Showing 12 results for Rafiei
Sima Rafiei , Pejman Sadeghi ,
Volume 2, Issue 1 (3-2018)
Abstract
Background: Human resources have a significant role in improving organizational performance specifically in healthcare institutions. This study aimed to study the hospital staff perception toward power distance in 2016.
Methods: A cross sectional, descriptive study was conducted among 668 hospital staff affiliated by Qazvin University of Medical Sciences. A standard questionnaire developed by Hofstede consisted of 31 questions in seven domains including hierarchy, reward, climate, communication, decision making, learning and management was applied to gather data. SPSS Software package version 20 was used to analyze data using descriptive statistics (mean, standard deviation), t-test and ANOVA analysis.
Results: Study findings showed a low level of power distance perceived by employees (mean score = 67.6 ± 2.3). The most inequality perceived by study staff belonged to decision making aspect and the method of applying managerial authority in the organization.
Conclusion: Applying strategies to improve staff participation in work decisions and job responsibilities would help organizations maintain and develop employees with positive perception toward justice.
Sima Rafiei, Rafat Mohebibar, Bahman Ahadi Nejad, Nadia Nisari ,
Volume 2, Issue 4 (12-2018)
Abstract
Background: Social capital has an important role in empowering entrepreneurship activities and performance improvement inhuman resources. This study aimed to examine the relationship between social capital and entrepreneurship behavior of academic members of Qazvin University of Medical Sciences in 2018.
Methods: The present study is a descriptive cross-sectional method conducted among all faculty members working in Qazvin University of Medical Sciences in 2018. In order to collect study data, two standard questionnaires including social capital scale (Nahapiet & Goshal 1998) and entrepreneurial behavior (Leon Daes Zamptakis and Vasiliss Mustakis 2007) were used. Data were analyzed using descriptive and analytical statistical methods in SPSS 20.
Results: The results of the study showed that social capital and entrepreneurial behavior had a desirable condition. Furthermore, these two variables were statistically correlated (P-value < 0.05).
Conclusion: Promoting the level of social capital in academic environments has significant benefits and a positive impact on entrepreneurial behaviors of academic members of the university. Therefore, managers should strengthen this key element in their organizations to upgrade their professional job performance.
Sima Rafiei, Rafat Mohebbifar, Mohammad Ranjbar, Fatemeh Akbarirad,
Volume 3, Issue 2 (7-2019)
Abstract
Background: One of the most important methods for improving the fair access of people to health services is the family physician program, which is facing many challenges. One of these challenges is the lack of policymakers' understanding of physicians' preferences regarding the provisions of the family physician contract. Therefore, this study was aimed to investigate general practitioners' preferences regarding the type of family doctor contract in one of the underprivileged regions of Iran.
Methods: An analytical-cross-sectional study was conducted among 150 general practitioners (GPs) who registered in Ministry of Health and Medical Education (MoHME) family physician plan and were working in the health network of deprived regions in Iran. A discrete choice experiment (DCE) questionnaire was developed by the researchers and then distributed to GPs. Results were analyzed using Ordered Logistic Regression.
Data were collected using a questionnaire designed by orthogonal method in SPSS 20. Data analysis was performed using logistic regression model in Stata 13 software.
Results: Findings revealed that “type of employer” had the most significant effect on GPs’ preferences (OR = 2.5), followed by “allocating quota for admission to medical specialty courses after 5 years” (OR = 2.25), being allowed to give medical services to population without geographical restriction (OR = 2.8), being allowed to provide services out of the defined service packet (OR = 1.4), and “decreased length of contract” (OR = 0.93).
Conclusion: The amendment of the provisions of the family physician contract in accordance with physicians' preferences increases the probability of their participation in and compliance with the family physician program.
However, the compliance of the provisions of this contract with relevant international standards and upstream laws of the country should be maintained as much as possible.
Somayeh Mahdiyan, Mosuod Ferdosi, Sima Rafiei, Rooholah Askari,
Volume 3, Issue 2 (7-2019)
Abstract
Background: Measurement of the organizational performance would be effective and helpful for improvement, in the case that it is based on an appropriate and principled system. Such a system uses specific indicators to measure the productivity and performance of the organizations. In fact, these indicators act as useful tools for strategic planning in managerial levels. Given the importance of the issue, this study aimed to develop the key productivity indicators for hospitals affiliated to Isfahan University of Medical Sciences. These indicators are designed to be applied in evaluation, implementation, and improvement processes of the organizations under study.
Methods: This was a qualitative study conducted among the hospitals affiliated to Isfahan University of Medical Sciences in 2015. Purposive sampling method was applied and the study participants were selected through snowballing. Then, the participants were organized in a focus group consisting of 16 experts in the field of hospital performance and efficiency indicators to achieve the research objectives by using indexing matrix method. Finally, validity of the developed indices was confirmed using Delphi method.
Results: A total of 42 productivity indicators were formulated. Of these, nine indices were input (structural), which included financial, human resources, and energy consumption indicators. The next 29 indices were output and mainly belonged to the financial, efficiency, and quality area. The final four indices included process indicators and consisted of length of stay in emergency department, waiting time for out of hospital counseling, and waiting time for the presence of resuscitation team at the patient bedside during the cardiopulmonary resuscitation.
Conclusion: Development of the indicators in three areas of input, process, and output helped managers and policy makers to access reliable and valid instrument for measuring organizational productivity.
Sima Rafiei, Rafat Mohebbifar, Amir Mohammad Kazemifar, Mahshad Shakuna,
Volume 3, Issue 4 (12-2019)
Abstract
Background: The provision of manpower is one of the effective factors on the improvement in the coverage of health services and the realization of the highest community health level and a considerable part of the health budget is devoted to the production and update on human resources. Therefore, the current study aimed to estimate the number of nurses required in the Emergency Department (ED) of Imam Ali hospital based on the proposed method of the World Health Organization, in which the manpower is calculated based on the workload Workload Indicators of Staffing Need (WISN).
Methods: This was a cross-sectional descriptive study. The study population was all the nurses working in the emergency department of Imam Ali hospital affiliated by Alborz University of Medical Sciences and their duties in the hospital which was performed using the proposed method of the World Health Organization i.e. WISN in 2018. Determination of their duties and the time and number of times for performing them were carried out during the group discussion session through Delphi method.
Results: Based on the research findings, 40 standard nurses were calculated. The studied hospital had 4 nursing staff shortages. The working pressure ratio is 0.91in this study.
Conclusion: In the current study, the nursing staff shortage is observed and this shortage caused a high working pressure on the nurses working in the study area. Considering the vital role of nurses in the emergency department, it is recommended to employ and distribute the manpower based on the requirement and workload in the department.
Saeid Asefzadeh, Sima Rafiei, Mohammad Ranjbar, Amirmohammad Kazemifar, Shadi Akbari,
Volume 4, Issue 1 (3-2020)
Abstract
Background: The uneven distribution of human resources in the health sector, especially in the medical profession, is a global phenomenon that poses a significant challenge to the population's access to quality health services. The aim of this study was to investigate the influencing factors on the retention of specialists and subspecialists working in training hospitals of Qazvin University of Medical Sciences in order to provide appropriate suggestions and practical solutions to increase their chances of survival in these areas.
Methods: This research is a descriptive-analytical study using conjoint analysis technique conducted between 2017 and 2018 among physicians. The study was conducted among 109 physicians who met the inclusion criteria of the study. DCE questionnaire was used to collect the research data. The collected data were entered into STATA software version 13 for statistical analysis and were statistically analyzed by Probit and Logistic regression models.
Results:The results show that the probability of physicians' retention in the city of work is 1.2 times higher if they were allowed to work in the private sector (β = 1.2). Providing proximity to the family also doubles the chances of physicians' retention (β = 2.2). Provision of adequate educational facilities (β = 1.07), moderate clinical facilities (β = 1.18) and favorable accommodations (β = 1.12) also increase the likelihood of physicians' retention in the workplace.
Conclusion: Considering all factors identified as the preferences of physicians due to the limitations of resources and the existing legal requirements cannot be applied in planning and policy making in the field of health care. However, being aware of these factors and then considering legal considerations that are considered mandatory by the Ministry of Health and Medical Education can greatly help in making effective policies in the area of physician retention.
Omid Khosravizadeh, Saeed Shahsavari , Bahman Ahadinezhad , Fahimeh Asili Ansari, Roohangiz Taheri, Shoayb Rafiei,
Volume 4, Issue 1 (3-2020)
Abstract
Background: Self-efficacy and spiritual beliefs can be considered as strong motives for improving the quality of working. Due to the different job description and environment than other service sectors, medical centers need to pay attention to these factors. So, the present study is aimed at identifying the effect of spiritual intelligence components on self-efficacy among operational staff of Qazvin medical centers.
Methods: The present research is a descriptive-analytical and cross-sectional study conducted in 2019. About 238 people were selected by stratified sampling out of the medical centers staff in Qazvin, Iran. Spiritual intelligence was measured by King’s questionnaire including four dimensions, and self-efficacy was measured by Sherer’s questionnaires including three dimensions. Primary data analysis was done by Pearson’s correlation test in SPSS20 software, and path analysis was done by structural equation modeling in AMOS software with the significance level of 0.05.
Results: There was a significant direct relationship between all dimensions of self-efficacy and spiritual intelligence except persistence in the face of adversity and consciousness expansion (P-value ˂ 0.01). All the relationships were significant in path analysis of the final model. Also, the fit indices including NFI = 0.901, RMSEA = 0.055, GFI = 0.923, and
CFI = 0.913 suggest the good fitness of the final model.
Conclusion: The managers of the studied hospitals can promote
self-efficacy in clinical staff and improve their performance and behavior in service provision by psychological enrichment of the staff and raising their spiritual intelligence.
Parisa Rahmani, Rafat Mohebbifar, Sima Rafiei,
Volume 4, Issue 2 (6-2020)
Abstract
Background:The process of the patient discharge from the hospital is one of the most important processes that has been taken into consideration by managers in recent years. An efficient health system can only accomplish its duty to provide the health of the community by providing the right services and this system can be evaluated through its services. Therefore, the necessity of performing this research is to improve the quality of hospital services for patients and increasing patient satisfaction. This study has been aimed to identify the factors affecting the process of patient discharge.
Methods: This was a cross-sectional study conducted in a general hospital located in Takestan, Qazvin in 2019. The study population in the qualitative section of the study included those who were aware of the discharge process and had managerial positions in the hospital. The sampling process was continued until achieving data saturation. The required information was gathered through reviewing relevant literature, observing the discharge process, and conducting semi-structured interviews with managerial members and study experts.
Results:In the present study, the most important factors affecting the discharge process were lack of timely physician visit and issuance of the discharge order, delay in the approval of medication used by pharmacy officer, sending discharge files to hospital discharge unit, the patients' needs, diagnostic services (discharging with doctor's opinion), delays in registering nursing records, and undue secretarial performance in reviewing and recording reports in the hospital information system.
Conclusion: The results of the present study, in line with other researches, have shown that the importance of the discharge process on hospital performance is undeniable and this process needs continuous investigation, monitoring, and intervention.
Fariba Hosseinpour, Mahyar Sedighi, Fariba Hashemi, Sima Rafiei,
Volume 5, Issue 2 (6-2021)
Abstract
Background: A few studies have reviewed and revised ICU admission criteria based on specific circumstances and local conditions. The aim was to develop ICU admission criteria and compare the cost, mortality, and length of stay among identified admission priorities.
Methods: This was a cross-sectional study conducted in an intensive care unit of a training hospital in Qazvin, Iran. The study was conducted among 127 patients admitted to ICU from July to September 2019. The data collection tool was a self-designed checklist, which included items regarding patients' clinical data and their billing, type of diagnosis, level of consciousness at the time of hospitalization based on GCS scale or Glasgow Coma Scale, length of stay, and patient status at the time of discharge. Descriptive statistical tests were used to describe study variables, and in order to determine the relationship between study variables, ANOVA and Chi-square test were used.
Results: A set of criteria were designed to prioritize patient admissions in ICU. Based on the defined criteria, patients were categorized into four groups based on patient's stability, hemodynamic, and respiration. Study findings revealed that a significant percentage of patients were admitted to the ward while in the second and third priorities of hospitalization (26.8 % and 32.3 %, respectively). There was a statistically significant difference in the four groups in terms of patients' age, total cost, and insurance share of the total cost (P-value < 0.05).
Conclusion: Study results emphasize the necessity to classify patients based on defined criteria to efficiently use available resources.
Reza Jabarbeigi, Roohollah Kalhor, Sima Rafiei, Fariba Hashemi,
Volume 5, Issue 3 (10-2021)
Abstract
Background: Cost of Quality is an approach that helps organizations evaluate the extent to which their resources are used to prevent poor quality activities, assess the quality of provided services, or evaluate the number of resources that are wasted due to the internal and external failures occurring in a system. The research objective was to measure the Cost of Quality(CoQ) in a medical device division of a hospital in Qazvin, Iran.
Methods: We performed a qualitative study in the medical device division in a public hospital affiliated with Qazvin University of Medical Sciences, Iran in 2020. To measure and report the (CoQ) in the division, the Prevention-Appraisal-Failure (PAF) model was used. Data were collected through document review, semi-structured interview, and group discussion, which were entered into the Excel software to calculate their distribution and frequencies using the descriptive statistics method.
Results: Among different cost categories, the highest amount of expenditures belonged to internal and external failure costs. Results also revealed that several factors were responsible for the failures, including lack of knowledge of personnel about the proper use of medical devices; failure to periodically perform calibration on due dates; lack of adequate supervision; stress and work pressure among employees; and lack of managerial commitment toward the importance of preventive maintenance.
Conclusion: In order to decrease the number of failures occurring in a working system, it is required to increase personnel's knowledge about the proper use of medical devices, perform calibration of devices on due dates, increase managerial commitment toward preventive and quality appraisal activities and apply systematic supervision.
Sima Rafiei, Roohollah Kalhor, Saeed Shahsavari, Zahra Nejatifar,
Volume 5, Issue 4 (10-2021)
Abstract
Background: Nowadays, most organizations, including universities, are subject to significant changes. Thus, in order to adapt themselves successfully with such variations, they need skillful, innovative, self-confident, and entrepreneurial individuals. Accordingly, this study was conducted to predict medical university students' educational performance based on the existing social capital and their entrepreneurial behavior.
Methods: A cross-sectional study was done in 2019 based on Structural Equation Modeling (SEM) among 260 students of Qazvin Medical University. To collect information, three standard questionnaires, including Nahapiet and Ghoshal (1998) social capital questionnaire, the entrepreneurial behavior questionnaire of Leon Dice, and the entrepreneurial performance questionnaire of Zamptakis and Vasilis Mustakis (2007), were used. After entering data in AMOS software, the associations between variables were analyzed by structural equation modeling.
Results: Findings revealed that social capital and entrepreneurial behavior were influencing factors on the educational performance of students. The direct and indirect effects of social capital on educational performance (path coefficients: 0.798 and 0.44 respectively) were affirmed (P-value < 0.05).
Conclusion: Promoting social capital, innovation, and entrepreneurial behavior among university students can improve the educational performance of students. Thus, applying effective strategies to create trust in the education system and designing new approaches to use motivational methods in strengthening students' sense of creativity and innovative capabilities can effectively contribute to the improvement of their educational performance.
Sana Shaaban, Mohammad Reza Mohammad Khani, Ahad Alizade , Zahra Mirhajian, Zeinab Momeni, Sima Rafiei,
Volume 6, Issue 1 (1-2022)
Abstract
Background: Organizational culture can affect the levels of entrepreneurship and innovation through identifying the social capital dimensions and enhance the ability of staff to accept challenges. This study aimed to examine the impact of organizational culture on entrepreneurial behavior with the mediating role of social capital among the staff working in Qazvin University of Medical Sciences.
Methods: This was an cross-sectional analytical study conducted among the staff of Qazvin University of Medical Sciences in 2020. Sample size was calculated by Cochran formula considering type I error and the accuracy of 5 % and was equal to 122 individuals. Addressing sample attrition, the final size considered to be 143 people by calculating 15 % increase. The standard questionnaires of entrepreneurial behavior were applied to collect the data. Descriptive statistical tests were used in order to analyze the data; moreover, correlation coefficients were applied to examine the relationship between the main variables of the study. Furthermore, the Structural Equation Analysis (SEM) test was used by LISREL and SPSS software to test the research hypotheses.
Results: The estimated coefficient reported for the relationship between organizational culture and entrepreneurial behavior was 23 %; while it was reported to be 12 % for the relationship between social capital and behavior. Furthermore, the hypothesis that social capital mediates the relationship between organizational culture and entrepreneurial behavior was confirmed (T statistic = 3.310, Std. Error = 0.110, P-value < 0.001 ).
Conclusion: The results of the present study necessitate further attention to university environments and higher education institutions for creating an entrepreneurship culture by establishing a flexible structure with participatory and supportive management in order to empower human resources and encourage them to promote social capital. Holding discussion sessions with staff and using their pure ideas and avoiding the implementation of strict regulations in addition to creating a participatory atmosphere can play important role in this regard.
