The Effects of Occupational Stress on Personnel’s Quality of Life and Desire to Continue Serving in Emergency Operation Center

Introduction: The Emergency Operation Center (EOC) is a prehospital community-based health management system that its main capital are its employees. However, occupational stress in personnel have negative effect on their quality of life and can lead to leaving the occupation. The aim of this study was to evaluate occupational stress and its effect on quality of life and desire to continue serving in personnel of Emergency Operation Center in Kerman. Methods: In this descriptive-analytical study, 200 personnel of Emergency Operation Center in Kerman in 2013 were included using stratified sampling method. The data was gathered using questionnaires HSE and WHOQOL BREF and analyzed by using chi-square test, Pearson correlation coefficient, and linear regression. Results: The results show that level of occupational stress in 49.3% of personnel was moderate and the quality of life in 52.9% of them was high. It was also found that the score of desire to continue serving in personnel was 4.15%. Therefore, there was reverse relationship between quality of life and occupational stress but direct relationship between quality of life and desire to continue serving in Emergency Operation Center. Conclusion: The results of this study showed that reducing occupational stress can increase the personnel’s quality of life and consequently the desire to continue serving in Emergency Operation Center. The main stressors in personnel is how administrators support them and make changes in the organization; therefore, it is recommended to managers to more support the personnel for reducing stress in them. Key¬words: Occupational Stress, Quality of Life, Desire to Continue Serving, Emergency Operation Center Citation: Sharifi T, Sepehrian R, Namdari M. The Effects of Occupational Stress on Personnel’s Quality of Life and Desire to Continue Serving in Emergency Operation Center. Journal of Health Based Research 2016; 2(1): 93-104

Causes of Surgery Cancellation in Iran: A Systematic Review

Background: Cancellation of surgical procedures is one of the biggest challenges in hospitals throughout the world and it is important as it increases patients' stress, expenses and wastage of time, and prolongs the duration of hospitalization of patients. The aim of this study was to review literature related to reasons of surgery cancellation in Iran. Methods: This systematic review was conducted from March to Sep. 2014. The keywords including cancellation, delay, postpone, cancelled surgery, surgery operation and Iran were searched in international search engines including Pubmed, Scopus, ProQust and Google scholar and Persian indexing websites of SID, Magiran and Iranmedex. All articles related to cancelled operations in Iran, written in English or Persian (from Jan 1, 2004 until Sep 31, 2014) were collected. Then, those articles which contained any of the selected keywords in their titles or abstracts were compiled, and others were excluded. At last, a check list including title of article, time and location of study, sample size and location and cancellation cause was designed for final assessment. Results: A total of 646 records were found in 7 selected databases of which 13 articles met the criteria for inclusion in this study. The main cases of surgery cancellation were related to operating room and hospital, anesthesia, patient's non-clinical problems, the surgeon and clinical problems. Conclusions: Adoption of strategies for on-time initiation of surgical procedures, identification of patients' underlying problems and the appropriate process of hospital admission can be effective in reducing the rate of cancelled operations

Challenges of Charity Hospitals in Tehran: Evidence of Private Sector Participation in the Provision of Health Care

Background & Objectives: Charity hospitals with increasing public participation in the provision of health services could play an important role in assisting government for providing health care and promoting society health. Since most deprived people use the services of these hospitals, paying attention to these organizations and their management can help improve the quality and equality of health services distribution. Thus, this study aimed to explore the challenges of management of charity hospitals in Tehran province and provide solutions for these challenges in 2017. Methods: This qualitative phenomenological study was conducted in 2017. Data were collected through semi-structure interviews with 26 participants from various organizations including top and middle hospital managers, experts from Vice-chancellor in treatment affairs of Universities of Medical Sciences in Tehran, and the Endowments and Charity Affairs Organizations. Snowball sampling method was used to select the respondents. Data were analyzed using a thematic analysis method. Results: The challenges of charity hospitals could be categorized into 5 main codes including financial resources, human resources, physical and structural resources, management, and cultural challenges, and 13 sub codes. Conclusion: Endowment selling and creating endowment funds in charity hospitals to develop sustainable financial resources, supervision of Ministry of Health (MOH) and Universities of Medical Sciences (UMS) for teaching, quality improvement, development of human resources, reconciliation with the goals of the health system, participation in macro policy making and planning, development of structural standards for the management of these hospitals and their announcement by the MOH, are the main solutions for these challenges. Key¬words: Charity hospitals, Qualitative study, Challenges, Tehran Citation: Jaafaripooyan E, Javadi Ghale E, Arab M, Sharifi T. Challenges of Charity Hospitals in Tehran: Evidence of Private Sector Participation in the Provision of Health Care. Journal of Health Based Research 2018; 3(4): 323-37

Health Care Financing for the Victims of Traffic Accidents in Iran; Challenges and Solutions

Background: Traffic accidents are the first cause of death in Iran and due to its necessity in the fourth and fifth Socio-Economic Development plan, two laws (articles No. 92 and 37) were passed to provide immediate and free service to traffic victims. The current study was designed to explore the challenges and complexities related to health care financing for this victims and to provide solutions. Method: In this applied research, the qualitative phenomenological approach was used. All interviews were conducted in 2013 by semi-structured questions with 36 people including the managers at the Ministry of Health, Medical Sciences Universities, trauma specialized hospitals and basic insurances. Sampling was done using snowball, targeted and quota techniques. Data analysis was done using framework method and through Atlas Ti 5.2 software. Results: As a result of qualitative analysis, 3 main themes, 14 codes and 4 sub- codes were identified. The main challenges of health care financing for victims of traffic accidents included challenges of financial integration, accumulation, distribution of financial resources and service purchasing. Conclusions: Creating a process to collect more appropriate resources for article No. 92 at the Ministry of Health, compiling a services package and applying strong monitoring to improve the quality of services were found as mechanisms that can be used to obtain sustainable financing and quality in providing services to victims of traffic accidents. Keywords: Financing, Victims of traffic accidents, Health Car

The Effects of Occupational Stress on Personnel’s Quality of Life and Desire to Continue Serving in Emergency Operation Center

Introduction: The Emergency Operation Center (EOC) is a prehospital community-based health management system that its main capital are its employees. However, occupational stress in personnel have negative effect on their quality of life and can lead to leaving the occupation. The aim of this study was to evaluate occupational stress and its effect on quality of life and desire to continue serving in personnel of Emergency Operation Center in Kerman. Methods: In this descriptive-analytical study, 200 personnel of Emergency Operation Center in Kerman in 2013 were included using stratified sampling method. The data was gathered using questionnaires HSE and WHOQOL BREF and analyzed by using chi-square test, Pearson correlation coefficient, and linear regression. Results: The results show that level of occupational stress in 49.3% of personnel was moderate and the quality of life in 52.9% of them was high. It was also found that the score of desire to continue serving in personnel was 4.15%. Therefore, there was reverse relationship between quality of life and occupational stress but direct relationship between quality of life and desire to continue serving in Emergency Operation Center. Conclusion: The results of this study showed that reducing occupational stress can increase the personnel’s quality of life and consequently the desire to continue serving in Emergency Operation Center. The main stressors in personnel is how administrators support them and make changes in the organization; therefore, it is recommended to managers to more support the personnel for reducing stress in them. Key­words: Occupational Stress, Quality of Life, Desire to Continue Serving, Emergency Operation Center Citation: Sharifi T, Sepehrian R, Namdari M. The Effects of Occupational Stress on Personnel’s Quality of Life and Desire to Continue Serving in Emergency Operation Center. Journal of Health Based Research 2016; 2(1): 93-104

Challenges of Charity Hospitals in Tehran: Evidence of Private Sector Participation in the Provision of Health Care

Background & Objectives: Charity hospitals with increasing public participation in the provision of health services could play an important role in assisting government for providing health care and promoting society health. Since most deprived people use the services of these hospitals, paying attention to these organizations and their management can help improve the quality and equality of health services distribution. Thus, this study aimed to explore the challenges of management of charity hospitals in Tehran province and provide solutions for these challenges in 2017. Methods: This qualitative phenomenological study was conducted in 2017. Data were collected through semi-structure interviews with 26 participants from various organizations including top and middle hospital managers, experts from Vice-chancellor in treatment affairs of Universities of Medical Sciences in Tehran, and the Endowments and Charity Affairs Organizations. Snowball sampling method was used to select the respondents. Data were analyzed using a thematic analysis method. Results: The challenges of charity hospitals could be categorized into 5 main codes including financial resources, human resources, physical and structural resources, management, and cultural challenges, and 13 sub codes. Conclusion: Endowment selling and creating endowment funds in charity hospitals to develop sustainable financial resources, supervision of Ministry of Health (MOH) and Universities of Medical Sciences (UMS) for teaching, quality improvement, development of human resources, reconciliation with the goals of the health system, participation in macro policy making and planning, development of structural standards for the management of these hospitals and their announcement by the MOH, are the main solutions for these challenges. Keywords: Charity hospitals, Qualitative study, Challenges, Tehran Citation: Jaafaripooyan E, Javadi Ghale E, Arab M, Sharifi T. Challenges of Charity Hospitals in Tehran: Evidence of Private Sector Participation in the Provision of Health Care. Journal of Health Based Research 2018; 3(4): 323-37

Exploring the Relationship between the Students\' Futuristic Skill Competence and the Quality of Students\' Learning Experiences

Introduction: Future research is an interdisciplinary study that can influence all sciences. Students are Future human resources for health systems; whose futures research ability can be improved through education over the years. The purpose of this study is to determine the relationship between future research ability and quality of learning experiences of medical students of Mashhad in 2018. Methods: In this descriptive correlational study, the research population was all students of Mashhad University of Medical Sciences, 370 of whom were selected through two-stage stratified random sampling. Data collection tools included validity and reliability questionnaires of Parsa et al.'s future research ability and Neumann's quality of learning experiences. Data were analyzed using one-way ANOVA, multiple regression and Spearman correlation tests. Results: Students' future research ability was slightly higher than average (138.5±24.5) and Mean quality of learning experiences was moderate (34.2±7.1). There was a direct and significant correlation between the dimensions of futuristic ability and the dimensions of the quality of learning experiences that the severity of this relationship was weak (p0). Conclusion: Given the weak relationship between students' futuristic skill and the quality of their learning experiences, there are likely to be stronger factors that can predict or enhance students' futuristic skill. Therefore, more studies are recommended to identify the factors affecting it in higher education as a human resources producer to achieve optimal development and future

The Rate of Occupational Hazards and the Effective Factors in Nurses of Selected Hospitals of Kerman in 2011

Background: Occupational hazards are one of the most important issues in developing countries. Meanwhile, hospitals are the most risky health provision centers, and nursing is one of the stressful jobs. Therefore, the present study aimed to study occupational hazards and their influential factors among nurses. Methods: This cross-sectional study was carried out in Sirjan and Baft hospitals in 2011. Two hundred nurses were included in this study using stratified random sampling. A questionnaire was used for data collection. Data analysis was conducted through SPSS 19 software and using chi-square test, Fisher’s Exact test and descriptive statistics. Results: The frequency of awareness and observing safety measures were respectively 98.5% and 86.0%. The Staff perception of safety was 99.5%. The rates of incurred physical and mental injuries to nurses were respectively 95.0% and 88.6%. The rate of physical invasion to the personnel was zero. There was a significant relationship between somatic injuries and variables of gender, education, working years and hospital. Also, a significant relationship was observed between the rate of awareness and type of employment. The awareness of nurses in emergency wards was less than others and the most mental injuries were seen among nurses working in CCU (100%) and emergency wards (94.1%). Conclusion: The results of the present study indicate psychosomatic injuries in a high number of the personnel. Therefore, it is recommended to spend a proper budget to provide the required equipment, in order to decrease occupational hazards to nurses. Keywords: Occupational hazards, Hospital, Nurs

Relationship between Academic Motivation and Students’ Attitude towards Future Job in the Students of Torbat Heydariyeh University of Medical Sciences

Background and Objectives: Students’ interest and academic motivation is one of the most important challenges of the universities, which is highly effective in the outputs of the education systems. Different factors affect this motivation and future job is one of them. In this regard, the purpose of the current study was to determine the relationship between the academic motivation and students’ attitude towards future job in the students of Torbat Heydariyeh University of Medical Sciences in 2018.   Methods: This cross-sectional analytical study was conducted on 291 students, who were selected using stratified random sampling and entered into the study. Data were collected using valid and reliable attitude toward Future Job questionnaire as well as Harters’ Academic Motivation standard questionnaire. Data analysis was performed using SPSS version 22.   Results: Our study indicated that mean score of the attitude toward the future job score in 59.1 percent of the students was moderate and lower and the mean score of the academic motivation in 43 percent of them was moderate and higher. Moreover, according to the regression analysis results, attitude towards future job (29%) and academic grade (13%), were predictors of the students’ academic motivation.   Conclusion: Considering significant relationship between the academic motivation and student’s attitude towards future job and unfavorable level of academic motivation, necessary measures should be taken to reduce concerns about future Job in the students and consequently to increase their academic motivation