction digital rocks with respect to fractures

Effective thermal conductivity (ETC), as a necessary parameter in the thermal properties of rock, is affected by the pore structure and the thermal conduction conditions. To evaluate the effect of fractures and saturated fluids on sandstone’s thermal conductivity, we simulated thermal conduction along three orthogonal (X, Y, and Z) directions under air- and water-saturated conditions on reconstructed digital rocks with different fractures. The results show that the temperature distribution is separated by the fracture. The significant difference between the thermal conductivities of solid and fluid is the primary factor influencing the temperature distribution, and the thermal conduction mainly depends on the solid phase. A nonlinear reduction of ETC is observed with increasing fracture length and angle. Only when the values of the fracture length and angle are large, a negative effect of fracture aperture on the ETC is apparent. Based on the partial least squares (PLS) regression method, the fluid thermal conductivity shows the greatest positive influence on the ETC value. The fracture length and angle are two other factors significantly influencing the ETC, while the impact of fracture aperture may be ignored. We obtained a predictive equation of ETC which considers the related parameters of digital rocks, including the fracture length, fracture aperture, angle between the fracture and the heat flux direction, porosity, and the thermal conductivity of saturated fluid

Explaining the Challenges of the Iranian Health System in Fighting the Covid-19 Pandemic: a qualitative study

Introduction: The covid-19 pandemic has become a global threat for the general public and health care workers and it has created major challenges for all healthcare sectors. The challenges created by this disease can vary in different countries depending on cultural, social, and economic factors. To explain the challenges of the Iranian health system in fighting the covid-19 pandemic from the managers’ and executive authorities’ viewpoints. Methods The present study is a basic-applied research performed using a qualitative approach. It has studied 30 managers of the hospitals and medical centers’ managers, and deputies of the Ministry of Health, and the universities of medical sciences which were selected by purposive and snowball sampling with the maximum variety in March-September 2020. Data collection was done through semi-structured interviews and content analysis was used to explain the challenges of the Iranian health system in fighting the covid-19 pandemic (2020). Results Most of the interviewees (87%) had a Ph.D. degree (34%), and 40% of the participants were graduated in management and health economy and policymaking fields. Analysis and synthesis of the data collected from the interviews led to the creation of 19 sub-themes and 12 main themes classified into four general scopes including the organizational factors, resources, management factors, and other factors. Conclusion Identifying the mentioned challenges can provide useful information for the managers and policymakers to develop appropriate plans and take the necessary measures for resolving the challenges and using the available resources to provide the most effective services

echnical efficiency of teaching hospitals in Iran: the use of Stochastic Frontier Analysis, 1999–2011

Background: Hospitals are highly resource-dependent settings, which spend a large proportion of healthcare financial resources. The analysis of hospital efficiency can provide insight into how scarce resources are used to create health values. This study examines the Technical Efficiency (TE) of 12 teaching hospitals affiliated with Tehran University of Medical Sciences (TUMS) between 1999 and 2011. Methods: The Stochastic Frontier Analysis (SFA) method was applied to estimate the efficiency of TUMS hospitals. A best function, referred to as output and input parameters, was calculated for the hospitals. Number of medical doctors, nurses, and other personnel, active beds, and outpatient admissions were considered as the input variables and number of inpatient admissions as an output variable. Results: The mean level of TE was 59% (ranging from 22 to 81%). During the study period the efficiency increased from 61 to 71%. Outpatient admission, other personnel and medical doctors significantly and positively affected the production ( P < 0.05). Concerning the Constant Return to Scale (CRS), an optimal production scale was found, implying that the productions of the hospitals were approximately constant. Conclusion: Findings of this study show a remarkable waste of resources in the TUMS hospital during the decade considered. This warrants policy-makers and top management in TUMS to consider steps to improve the financial management of the university hospitals