Dr Behrooz Rezaei,  BSN, MSHE, PhD  -  Falavarjan Branch,Islamic Azad University, Isfahan, Iran -  Assistant Professor of Healthcare Services Management

Dr Behrooz Rezaei

BSN, MSHE, PhD

Falavarjan Branch,Islamic Azad University, Isfahan, Iran

Assistant Professor of Healthcare Services Management

Isfahan | Iran (Islamic Republic of)

Main Specialties: Nursing, Other, Public Health

Additional Specialties: Healthcare Services Management

ORCID logohttps://orcid.org/0000-0002-4236-2486

Dr Behrooz Rezaei,  BSN, MSHE, PhD  -  Falavarjan Branch,Islamic Azad University, Isfahan, Iran -  Assistant Professor of Healthcare Services Management

Dr Behrooz Rezaei

BSN, MSHE, PhD

Introduction

Dr Behrooz Rezaei is currently a Assistant Professor Islamic Azad University (IAU), Falavarjan Branch, Isfahan, Iran. He has published more than 30 articles in academic journals and congresses. His teaching and research background stems from Health Services Management, Health Education and Nursing management. His current research interests are Human Resources Management in Health, Professional Development, Primary Health Services, and Management and Education in Nursing.

Primary Affiliation: Falavarjan Branch,Islamic Azad University, Isfahan, Iran - Isfahan , Iran (Islamic Republic of)

Specialties:

Additional Specialties:

Research Interests:

Education

Aug 2003 - Feb 2008
Islamic Azad University, Science and Research Branch, Tehran, Iran
PhD
Health Services Management
Aug 1997 - Feb 1999
Tarbiat Modares University, Tehran, Iran
MS
Health Education
Feb 1988 - Jan 1992
Isfahan University of Medical Sciences, Isfahan, Iran
BS
Nursing

Experience

Aug 2001 - Sep 2011
Top professor in Islamic Azad University, Falavarjan Branch
Professor (Assistant)
2011

Publications

21Publications

5Reads

15Profile Views

28PubMed Central Citations

Health-promoting behaviours of Iranian nurses and its relationship with some occupational factors: A cross sectional study.

J Nurs Manag 2018 Sep 15;26(6):717-725. Epub 2018 Feb 15.

Nursing & Midwifery Faculty, Falavarjan Branch, Islamic Azad University, Isfahan, Iran.

Aim: To assess the prevalence of health-promoting behaviours (HPBs) and their associations with some occupational factors among nurses.

Background: Health-promoting behaviours are significant indicators of health status. Nurses' HPBs may have a direct impact on patients' care and safety.

Methods: A descriptive, questionnaire design was conducted among nursing staff (n = 136) in a district hospital in Iran during 2015. Data was collected using a two-part questionnaire, which included the Health Promoting Lifestyle Profile II. Data was analysed using the Pearson correlation coefficient, and independent t and ANOVA tests (? = .05).

Results: The stress-management and physical activity dimensions had the lowest mean score and health responsibility had the highest. The HPBs of nurses with rotating/irregular shifts, contract employment, and low income were significantly lower.

Conclusions: Nurses' HPBs should be promoted in the stress management and physical activity dimensions. In this regard, contract nurses, shift nurses, and low-income nurses are the priorities.

Implications For Nursing Management: Nurse managers should give more attention to promote nurses' HPBs especially in the areas of stress management and physical activity through implementation of healthy lifestyle programs. Nursing policy makers should give attention to permanent recruitment and improving salary as a strategy to improve nurses' HPBs.

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http://dx.doi.org/10.1111/jonm.12610DOI Listing
September 2018
5 Reads
2 Citations
2.386 Impact Factor

Relationship between organizational commitment and nurses' clinical competency

Quarterly Journal of Nursing Management. 2018; 7(1): 18-28. DOI: 10.29252/ijnv.7.1.18

Quarterly Journal of Nursing Management (2251-6611)

Abstract:

Introduction: Organizational commitment is a critical factor in achieving organizational goals, understanding organizational behavior, and is an important element in improving the quality of care. On the other hand, clinical competence of nurses affects the effectiveness and success of health care organizations.

Aim: The study was conducted to determine the relationship between organizational commitment and nurses' clinical competency.

Material & Methods: A descriptive correlational study was conducted among nurses in a hospital in Najaf Abad city, Isfahan province, 2015. In this study a total of 135 nurses were included via census method. The tools included self reported questionnaires consisting personal information inventory, organizational commitment questionnaire (including three dimensions; affective, normative and continuance commitment), and clinical competence questionnaire (in seven dimensions for assessing 73 skills), whose validity and validity were confirmed by Alpha- Chronbach that were 0.79 and 0.95 respectively. Data were analyzed using descriptive statistics (distribution tables, mean, standard deviation) and Pearson correlation coefficient test using SPSS version 17 (P <0.05).

Results: The clinical competence of nurses was good (74.42 ± 11.69) and their organizational commitment was moderate (91 ± 10.77). Overall organizational commitment had a positive correlation with clinical competence in the areas of quality assurance (r=0.256, P = 0.002) and education and guidance (r=0.176, P = 0.037). In addition, emotional commitment hada direct correlation with total clinical competence (r=0.170, P = 0.045) and dimensions of quality assurance (r=0.185, P = 0.028), education and guidance (r=0.190, P = 0.024),and diagnostic measures (r=0.205, P = 0.015).

Conclusion: According to the findings it is recommended that nurse managers apply all of the strategies that would be increase nurses' emotional commitment. Because the increasing of nurses' emotional commitment can help to quality of nursing care.

Key words: clinical competency, organizational commitment, clinical nurses, professional development

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June 2018

The Rate and Resources of Stress in Clinical Education and its Relationship with Some Characteristics of Students, Instructors and Clinical Environment

Education Strategies in Medical Sciences (ESMS). 2018; 11(2):48-56.DOI: 10.29252/edcbmj.11.02.07

Education Strategies in Medical Sciences (ESMS)

Abstract:

Aims: Nursing students experience multiple stressors in their clinical education which can reduce their clinical learning and performance. The purpose of this study was to measure stress and stressful resources in nursing students and its relation with some characteristics of students, instructors and clinical environment.

Methods: In a descriptive and cross-sectional study, a sample of 256 subjects was selected by stratified random sampling among nursing students of Islamic Azad University, Falavarjan Branch in 2016. The instrument of this study consist three questionnaires including individual information, Cohen perceived stress scale and stressful sources of clinical education questionnaire. Data were analyzed by independent t-test, ANOVA and Pearson correlation coefficient tests at a significant level of 0.05, using SPSS/21 software.

Results: The majority of students (96.1%) reported moderate and high levels of stress. Age of students had a significant positive correlation with stress level (p = 0.037). The most and least stressful sources, respectively, relate to areas of unpleasant feelings and interpersonal communication. Most stressors were related to "distressing sick patients", "cleaning the patient after stool deification", " instructor note in the presence of doctors and personnel" and "communicating with the instructor" respectively. The scores of stress-related sources had a significant negative correlation with the clinical work experience (P = 0.014) and the age of instructors (P = 0.029).

Conclusion: High levels of stress can reduce the students learning and quality of clinical education. Therefore, providing stress management training courses, especially during the internship course for the students and communication skills courses for the clinical instructors are recommended.

Keywords: Clinical Education, Stress, Nursing Education, Nursing Students, Perceived Stressors

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May 2018

Emotional work strategies of managers and job performance of nurses: a descriptive study

Quarterly Journal of Nursing Management. 2018; 6 (3):28-37. DOI: 10.29252/ijnv.6.3.4.28

Quarterly Journal of Nursing Management (2251-6611)

Abstract:

Introduction: The efficiency of a hospital in providing appropriate care services requires effective communication between managers and nursing staff. Emotional skills are an important factor in the effectiveness of leadership and organizational success of managers. Effective managerial emotional display can be effective in improving employee performance.

Aim: The purpose of this study was to determine the relationship between the emotional display of nursing managers and the performance of nursing staff. Materials and Method: A cross-sectional, descriptive, and correlational study was conducted in a teaching hospital in Tehran, 2015. The sample consisting 120 nurses and 15 nurse mangers was selected via convenience sampling method. The research instruments were the Dyndorff (2005) emotional display questionnaire and Paterson's (1990) job performance questionnaire, whose reliability was confirmed by Cronbach's alpha of 0.76 and 0.83 respectively in previous studies. Performance questionnaire was completed by staff (nurses and head nurses) and emotional display questionnaire was completed by managers (head nurses and supervisors) via self reported method. Data were analyzed by Spearman correlation coefficient using SPSS software at a significance level of 0.05.

Results: The real and deep emotional display strategies of managers were in high level (66.7%) and the performance of nursing staff was in excellent level (90%). Among emotional labor strategies only the real emotional display of managers had a positive correlation with job performance of the nursing staff (P = 0.020, r = 0.203). The emotional labor strategies of managers and the job performance of nursing staff had no significant relationship with personal characteristics (P >0.05). Conclusion: The high level of emotional labor strategies may cause emotional exhaustion and burnout in nursing mangers. So the health assessment and providing proper psychological interventions for managers are necessary. Also, emotional display strategies of nursing managers are measured in self-assessment. It raises the awareness of managers in this field, and helps them to apply effective emotional display strategies to develop staff performance.

Key words: Emotional Labor, Emotional Display Strategies, Job Performance, Nursing Managers, Hospital Nursing Staff

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February 2018

Health-promoting behaviours of Iranian nurses and its relationship with some occupational factors: A cross sectional study.

J Nurs Manag. 2018 Sep;26(6):717-725. doi: 10.1111/jonm.12610

Journal of nursing management (1365-2834)

Abstract:

Aim: To assess the prevalence of health-promoting behaviours (HPBs) and their associations with some occupational factors among nurses. Background: Health-promoting behaviours are significant indicators of health status. Nurses' HPBs may have a direct impact on patients' care and safety.

Methods: A descriptive, questionnaire design was conducted among nursing staff (n = 136) in a district hospital in Iran during 2015. Data was collected using a two-part questionnaire, which included the Health Promoting Lifestyle Profile II. Data was analysed using the Pearson correlation coefficient, and independent t and ANOVA tests (α = .05).

Results: The stress-management and physical activity dimensions had the lowest mean score and health responsibility had the highest. The HPBs of nurses with rotating/irregular shifts, contract employment, and low income were significantly lower.

Conclusions: Nurses' HPBs should be promoted in the stress management and physical activity dimensions. In this regard, contract nurses, shift nurses, and low-income nurses are the priorities.

Implications for nursing management: Nurse managers should give more attention to promote nurses' HPBs especially in the areas of stress management and physical activity through implementation of healthy lifestyle programs. Nursing policy makers should give attention to permanent recruitment and improving salary as a strategy to improve nurses' HPBs.

KEYWORDS behaviour, health promotion, hospital nursing staff, occupational health

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February 2018

2 Citations

Impact Factor 2.386

Measuring Patient Safety Culture in an University Hospital from the Viewpoint of Registered Nurses: A Descriptive Cross Sectional Study

Pharmacophore. Dec 2017; 8(6s):e-1173644. DOI: 10.5281/zenodo.3368183

Pharmacophore (An International Research Journal)

Abstract

Introduction: Creating safety culture (SC) is the most important step in guaranteeing and improving patient safety (PS) and the first step in improving PS is assessing the SC of the hospitals. The purpose of the present study was to examine the aspects of patient safety-culture and to identify its strengths and weaknesses of from the nurses' perspective.
Method: The study was descriptive cross-sectional. The sample was 214 people selected using Cochran formula and convenient sampling from among the nurses working in the largest university hospital in Kermanshah, west Iran. Hospital Survey on Patient Safety Culure (HSOPSC) and personal information inventory were used to collect data. Data were analyzed using the Mann-Whitney Test, Kruskal-Wallis Test with the help of SPSS 19 at the significance level of 0.05.
Results: The total mean of the positive response rate of SC was 48.93 ± 14.07. The organizational learning area had the highest positive rating. The SC in the areas of giving feedback to errors, the frequency of reporting events, staff-related work issues, open communication channels, and non-punitive responses to errors had less than 50% points and needed serious intervention for promotion. Moreover, during the last year, 68.5% of nurses had no reports of any errors. SC scores had no significant correlation with individual variables of the nurses.
Conclusion: Patient safety culture (PSC) does not enjoy a good status in the studied hospital from the nurses' perspectives and needs planning and interventions of the hospital management for improvement of patient safety. Regarding this, systemic dealing with the events, creating non-punitive culture concerning errors, attention to solving employees' problems, and creating open communication between managers and employees must be given priority in management interventions.

Keywords: Patient Safety, Patient Safety Culture, Registered Nurses (RN), University Hospital

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December 2017

The Relationship Between Clinical Competence and Occupational Stress in Iranian Clinical Nurses

Pharmacophore. 2017 Des; 8(6S):e - 1173434. DOI: 10.5281/zenodo.3368180

Pharmacophore An International Journal

Abstract

Purpose: Clinical competence is necessary to providing safe and effective patient care. Nursing is associated with high degree of stress. Despite the importance of quality care and nurse professional development, the relationship between the two has been neglected. The purpose of the study is to investigate the association between clinical competency and occupational stress.
Design: A cross-sectional descriptive correlation design was used. Methods: Iranian clinical nurses (N=230) were selected using stratified random sampling in seven university hospitals of Iran in 2015. Data was collected through Competency Inventory for Registered Nurse and occupational stress questionnaires. Data was analyzed with Spearman Correlation, Mann-Whitney-U and t-tests using SPSS /21 software.
Findings: The mean score of clinical competence and occupational stress were (173.59 ± 26.72) and (72.46 ± 12.95) respectively, and assessed in high level. There was a significant positive correlation between clinical competence and occupational stress (r= 0.153, P= 0.020).
Conclusions: It seems that when nurses' clinical competence is high, naturally the knowledge, practical skills and work experience as well as high, therefore their expectations and accountability will increase and this may increase stress. In addition, stress is an inseparable part of the nursing profession. Nurses experienced high stress in the workplace, and it may be possible, nurses despite having high clinical competence, have high occupational stress
Clinical Relevance: Nurses stress may cause adverse professional and organizational complications. Nurse Managers and hospital administration need to collaborate on coping strategies and education to advocate for reduced work-related nurse stressors.
Keywords: Clinical Competence, Clinical Nurse, Occupational Stress

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December 2017

1 Citation

1 Read

Comparison of Clinical Education Status between the Viewpoints of Clinical Instructors and the Nursing and Midwifery Students in Islamic Azad University, Falavarjan Branch

Journal of Nursing Education (JNE). 2017; 6 (4) :1-10. DOI:10.21859/jne-06041

Journal of Nursing Education (JNE)

Abstract:

Introduction: Improvement of clinical education quality requires continuous assessment of the current situation, identifying the strengths and improving the weaknesses through getting feedback from instructors and students . This study aimed to compare the viewpoints of clinical instructors and nursing and midwifery students about clinical education.

Methods: This is a descriptive, cross-sectional study which was conducted in 2016. Thirty tree clinical instructors and 361 nursing and midwifery students in Islamic Azad University, Falavarjan Branch were selected through census method. Data was collected using two-part self- reported questionnaire including demographic information and clinical education status' questionnaire in five dimensions (educational goals and plans, instructor's performance, feedback and interaction to student in clinical field, educational environment, supervision and evaluation). Data was analyzed with independent t-test, ANOVA and Pearson correlation coefficient using SPSS/21 software.

Results: The clinical education status in the viewpoints of instructors was in high level (23.63 ± 11.77) and in the viewpoints of students was in moderate level (50.03 ± 7.61). There was a significant difference between students and instructors' viewpoints in the all dimensions of clinical education (P<0.05). Instructors with higher education level assessed the level of supervision and evaluation of clinical education significantly lower (P <0.05).

Conclusions: The instructors, compared to the students evaluated clinical education status more suitable. It seems that the instructors had more positive approach to training than the students. In contrast, in the viewpoints of students, the problems of clinical environment were more tangible and so they have reported weak assessment of their clinical training. According to present study, providing the suitable "clinical educational environment" and improving the "interaction to student in clinical field" for solving the problems of clinical education is necessary.

Keywords: Clinical Education, Clinical Learning, Clinical Instructor, Nursing Student, Midwifery student

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October 2017

1 Citation

The Health Promotion Behaviors and its Correlation with Selected Professional Factors in Nurses

Journal of Health Promotion Management (JHPM). 2017; 6(3):28-34. DOI: 10.21859/jhpm-07014

Journal of Health Promotion Management (JHPM)

Abstract:

Introduction: Promoting a healthy life style is an important aspect for nurses. While Nurses' health may influence the patients’ health, this study aims to determine the health promotion behaviors and its correlation with selected professional factors in nurses.

Methods: This is a descriptive- correlational study. Population of the study consists of all nurses who worked in Fatemeh Zahra Hospital in Najaf Abad, Iran in 2015. Nurses (n = 115) are selected through census method. Data is gathered with demographic and “Health-Promoting Life Style Profile II” (HPLPII) in six dimensions of health responsibility, physical activity, nutrition, spiritual growth, stress management and interpersonal relationships. In the present study, Cronbach's alpha and test-retest reliability of the tool was calculated in a sample of 10 people within a week, also intra-class correlation coefficient (ICC) is calculated. Data is analyzed using SPSS.19 software.

Results: The mean score of health promoting behaviors among nurses is 122.42 ± 44.22 which indicates an average level. The highest score is in the area of health responsibility (32.40 ± 5.83) and the lowest score corresponds to the stress management (13.13 ± 3.34) and physical activity (13.45 ± 4.67). Results showed a significant correlation between health promoting behaviors and the shift work (P = 0.021), type of employment (P = 0.001) and income (P = 0.002).

Conclusions: Considering the low score of nurses in physical activity and stress management, it is recommended to improve the health promotion behaviors especially stress management and physical activity among through implementing educational programs about healthy life style.

Keywords: Promotion of Health, Health Behavior, Hospital Nursing Staff, Occupational Health

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June 2017

1 Citation

Assessing the prevalence of organizational procrastination and the associated factors among nursing and midwifery staff

Quarterly Journal of Nursing Management. 2017; 5(1):17-28. DOI: 10.29252/ijnv.5.1.17

Quarterly Journal of Nursing Management (2251-6611)

Abstract:

Introduction: Procrastination as one of the biggest obstacles to human resource efficiency has an important role in reducing performance, productivity and health of employees and organizations. Any kind of procrastination can cause irreversible complications for patients in hospitals.

Aim: This study aimed to determine the prevalence of procrastination and relationship between demographic and job characteristics in Nursing and Midwifery staff. Method: This Cross-sectional study was conducted in 2013 in Isfahan social security hospitals. The study sample included nursing and midwifery staff (n=290) were selected through stratified randomized sampling. Data were collected by demographic questionnaire and organizational procrastination scale. Procrastination scale is a self report questionnaire includes 25 items and three subscales of inefficiency, mental anxiety and aversion of duty. The reliability (α=0.892) approved in past studies. Data was analyzed with correlation coefficient, ANOVA and independent T test in 0.05 significant levels with using spss21 software.

Results: The mean score of procrastination was 52/46 ± 12/99. More 70 percent of the staff had low procrastination, and 1.5 percent had a high procrastination. Mean score of procrastination scale had significant relationship with hospital service (P=0.039). Subscale scores of inefficiency were significantly higher in males nursing staff. Procrastination in emergency and surgical wards staff, midwives, official employees and married employees was higher but the occupational and personal factors didn’t associated with the procrastination significantly (P>0.05).

Conclusion: Due to the sensitivity of the nursing and midwifery staff tasks, identifying, training and managing the staff with medium and high procrastination is recommended.

Key words: Negligence, Hospital Nursing Staff, Midwife

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May 2017

The Comparison of Organizational Learning Capabilities Form the Viewpoint of Nursing Staff Between Public and Private Hospitals of Shiraz

Iranian Journal of Nursing Research (IJNR). 2017; 12(1):1-8. DOI: 10.21859/ijnr-12011

Iranian Journal of Nursing Research (IJNR)

Abstract:

Introduction: Organizational learning is the most important method to improve performance in long term. This study aimed to compare learning capability from nursing staff’s viewpoint between public and private hospitals of Shiraz.

Methods: The present study was a descriptive and cross-sectional research. The research population consisted of all the nurses working in Shiraz official and private hospitals in 2015, and the research sample was estimated to include 297 people, selected using randomized systematic multi stage random sampling. The data were collected using Gomez organizational learning capability questionnaire in four dimensions, consisting of managerial commitment, system perspective, openness and experimentation, and knowledge transfer and integration. The questionnaire validity by content validity and the reliability with α = 0.81 had been confirmed in the previous researches. Data was analyzed with independent t, ANOVA and correlation tests.

Results: The mean score of organizational learning ability was 58.90 ± 10.95 in official and 55.82 ± 10.38 in private hospitals and was evaluated to be in the middle level. The organizational learning ability level was significantly higher in managerial commitment; openness and experimentation in official hospitals staff compared with private hospitals (P = 0.001); however, there was no significant difference in knowledge transfer and integration, and system perspective between the two types of hospitals (P > 0.05). "Managerial commitment "and "openness and experimentation" had the highest and the lowest averages, respectively, in both public and private hospitals as well as overall.

Conclusions: Considering that in this study the organizational learning ability in nursing staff was in the average level, it offers that nursing managers improve the conditions for transfer of knowledge and organizational learning capabilities in nurses through building a systemic manner, creating openness in hospitals, and allowing for participation of the nursing staff in decision making.

Keywords: Organizational Learning; Nursing Staff; Private Hospitals; Public Hospitals; Learning

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March 2017

1 Citation

The relationship between nurse managers' leadership styles and procrastination in nursing staff in Isfahan social welfare Hospitals

Avicenna J Nurs Midwifery care 2017, 25(1): 60-68. DOI: 10.21859/nmj-25018

Avicenna Journal of Nursing and Midfery Care (formerly named Scientific Journal of Hamadan Nursing & Midwifery Faculty)

Abstract

Introduction: Nursing leadership style is effective in the successful and timely performance of nursing care. Besides, nurses' procrastination will have high casualties and financial costs. This study aimed to determine the relationship between staff procrastination and nurse managers' leadership styles.

Methods: This was a descriptive correlational study conducted at social welfare hospitals in 2013. The study population consisted of employees (n = 950) and managers (n = 70) of nursing and midwifery departments. All the managers and 290 employees were randomly selected by stratified method. Data were collected by demographic, organizational procrastination and Bardenz-Metzkas leadership style (LBDQ) questionnaires, of which the validity and reliability had been confirmed. Data were analyzed with correlation coefficient at 0.05 significance level.

Results: Most of the managers had average task-oriented and people-oriented leadership styles, but the focus of the executers on task-oriented leadership style was greater. The staff had low procrastination (52.46 ± 12.99). People-oriented style of the managers had weak inverse correlation with procrastination scale (r = -0.176) and inefficiency subscale (r = -0.191) of the nursing staff; also, task-oriented leadership style had a weak inverse correlation with subscale of abomination from task performance (r = -0.110) in staff, but the relationships was not significant.

Conclusions: Lack of procrastination in nursing and midwifery staff is a positive phenomenon that affects the performance of the organization. Due to the lack of relationship between leadership style and procrastination, future researches in larger extent is proposed.

Keywords: Procrastination, Leadership, Nurse Administrators Hospital Nursing Staff DOI: 10.21859/nmj-25018

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March 2017

4 Citations

Quality of clinical education (A case study in the viewpoints of nursing and midwifery students in Islamic Azad University, Falavarjan Branch)

Authors:
Behrooz Rezaei

Educ Strategy Med Sci. 2016; 9 (2) :106-117. DOI: 10.5281/zenodo.3369291

Education Strategies in Medical Sciences (ESMS)

Abstract:

Aims: The problems of clinical education have the undesirable effects on achieving the goals of nursing and midwifery education and ultimately the community health. No doubt the assessment of clinical education in the viewpoints of students plays an important role in finding the problems and promoting the quality of education. The aim of this study was to determine the quality of clinical education in the viewpoints of nursing and midwifery students.

Methods: In this descriptive cross- sectional study 361 nursing and midwifery students of Islamic Azad University, Falavarjan Branch was selected via census method. Data was collected, using a demographic characteristic form and clinical education quality questionnaire in five fields. Data was analyzed using Independent T, ANOVA and Pearson Correlation tests.

Results: The total quality of clinical education was at intermediate level. In the field of goals and educational plans, supervision and evaluation, instructor's performance and dealing students at the intermediate level and in educational environment was weak. Educational environment was evaluated in weak level by 55/1% of students. In the viewpoints of midwifery students clinical education quality in the fields of goals and educational plans, educational environment, and supervision and evaluation was significantly higher (p<0.05). Quality of the all fields was significant difference in terms of semester (p<0.05).

Conclusions: It can identify current strengths and weaknesses of clinical education status with frequent evaluations. It seems that providing appropriate clinical education environment, dealing students and using expert clinical instructors is essential for solving clinical education problems of nursing and midwifery.

Key Words: Clinical Education, Quality, Nursing Education, Nursing Students, Midwifery students

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November 2016

2 Citations

Investigating the Relationship of Organizational Commitment and Clinical Competence (Case study: Nurses Working in Montazeri Hospital, City of Najafabad, Iran, 2015)

Health Sciences. 2016 Jan 1;5(5):308-16. DOI: 10.5281/zenodo.3369298

International Journal of Medical Research & Health Sciences

Abstract:

Human resources committed to the organization not only reduces absence, delay, and replacement, but also causes the increase of organizational performance, employees’ mental freshness, better attainment to organizational excellent goals, and achieving individual’s objectives. Hence, organizational commitment has special importance among the employees of hospital. The nurses’ competence is an important criterion required for providing patients’ health-cares. The change in nurses’ roles and duties has changed the job to a complicated one and requires having various skills, and has caused the clinical competence to be considered more. The present study was performed with the aim of investigating the relationship of organizational commitment and clinical competence in nurses. The research was descriptive correlation type, and the statistical population was all nurses (176 persons) working in Montazeri Hospital, Najafabad city, selected by Census method and 135 persons were investigated. The data collection tool included three questionnaires of personal information, Allen and Meyer’s questionnaire of organizational commitment, and questionnaire of clinical competence, that their validity and reliability were confirmed. Data was analyzed with independent t-test, ANOVA, Mann-Whitney, and Pearson’s correlation coefficient using the software SPSS 17. The average score of organizational commitment was 91± 10.76, and at medium level. The average score of clinical competence was 74.42±11.69, and at good level. There was no significant relationship between organizational commitment and clinical competence in the nurses. Only , the emotional commitment dimension had significant rela tionship with the quality assurance area of clinical competence (P<0.05). Organizational commitment of nurses did not have significant relationship with demographic variables under investigation, while their clinical competence had significant relationship with age, general work experience, monthly salary, job category, location of work and type of employment. This study showed that nurse managers should try to promote organizational commitment, particularly emotional commitment of nurses, so that while increasing trust, durability, and the promoti on of nurses’ clinical competence, qualified cares are offered to the patients.

Keywords: Organizational Commitment, Clinical Competence, Nur sing staff.

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May 2016

1 Citation

Nursing Leadership Style and its Correlation with Some Individual Characteristics (Case study: Isfahan Social Security Hospitals)

Journal of Healthcare Management. 2016; 6(4):29-39. DOI: 10.5281/zenodo.3369304

Journal of Healthcare Management ( 2476-3020)

Abstract:

Introduction: Leadership style is one of the factors that increase the efficiency and effectiveness of organizations. Today, in health care, nursing managers need to use leadership styles which are appropriate for complex and constantly changing health-care system. This study aimed to determine the leadership style of nursing managers and its relationship with some individual characteristics.

Methods: This study is a descriptive-cross sectional research. The statistical population consisted of nurse managers working in three Esfahan social security hospitals (n= 61) who were studied census. A two-part questionnaire was used to collect data, researcher made the first part and the second part standardized measure includes individual questions determine the leadership style (LBDQ) the validity and reliability of which were confirmed. Data analysis using correlation coefficient, analysis of variance and mann-whitney by software spss at a significance level was 0.05.

Results: The results showed that the mean score of majority of managers in terms of people-oriented and task-oriented in the medium level. There was no significant relationship between individual characteristics (age, sex, marital status, education, clinical experience, management experience) with leadership style. But there was a significant coloration between leadership style and managerial level (p< 0.05).

Conclusion: Considering that the mean score of majority of nursing managers’ leadership style was in moderate level, it would be beneficial to carry out measures for promoting leadership styles through management training.

Keyword(s): Leadership style, Nursing manager, Personal charectrictics

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March 2016

Factors related to sleep quality among elderly residing at Isfahan nursing homes

J Geriatric Nursing. 2016; 2 (2) :37-49. DOI: 10.5281/zenodo.3369316

Journal of Geriatric Nursing

  Abstract:

 Introduction and purpose: Sleep quality is an important health indicator among elderly. Recognizing factors that affect sleep among elderly may help researchers to develop interventions for promoting quality of sleep. Therefore, this study aimed to identify sleep quality of elderly and its related factors.

Materials & Methods: This descriptive correlational study was conducted among elderly residing at nursing homes of Isfahan city. We used stratified random sampling method to collect 91 elderly into the current study. Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality of elderly. Data were analyzed by SPSS using independent sample t-test, analysis of variance and correlation coefficients.

Findings: Elderly participated in this study aged 77.3 ± 9.4 years old in average and mean score of PSQI was 17.01±5.89. Majority of respondents (90.1%) had poor sleep quality. There were significant relationships between sleep quality and age, level of physical activity, daily walking, self care activities, visiting relatives and type of room (p<0.05). However, we found no significant association between sleep quality and sex, marriage, current diseases and tobacco use (p>0.05).

Conclusion: Findings from this study revealed that majority of seniors had poor sleep quality. Therefore, it is of great importance to encourage elderly to utilize several healthy behaviors such as regular physical activity, walking and self-care activities.

Keywords: Elderly, Sleep quality, Nursing homes, Pittsburg sleep Questionnaire Index, Personal characteristics

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March 2016

5 Citations

Investigating the relationship between emotional displays of nursing managers and the performance of nursing staff (Case study: Dr. Shariati Hospital, Tehran)

International Journal of Medical Research & Health Sciences. 2016 Jan 1;5(7):179-84. DOI: 10.5281/zenodo.3369339

International Journal of Medical Research & Health Sciences

Abstract

Emotional display is the management and proper expression of correct emotions consistent with organizational and profession rules. One of the factors affecting the occupational performance is the skills of the managers in control and effective use of excitement. The present study was conducted to determine the relationship between nursing managers' emotional display and the performance of nursing staff. The study population consisted of all managers and nursing staff of Shariati Hospital, Tehran in 2015 who were selected using census method. The instruments were Dindorf et al. emotional display questionnaire and Paterson's job performance questionnaire whose validity and reliability were confirmed. Data were analyzed with Spearman correlation Coefficient, independent t-test, and ANOVA using SPSS software. "Real-emotion display" of nursing managers had a significant correlation with nursing staff performance (P=0.02, r=0.203). But "superficial and deep display of emotions" of the managers did not. There were no significant correlations between emotional display with age and work experience in managers and between job performance with marital status, gender, and age and work experience in nursing staff (P>0.05). The results showed that design and implementation of training courses about emotional display are necessary in managers in order to improve the job performance of nursing staff.

Key words:  Emotional Display, Job Performance, Nursing Managers, Nursing Staff

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January 2016

1 Citation

Knowledge and Practice of Nursing Staff about Controlling of Nosocomial infections

Journal of Healthcare Management. 2009; 1(2):35-40. DOI: 10.5281/zenodo.3369364

Journal of Healthcare Management ( 2476-3020)

Abstract:

Introduction: Nasocominal infections (NI) are the most important hospitals problems; they cause increase in patients length of stay , make huge costs for patients and health system, and more death in patients. This research was aimed to assess knowledge and practice of nurses about nsocominal infections control.

Methods: In this cross-sectional study, the population of study was nursing staff in three selected hospitals of Isfahan in 2008. Data collected by a self-completed questionnaire consisting demographic, knowledge and practice questions. Validity (Cronbach,s Alpha=0.91) and reliability (r=0.80) of questionnaire had verified. Data analyzed by correlation and independent t-test using SPSS software.

Results: 5.5% of the studied nurses had weak knowledge, 51.2% had avarege and 43.3% had good knowledge level. Also 3.7% were with weak practice, 16.5% average and 79.8% had good practice. However there were no significant correlation between knowledge and practice. Also, there were no correlation between demographic information (except sex ) with knowledge and practice (p>0.05) and no significant difference between practices of educated and not educated nurses on NI control (p>0.05).

Conclusion: Good knowledge is necessary for good practice, but it is not sufficient. Continuing training, making attitude, supervision and evaluation of nurses practices is recommended for NI control.

Key words: Nasocominal Infections, Knowledge, Practice, Nursing Staff

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January 2009

1 Citation

A comparative study of primary health care management in selected countries and designing a model for Iran

Iranian Journal of Nursing and Midwifery Research. 2009; 14(3):137-142. DOI: 10.5281/zenodo.3369382

Iranian Journal of Nursing and Midwifery Research (IJNMR)

Abstract:

Background: In this research Primary Health Care systems were reviewed and the nurses' roles were determined and then a model was designed for health networks in Iran.

Methods: This was a triangulation research done in comparative method. In first step, PHC systems reviewed in different countries such as UK, Australia, Canada, Sweden and Turkey selected in purposive sampling. In second step, the process of management of PHC services in selected countries were determined from accessibility, providers and referral system, and then compared to PHC system in Iran. Afterward a primary model was designed. In third step, the model was validated using experts judgment (n= 30) and the results analyzed by descriptive statistics and final model was designed.

Results: In all of the studied countries, PHC services were delivered by health team including family physicians, nurses, midwives, and health technicians in systematic network including local health centers, family physician offices and nursing clinics. Family physicians and nurses had a basic role in delivery of services. Also other health practitioners such as psychiatrists were practiced with health team. PHC services in most cases on the bases of people's need and health information were transmitted between the providers by health files. The effective referral system exists between health services.

Conclusion: The model of PHC delivery was on the bases of health team with systematic network of the local health centers and provides accessibility, quality and comprehensively of services. We suggest to employee educated nurses in health centers to provide more health services.

Key Words: Primary health care, Management, Health care service providing system, Iran.

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January 2009

6 Citations

The effect of Health Education on Risk Factors of Coronary Artery Disease

Medical Journal of Iran Social Security Organization. 2001; 1(2):9-14. DOI: 10.5281/zenodo.3369933

Medical Journal of Iran Social Security Organization

Abstract:

The purpose of this study was to evaluate the effect of health education program on three major risk factors of coronary heart disease including hypertension, obesity and hyperlipidemia. This study was performed on patients referred from Isfahan health clinics who had at least one of the three risk factors of coronary heart disease. The patients were randomly divided into two groups; experimental (n = 66) and control (n = 54), and 18 patients were excluded by the end of the study. A total of 102 patients (age range 28 to 77 years) remained in this study. The control and experimental groups were matched for important variables such as age, sex and education level. Data was collected by a multi sections questionnaire (including demographic variables and measuring knowledge, attitude and practice of all two groups about preventing of coronary artery disease), laboratory tests including LDL-C, HDL-C, FBS, TG, total Chol and measurement of weight, BMI and systolic blood pressure in both groups. Data were collected before and 3 months after the educational intervention. Results of the study showed a positive effect of education program on weight loss (P = 0.005), BMI (P = 0.009), systolic blood pressure (P = 0.001), TG (P = 0.001), total Chol (p = 0.001) and LDL-C. (P = 0.005) in the experimental group in comparison of the control group. But educational intervention had no significant effect on HDL level (P = 0.22). There was also a significant increase in the knowledge, attitude and practice of the experimental group in comparison with the control group after educational intervention (P = 0.001). This study showed that health education is one of the important and appropriate methods in controlling and prevention the risk factors of coronary heart disease. Since most of the changeable risk factors of coronary artery disease are related to people's lifestyle and eating habits, health education plays a major role in increasing health awareness and correcting unhealthy behaviors and promoting healthy behaviors.

Keywords: Health education program, Heart disease risk factors, Knowledge, Attitude, Practice, Health education

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October 2001

Education effectiveness on blood lipids levels in patients with hyperlipidemia

Journal of Ilam University of Medical Sciences. 2000; 8(24-25): 20-26. DOI: 10.5281/zenodo.3369386

Journal of Ilam University of Medical Sciences (2588-3135)

Abstract:

This experimental study has been done to ascertain the effect of health education on the level of blood lipids in hyperlipidemic patients referred to Isfahan clinics in 1999. In this study 102 patients (Mean±SD age: 44±11.8 years, range: 28-77 years) were selected and posed to sampling and divided into 2 groups at random; case group (59 subjects) and control group (43 subjects). The results indicated the effect of education in reduction of blood levels of TG (P=0.001), T.Chol (P=0.001) and LDL (P=0.005) in case group compared to control group. Also the range of knowledge (P=0.001), attitude (0.001) and practice (P=0.001) indicated meaningful increasing in case group compared to control group. But education had no significant effect on the blood level of HDL (P=0. 22). It seems that health education programs be one of the most effective methods for controlling and preventing hyperlipidemia and finally, preventing coronary heart disease.

Key words: Health education program, Blood lipids, Hyperlipidemia, Knowledge, Attitude

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October 2000