ORIGINAL_ARTICLE
Health Hazards Identification in Institute of Occupation and Technique by Job Safety Analysis in Zahedan
Background and objectives: In institutions of technical and vocational training, trainees are asked to operate machinery and engage in high-risk manual activities that may expose them to a wide array of potential risks and safety hazards that are unknown to them. Therefore, Job Safety Analysis (JSA) was used in this study to identify potential hazards in one technical and vocational training institution in Zahedan. Methods: This cross-sectional study was done in one of the technical and vocational training institutions in Zahedan in 2011. In this study, 9 technical or vocational workshop activities including carpentry, metal turnery, installation, milling, smooth, welding of building windows, pipe welding, diesel maintenance, and light vehicle maintenance were assessed based on their importance and frequency. All 53 craft vocations were divided to 210 specific sequence steps and hazards of each step were determined using check list, available documents, observations and interviews. For the purpose of risk identification, MIL-STD-882 E matrix table was used. In the final stage, corrective and controlling measures for all hazards were proposed in the special sheet. Excel 2013 software was used for data analysis and interpretation. Results: 524 hazards were determined by JSA. Although it is always difficult to report with certainty that there is no risk, the overall results of this study indicated that there was no risk involved at an unacceptable level. In general, hazards were found in the following: 65 hazard risks level were found to be serious, 257 hazards risk level were found to be acceptable but needed to be revised and 202 hazard risk level were found to be low. Carpentry, metal turnery and installation with 81, 75, 72 hazards, respectively, were the most hazardous technical working activities. Conclusion: Considering the fact that carpentry, metal turnery and installation exist in almost any occupational environment, it is crucial to provide advice on preventive and protective measures (i.e. health and safety guidelines and detailed Codes of Practice), and to insist upon on-the-job training for trainees to reduce the level of risk arising from activities performed in the training centers and workplaces.
https://smsj.sums.ac.ir/article_43931_d8343f30489a2b2ce2b64a8e8f1f4893.pdf
2017-03-21
57
68
Risk Assessment
Accident
On the Job Training
M
Mohammadi
m48r52@gmail.com
1
PhD, Associate Professor of Biostatistics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
R
Hashemi Habybabady
habybabady_568@yahoo.com
2
PhD, Occupational Health and Safety, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
LEAD_AUTHOR
B
Fazli
3
Master of Science, Occupational Health and Safety, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
E
Moradian
4
Bachelor of Occupational Health and Safety, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
A
Khamari
5
Master of Science, Occupational Health and Safety, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
Azrah K, Jamali Z, Jari A. Identification and assessment of hazard in the refractory brick production company of Gonabad Iran, using the hazard and operability technique; 2014.
1
Barkhordari A, Shirazi J, Halvani G. Identification of Hazardous and Risk Assessment of Tunneling Process Using JSA Method in the Dam & Power plant site. Toloo-e-behdasht. 2013;11(3):103-12.
2
Christian MS, Bradley JC, Wallace JC, Burke MJ. Workplace safety: a meta-analysis of the roles of person and situation factors. Journal of Applied Psychology; 2009. 94(5), 1103-1127.
3
Sivakarthigeyan J, Dheenathayalan T, Srinivasan PSS, Visagavel K, Sakthivel D.Occupational health and safety management in power plant construction. Advances in Natural and Applied Sciences 2016; 10(9):62-6.
4
Aminbakhsh S, Gunduz M, Sonmez R. Safety risk assessment using analytic hierarchy process (AHP) during planning and budgeting of construction projects. Journal of Safety Research 2013; 46: 99-105.
5
Rozenfeld O, Sacks R, Rosenfeld Y, Baum H. Construction job safety analysis. Safety Science. 2010;48(4):491-8.
6
Farshad AA, Hejazi SA. Early recognition of work related disease. Tehran: Shahed University. 2005; P. 380. (In Persian)
7
Schulte PA, Stephenson CM, Okun AH, Palassis J, Biddle E. Integrating occupational safety and health information into vocational and technical education and other workforce preparation programs. American Journal of Public Health 2005; 95(3):404.
8
Ebrahimzadih M, Darvishi E, Froghinasab F. Application of Job Safety Analysis and William Fine Methods to Identify and Control Hazards in a Uranium Mine in Central Area of Journal of Health 2015; 6 (3) :313-24.
9
Glenn DD. Job Safety Analysis: Its Role Today. Professional Safety 2011;56(03):48-57.
10
Mullen J. Investigating factors that influence individual safety behavior at work. Journal of Safety Research. 2004;35(3):275-85.
11
Roughton J, Crutchfield N. Job hazard analysis: A guide for voluntary compliance and beyond: Butterworth-Heinemann; 2011.
12
Arezes PM, Miguel AS. Risk perception and safety behaviour: A study in an occupational environment. Safety Science. 2008;46(6):900-7.
13
Rausand M. Risk assessment: theory, methods, and applications: John Wiley & Sons; 2013. P: 457-68.
14
Koohi F. Piping safety analysis in refinery industry and effectiveness of control way. Sixteenth national conference of environmental health. Tabriz; 2013. (In persian)
15
Alizade SSH, Nasiri P, Golbabaei F, Shahtaheri SJ, Identification and evaluation of existing or potential hazards in a manufacturing company using job safety analysis environmental science and technology. 2007:77-87. (In persian)
16
Booya M, Arghami S, Asilian H, Mortazavi SB. Safety analysis of a corn processing industry by energy trace and barrier analysis method: a case study. Iran Occupational Health 2007; 4(3):27-34.
17
Ninness J. Taking a world view of occupational health and safety. East Brisbane: Ninness Consulting, Australia; 2005.
18
Ramsay J, Denny F, Szirotnyak K, Thomas J, Corneliuson E, Paxton KL. Identifying nursing hazards in the emergency department: A new approach to nursing job hazard analysis. Journal of Safety Research 2006; 37(1):63-74.
19
Bentley TA, Parker RJ, Ashby L. Understanding felling safety in the New Zealand forest industry. Applied Ergonomics 2005;36(2):165-75.
20
Anton TJ. Occupational safety and health management1979. New York, NY: McGraw-Hill; 1979.
21
Cagno E, Di Giulio A, Trucco P. Risk and causes-of-risk assessment for an effective industrial safety management. International Journal of Reliability, Quality and Safety Engineering 2000;7(02):113- 28.
22
Nasiri P. potentional hazard assessmen and identification in production factory by JSA. Iran Occupational Health 2004:77-87. (In persian)
23
Gholami A, Eskandari D, Sheikh A. Identification and assessment of potential Hazards in a brick furnace by JSA method, [cited 2017 July 20]. Avialable from http://www.magiran.com/view.asp/. (In persian)
24
Farshad AA. Assessment and job hazard detection for hydrocarbon exploration and seismography workers. Iran Occupational Health 2005: 39-45. (In persian)
25
Rothwell WJ, Kazanas HC. Improving On-the-job training: How to establish and operate a comprehensive OJT program: John Wiley & Sons; 2004.
26
ORIGINAL_ARTICLE
A Descriptive Evaluation of Thoracotomy in Patients with Thoracic Trauma: a Two-year Study at Shiraz Namazi Hospital
Background: Trauma is one of the leading causes of mortality and morbidity worldwide. Among different types of injuries, chest trauma is responsible for a vast majority of trauma-related mortality and morbidity. Methods: This descriptive, cross-sectional study included cases of thoracic trauma that underwent thoracotomy at Shiraz Namazi Hospital from March 2008 to March 2010. The collected data from each patient included: demographics (age and sex), type of trauma, type of surgical intervention, volume of hemothorax, number of packed red blood cells transfusions, and the consequent adverse effects. Results: A total number of 81 patients (mean age= 26.72 years old) were included in this study, of which 74 cases (91.4%) were male and 7 cases (8.6%) were female. Reportedly, the most prevalent type of trauma was penetrating injury (71.6 %); the most used surgical approach was left anterolateral thoracotomy (55.6%); the mean hemothorax volume was 1686.53 cc, and the average number of transfused pack red blood cells was 3.74 units per patient. The mean time of surgery was 161.25 minutes, and the most susceptible organ for injury was the lung with an injury prevalence rate of 55.4%. The mean duration of hospital stay was 8.43 days. 5 patients (6.2%) underwent a second surgery and 15 cases (18.5%) did not survive the surgery. Conclusions: According to the findings of this study, anterolateral incision was the most used thoracotomy approach in patients with thoracic trauma.
https://smsj.sums.ac.ir/article_43933_e3fe7a1a7573408064dc4973227ad428.pdf
2017-03-21
69
76
Thoracic Injuries
Thoracotomy
Wounds and injuries
B
Ziaian
1
Assistante Professor, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Y
Golshan
2
MD, Jahrom University of Medical Sciences, Jahrom, Iran
AUTHOR
Z
Ghahramani
3
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
B
Dalfardi
4
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Sh
Paydar
paydarsh@gmail.com
5
Associate Professor, Department of Surgery, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
1. Paydar S, Ahmadi A, Dalfardi B, Shakibafard A, Abbasi H, Bolandparvaz S. Clinical and economic effects of selective radiological evaluation of high-energy trauma patients: a prospective experience of a level 1 busy trauma center. Emerg Med J 2015; 32(7): 535-538.
1
2. Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000; 90(4): 523-526.
2
3. O'Reilly GM, Joshipura M, Cameron PA, Gruen R. Trauma registries in developing countries: a review of the published experience. Injury 2013; 44(6): 713-721.
3
4. Abbasi HR, Mousavi SM, Taheri Akerdi A, Niakan MH, Bolandparvaz S, Paydar S. Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran. Bull Emerg Trauma 2013; 1(2): 81-85.
4
5. Fazel MR, Fakharian E, Mahdian M, Mohammadzadeh M, Salehfard L, Ramezani M. Demographic Profiles of Adult Trauma During a 5 Year Period (2007-2011) in Kashan, IR Iran. Arch Trauma Res 2012; 1(2): 63-66.
5
6. Chardoli M, Hasan-Ghaliaee T, Akbari H, Rahimi-Movaghar V. Accuracy of chest radiography versus chest computed tomography in hemodynamically stable patients with blunt chest trauma. Chin J Traumatol 2013; 16(6): 351-354.
6
7. Raghavendran K, Notter RH, Davidson BA, Helinski JD, Kunkel SL, Knight PR. Lung contusion: inflammatory mechanisms and interaction with other injuries. Shock 2009; 32(2): 122-130.
7
8. Rasmussen OV, Brynitz S, Struve-Christensen E. Thoracic injuries. Scandinavian Journal of Thoracic and Cardiovascular Surgery 1986; 20(1): 71-74.
8
9. Veysi VT, Nikolaou VS, Paliobeis C, Efstathopoulos N, Giannoudis PV. Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. Int Orthop 2009; 33(5): 1425-1433.
9
10. Bijani M, Nikrooz L, Naghizadeh MM, Tavakkol Z. The Incidence of Chest Trauma in Patients Refer to Vali-Asr Hospital of Fasa: (Epidemiology of chest trauma). Journal of Fasa University of Medical Sciences 2013; 3(3): 285-289. (Persian)
10
11. Onat S, Ulku R, Avci A, Ates G, Ozcelik C. Urgent thoracotomy for penetrating chest trauma: analysis of 158 patients of a single center. Injury 2011; 42(9): 900-904.
11
12. Heratian Z, Zarei S, Lashkari MH. Evaluation the frequency of the injuries caused by chest trauma among patients in Besat air force hospital. Islamic Azad University of Medical Science 2004; 15(3): 147-150. (Persian)
12
13. Soleimani H, Iranfar Sh. Investigation the causes of trauma among the hospitalized patients in the surgical section of Taleghani training and remedial center in 1994. Scientific Journal of Medical University of Kermanshah 1996; 4(1): 65-70. (Persian)
13
14. Behdad A, Hosseinpour M, Rezaei Adaryani M. Assessment of Chest Trauma in Patients Admitted to Academic Medical Centers of Isfahan. KAUMS Journal 2008; 11(5): 43-46. (Persian)
14
15. Westphal FL, Lima LC, Lima Netto JC, Silva Jde S, Santos Junior VL, Westphal DC. Thoracic trauma: analysis of 124 patients who underwent thoracotomy. Rev Col Bras Cir 2009; 36(6): 482-486.
15
16. Davoodabadi A, Abdorrahim kasha E, Fattahi M, Mousavi Gh, Afshar M, Talebiyan A. Chest Trauma epidemiology in Trauma centers of Kashan in 2004-2008. Kashan University of Medical Sciences Journal 2008; 11(5): 17-22. (Persian)
16
17. Adegboye V, Ladipo J, Brimmo I, Adebo A. Blunt chest trauma. African Journal of Medicine and Medical Sciences 2002; 31(4): 315-320.
17
18. Johannesdottir BK, Mogensen B, Gudbjartsson T. Emergency thoracotomy as a rescue treatment for trauma patients in Iceland. Injury 2013; 44(9): 1186-1190.
18
19. Tan BK, Pothiawala S, Ong ME. Emergency thoracotomy: a review of its role in severe chest trauma. Minerva Chir 2013; 68(3): 241-250.
19
20. Ahmad T, Ahmed SW, Hussain N, Khan MI. Role of Urgent Thoracotomy in improving the survival of patients with severe chest trauma. J Coll Physicians Surg Pak 2009; 19(9): 575-578.
20
ORIGINAL_ARTICLE
Validity and Reliability of Children’s Eating Behavior Questionnaire
Background: There is an urgent need to identify and apply a diagnostic tool that can assess children’s eating behaviors. This study aimed to assess the validity and reliability of the Persian version of Children’s Eating Behavior Questionnaire (CEBQ) in 1-6 year-old children in Shiraz. Methods: The study participants included 350 children (280 girls and 270 boys) selected through convenience sampling. CEBQ was completed by the children’s mothers. Then, the reliability of the questionnaire was assessed using test-retest and Cronbach’s alpha methods. Its validity was also evaluated using exploratory factor analysis. Results: The reliability of the questionnaire was assessed using test-retest method with a 2-week interval. Accordingly, test-retest and Cronbach’s alpha coefficients were 0.71 and 0.74, respectively. Additionally, the results of factor analysis revealed 6 subscales, namely desire to feed, desire to drink, emotional under-eating, emotional over-eating, slowness in eating, and variety seeking, which explained 53% of the variance. Conclusion: The study results showed that CEBQ had appropriate psychometric properties for assessment of nutritional behaviors among 1-6 year-old children. Therefore, this instrument is recommended to be used in laboratory and clinical researches.
https://smsj.sums.ac.ir/article_43934_881e6ad2d11aa6f56f03fe539efd83ad.pdf
2017-03-21
77
86
Child
Eating behavior
Validity
reliability
R
Nasirzadeh
raznasirzadeh@gmail.com
1
Clinical Psychologist, Young Researchers and Elite Club, Shiraz Branch, Islamic Azad University, Shiraz, Iran
LEAD_AUTHOR
Hurley KM, Cross MB, Hughes, SO. A Systematic Review of Responsive Feeding and Child Obesity in High-Income Countries. American Society for Nutrition 2011; 141:495-501.
1
Flegal KM, Ogden CL, Yanovski JA, Freedman DS, Shepherd JA, Graubard BI, Borrud LG. High adiposity and high body mass indexfor-age in US children and adolescents overall and by race-ethnic group. Am J Clin Nutr 2010; 91: 1020–6.
2
Nasirzadeh R, Mazaheri MA, Ferdosi S, Nohesara S, Shahidi S. Mothers’ Narratives of their Infants’ Feeding Problems and Comparing Infant Feeding Styles, Journal of Kerman University of Medical Sciences 2016;23(1):81-93. (Persian)
3
Wardle J. Eating behavior in obesity. In R. Shepherd, & M. Raats (Eds.). The psychology of food choice. UK: CABI; 2006.
4
Fisher JO, Birch LL. Restricting access to foods and children’s eating. International Journal of Eating Disorders 1999; 32:405–419.
5
Mahvi shirazi M. Reliability, Validity and Standardization, Zuckerman's sensation seeking scale. Daneshvar (Raftar) Shahed University 2008; 28:35-49. (Persian)
6
Nasirzadeh R, Erfanmanesh N. Psychometric properties scale of drawing a story among 6 to 11 years old children. J Res Behav Sci 2013; 10(5): 325-31. )Persian)
7
Epstein, S. Aggregation and beyond: Some basic issues on the prediction of behavior. Journal of Personality 1983; 51: 360–392.
8
Wardle J, Guthrie C A, Sanderson S, Rapoport L. Development of the children’s eating behaviour questionnaire. Journal of Child Psychology and Psychiatry 2001; 42: 963–970.
9
Carnell S, Wardle J Measuring behavioural susceptibility to obesity: Validation of the child eating behaviour questionnaire- Appetite 2007; 48: 104–113.
10
Goh DY, Jacob A. Perception of picky eating among children in Singapore and its impact on caregivers: a questionnaire survey. Asia Pac Fam Med 2012; 11(1): 5-11.
11
Mallan KM, Nambia S, Magarey AM, Daniels, LA. Satiety responsiveness in toddlerhood predicts energy intake and weight status at four years of age. Appetite 2014; 74: 79-85.
12
Santos JL, Ho-Urriola JA, Gonzalez A, Smalley SV, Dominguez-Vasquez P, Cataldo R, et al. Association between eating behavior scores and obesity in Chilean children. Nutr J; 2011: 10, 108.
13
Sleddens EF, Kremers SP, Thijs C. The children's eating behaviour questionnaire: factorial validity and association with Body Mass Index in Dutch children aged 6-7. Int J Behav Nutr Phys Act 2008; 5: 49.
14
Viana V, Sinde S, Saxton J C. Children's Eating Behaviour Questionnaire: associations with BMI in Portuguese children. Br J Nutr 2008; 100 (2): 445-450.
15
Svensson V, Lundborg, L, Cao Y, Nowicka P, Marcus C, Sobko T. Obesity related eating behaviour patterns in Swedish preschool children and association with age, gender, relative weight and parental weight--factorial validation of the Children's Eating Behaviour Questionnaire. Int J Behav Nutr Phys Act 2011; 8: 134.
16
Domoff SE, Miller AL, Kaciroti N, Julie C. Lumeng JC. Validation of the Children's Eating Behaviour Questionnaire in a low-income preschool-aged sample in the United States. Appetite 2015; 95: 415-420.
17
Quah PL, Cheung YB, Pang WW, Toh JY, Saw, S-M, Godfrey KM, Yap F, Chong YS, Mary CFF. Validation of the Children's Eating Behavior Questionnaire in 3-year-old children of a multi ethnic Asian population: The GUSTO cohort study. Appetite 2017; 113:100-105.
18
Chatoor I. Feeding and eating disorders of infancy and early childhood. In: Wiener J, Dulcan MK, Editors. Textbook of child and adolescent psychiatry. Arlington, VA: American Psychiatric Pub; 2004. P: 639- 57.
19
Bernard-Bonnin AC. Feeding problems of infants and toddlers. Canadian Family Physician 2006; 52 (10): 1247-1251
20
McDermott BM, Mamun AA, Najman JM, Williams GM, O'Callaghan MJ, Bor W. Longitudinal correlates of the persistence of irregular eating from age 5 to 14 years. Acta Paediatr 2010; 99(1): 68-71.
21
Nicklaus S, Boggio V, Chabanet C, Issanchou S. A prospective study of food variety seeking in childhood, adolescence and early adult life. Appetite 2005; 44(3): 289-97.
22
Khatoon T, Mollah AH, Choudhury AM, Islam M, Rahman KM. Association between infant and child-feeding index and nutritional status: results from a cross-sectional study among children attending an urban hospital in Bangladesh. J Health Popul Nutr 2011; 29(4): 349-56.
23
Taghavi SMR. The normalization of General Health Questionnaire for Shiraz University Daneshvar (Raftar) Shahed University 2008; 15: 1-12. (Persian)
24
Helmstadter GC. Principles of Psychological Measurements. 1nd Ed. New York: Appleton-Century-Crofts; 1965.
25
Nunnally JC, Bernstein IH. Psychometric Theory. 3th Edition, McGraw-Hill: New York; 1994.
26
ORIGINAL_ARTICLE
The Barriers against Strategic Plan Implementation from Managers’ Perspectives in Teaching Hospitals of Shiraz University of Medical Sciences, 2016
Background: Strategic plans in hospitals can be considered an investment to improve their performance. However, managers who intend to use strategic planning to achieve success are faced with barriers against its implementation. This study aimed to investigate the barriers against implementation of strategic plans from managers’ perspectives in teaching hospitals of Shiraz University of Medical Sciences. Methods: This descriptive-analytical, cross-sectional study was performed in 2016. The study population consisted of 40 domestic, administrative, financial and accounting, and nursing managers selected through census. The data were collected using a researcher-made questionnaire including questions about effective barriers against implementation of strategic plans. Then, the data were entered into the SPSS statistical software, version 23 and were analyzed using descriptive statistics, ANOVA, t-test, and Pearson’s correlation coefficient. Results: The results showed that the barriers against implementation of strategic plans were related to structural (27.12±6.58), human (20.12±4.43), process (16.44±3.99), and institutional (15.85±4.80) factors. There was no significant relationship between demographic variables and barriers against implementing strategic plans in hospitals (p>0.05). Conclusion: Hospital managers should identify and eliminate the barriers against implementation of strategic plans. Considering the dynamic nature of management processes, training courses are recommended to be held based on the needs and priorities obtained in this research.
https://smsj.sums.ac.ir/article_43935_d3cdb54f263f821e313d6e83d8bd1f64.pdf
2017-03-21
87
98
Strategic plan
Barriers
Managers
Teaching hospital
A
Yusefi
alirezayusefi67@gmail.com
1
Ph.D. student of health services management, Student Research Committee, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Z
Kavosi
2
Associate Professor of health services management. Department of Health Services Management, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
R
Heydari
3
Bs student of health services management, Student Research Committee, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
E
Siavashi
4
Ph.D. student of health services management, Student Research Committee, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Dyer WJ. ES. Modern theories of management and organization development. Taleghani GH. Asgharpour. Tehran: Elm o Adab; 2001: 90. [Persian]
1
Brayson JM. Strategic planning for public and non-profit organizations. Tehran: Training institute of public management; 2014:105.
2
Afje A, Esmaeilzade M. Investigating the relationship between strategic management of human resources and Companies performance. Journal of Management Development and Evolution 2009; 2:9-19. [Persian]
3
Mohamadfam I. Immune-based strategic management: why and how? Journal of Occupational Health 2008; 5(1, 2):1-5. [Persian]
4
David FR. Strategic Management. 27 ed. Tehran: Office of Cultural Studies; 2013: 688.
5
Aarabi M. The Handbook of Strategic Management. Tehran: Office of Cultural Studies; 2010.
6
Hamidizadeh M. Strategic planning and long-term. Tehran: Semat; 2014.
7
Miller S, Hickson D, Wilson D. From strategy to action: involvement and influence in top level decisions. Long Range Planning 2008; 41(6): 606–28.
8
Ghafarian V, Amarzadeh M. New meaning to the concept of strategy. Tehran: Industrial Management; 2006.
9
Shoorini S, Mahzari M. Identifying the barriers to strategic plan and prioritize them. Tehran: Strategic Management 2015; 56(20): 111-132.
10
Kaissi AA, Begun JW. Strategic planning processes and hospital financial performance. J Healthcare Management 2008; 53(3): 197-208.
11
Swayne LE, Duncan WJ, Ginter PM. Strategic management of health care organizations: John Wiley & Sons; 2012.
12
Altuwaijri M. Health Information Technology Strategic Planning Alignment in Saudi Hospitals: A Historical Perspective. Journal of Health Informatics in Developing Countries. 2011; 5(2): 338-55.
13
Jacobovitz S, Weissman NJ, Soman P. New Strategic Plan Charts Next Chapter in College's History: Implications for the Cardiovascular Imager. JACC: Cardiovascular Imaging 2014; 7(5):537-9.
14
Sadeghifar J, Jafari M, Tofighi S, Ravaghi H, Maleki MR. Strategic Planning, Implementation, and Evaluation Processes in Hospital Systems: A Survey from Iran. Global Journal of Health Science 2014; 7(2):56.
15
Amerion A, Shahabi Nejad M. Assessing the barriers of strategic plan implementation from hospital managers perspective in Kerman city. Journal of Hospital 2015; 14(4): 96-102.
16
Zeinaloo A, Hosseini M, Asefzadeh S. Assessing the progress of strategic plan in Qazvin University of Medical Sciences, 2008 -2009. Journal of Qazvin University of Medical Sciences 2010; 13(4). [Persian]
17
Nasiripour AA, Raeissi P, Bagy RN, Adabi A. The Survey of Structural Factors in General Hospitals of Yazd-Iran Based on Mechanic and Organic Approach 2012 Toloe Behdasht 2013; 12(3):194-204. [Persian]
18
Turaj M, Milani M. survey of relationship between Strategy and structure in electricity corporate of Tehran. Journal of Management 2011; 22(8): 14-23.
19
Akhavan P. Reorganization procedures in order to fulfill strategic priorities. Journal of tomorrow management 2004; 37(3): 73-86.
20
Alizadeh S, Maleki M, Zarnaq RK, Ramandi SD, Sadeqi A. Relationship between Strategy and Organizational Structure: A Comparative Study between Public and Private Hospitals of Tehran; 2012 Hospital Management 2013; 13(3):35- 42. [Persian]
21
Jalali SH. Pathology of implement strategies in the pharmaceutical industry [Thesis]. Tehran: Tabatabai University; 2011.
22
Rahimnia F, Polychronakis Y, Sharp JM. A Conceptual Framework of Impeders to Strategy Implementation from an Exploratory Case Study in an Iranian University. Education Business and Society 2009; 2(4):246-61.
23
Mazloumi N, Jalali SH. Prioritize the obstacles affecting the implementation of strategic plans in the pharmaceutical industry of the country. Journal of Executive Management 2012; 4(7): 126-148.
24
Uysal G, Koca G. HR and firm performance at companies in Turkey: Correlative analysis. Journal of Modern Accounting and Auditing; 2009: 5(1), 45-48.
25
Yang C, Lin CY. Does intellectual capital mediate the relationship between HRM and organizational performance? Perspective of a healthcare industry in Taiwan. The International Journal of Human Resource Management 2009; 20(9): 1965-1984.
26
Dastjerdi DK, Poorezat AA, Kolali NS, Akhavan MR. Ranking barriers to the implementation of strategic decisions. Journal of Strategic Management Studies-JSMS. 2010; 2: 31- 49. [Persian]
27
Hong K, Yamkasikorn M. Obstacles to effective implementation of strategic management system plan in Cambodian dual-system school. Burapha University`s Journal 2015; 26(1):47-64.
28
Murphy DM, Hanchett M, Olmsted RN, Farber MR, Lee TB, Haas JP, et al. Competency in infection prevention: A conceptual approach to guide current and future practice. American Journal of Infection Control. 2012; 40(4): 296-303.
29
Jahani M. Review obstacles and ways to overcome them in the strategy implementation. [Tehran]: Islamic Azad University, South Tehran; 2013.
30
Dehayyat Jehad A, Anchor JR. «Strategy Implementation Problems in Jordanian Publicly Quoted Industrial Firms». Proceeding of the British Academy of Management Conference: 2009.
31
Ford-Eickhoff K, Plowman DA, McDaniel Jr RR. Hospital boards and hospital strategic focus: The impact of board involvement in strategic decision making. Health Care Management Review 2011; 36(2):145-54.
32
Hoseini SY, Hamzeian K, editors. Identification barriers to the implementation of strategic plans using interpretive structural modeling. Fifth International Conference on Strategic Management; 2010; Tehran.
33
Farajpoor GH, Noorosana R. Integrated framework for Formulating and implementation strategy in Iran Post. International Journal of Industrial Engineering and Production Management 2011; 22(1):78-90. [Persian]
34
Latif B, Gohar FR, Hussain A, Kashif MM. Barriers to Effective Strategic Planning. International Journal of Management & Organizational Studies 2013; 1(2):16-21.
35
ORIGINAL_ARTICLE
The Relationship between Interpersonal Communication Skills and Nursing Students’ Attitudes toward Teamwork
OPEN JOURNAL SYSTEMS Journal Help USER Username Password Remember me NOTIFICATIONS View Subscribe LANGUAGESelect Language فارسی English JOURNAL CONTENT Search Search Scope All Authors Title Abstract Index terms Full Text Browse By Issue By Author By Title FONT SIZE Make font size smallerMake font size defaultMake font size larger INFORMATION For Readers For Authors For Librarians HOME ABOUT LOGIN REGISTER SEARCH CURRENT ARCHIVES ANNOUNCEMENTS PUBLICATIONETHICS INDEXES PERSIANSITE Home > Vol 5, No 2 (2017) > Khademian THE RELATIONSHIP BETWEEN INTERPERSONAL COMMUNICATION SKILLS AND NURSING STUDENTS’ ATTITUDES TOWARD TEAMWORK Z Khademian, B Tehrani Neshat ABSTRACT Background: Patient safety and quality of health-care delivery depend very much on effective teamwork and interpersonal skills. Moreover, maintaining a positive attitude toward teamwork is vital. Considering the importance of interpersonal skills in an organization, the relationship between individuals’ attitudes toward teamwork and their interpersonal skills is not yet very clear. Therefore, this gap in research triggered the researchers to determine the relationship between interpersonal communication skills and attitudes toward teamwork in nursing students. Methods: This cross-sectional study was conducted in 2016. The sample consisted of 84 nursing students with a mean age of 21.92 ± 2.02 who were selected by census method. Data collection instruments were "Interpersonal Communication Skills Questionnaire" and "Teamwork Attitude Questionnaire". To analyze the data, descriptive statistics, Pearson and Spearman correlation coefficient, independent t-test and Mann-Whitney were run, using SPSS software version 16. Results: The findings showed that there was a significant positive relationship between the interpersonal communication skills and the total score of attitudes toward teamwork (r = 0.42, P < 0.001), dimensions of leadership (r = 0.46, P< 0.001), team structure (r=0.32, P= 0.003), and communication (r=0.23, P=0.04). In comparison with their female counterparts, male nursing students reported higher scores on the communication dimension (P = 0.037). Conclusion: The findings revealed that the interpersonal skills had a positive and moderate correlation with the attitudes toward teamwork, leadership, team structure and communication dimensions. Therefore, in order to improve the attitudes of health care providers toward teamwork, it is recommended to reinforce interpersonal skills in the workplace.
https://smsj.sums.ac.ir/article_43936_4c730b6bdf17464955de416746a4875c.pdf
2017-03-21
99
110
Attitude
Communication
Interpersonal relations
Students
Nursing
Z
Khademian
khademian@sums.ac.ir
1
استادیار، دکترای پرستاری، دانشکده پرستاری و مامایی حضرت فاطمه (س)، دانشگاه علوم پزشکی شیراز، شیراز، ایران
LEAD_AUTHOR
B
Tehrani Neshat
2
PhD Candidate in nursing, MSN, Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Cassinello Plaza F. The importance of teamwork in the operating rooms. Rev Colomb Anestesiol; 2015; 43(1):1-2.
1
Lyle-Edrosolo G, Waxman K. Aligning Healthcare Safety and Quality Competencies: Quality and Safety Education for Nurses (QSEN), The Joint Commission, and American Nurses Credentialing Center (ANCC) Magnet® Standards Crosswalk. Nurse Leader 2016;14(1):70-5.
2
Dolansky MA, Moore SM. Quality and safety education for nurses (QSEN): The key is systems thinking. OJIN 2013;18(3):71-80.
3
Xiao Y, Parker SH, Manser T. Teamwork and collaboration. Reviews of Human Factors and Ergonomics 2013; 8(1):55-102.
4
Gluyas H. Effective communication and teamwork promotes patient safety. Nurs Stand. 2015 5; 29(49):50-7.
5
Rabøl LI, Andersen ML, Østergaard D, Bjørn B, Lilja B, Mogensen T. Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis-reports from Danish hospitals. Qual Saf Health Care. 2011; 20(3): 268-74.
6
Salmani N, Fallah Tafti B. Frequency, Type and Causes of Medication Errors in Pediatric Wards of Hospitals in Yazd, the Central of Iran. International Journal of Pediatrics 2016; 4(9):3475-87.
7
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J 2014; 90(1061):149-54.
8
Khademian Z, Sharif F, Tabei SZ, Bolandparvaz S, Abbaszadeh A, Abbasi HR. Teamwork improvement in emergency trauma departments. IJNMR. 2013;18(4):333.
9
Mahfoozpour S, Mojdekar R. Attitudes of health care providers toward teamwork, safety climate and knowledge transfer through team collaboration in an educational medical center in Tehran 2009. Advances in Nursing & Midwifery. 2012; 22 (76): 35-41.
10
Fuson JK. The Effect of in situ simulation on teamwork attitudes in nursing students: Gardner-Webb University (Capstone project); 2015. Accessed: 2017-6-20. Available from: http://digitalcommons.gardner-webb.edu/nursing_etd/200.
11
Davidson H. An exploratory study into attitudes towards teamwork in the workplace and in the academic environment. 2013. (Unpublished). Accessed: 2017-6-20. Available from: https://e-space.mmu.ac.uk/576549/
12
Kilner E, Sheppard LA. The role of teamwork and communication in the emergency department: a systematic review. Int Emerg Nurs. 2010;18(3):127-37.
13
Abdolmaleki M, Momeni S. Comparison of the senior student with junior student's viewpoint about team working in Kurdistan University of medical sciences. Future of Medical Education Journal 2013; 3(1):13-6.
14
Krueger L, Ernstmeyer K, Kirking E. Impact of Interprofessional Simulation on Nursing Students' Attitudes Toward Teamwork and Collaboration. J Nurs Educ 2017; 56(6):321-7.
15
Wong AH-W, Gang M, Szyld D, Mahoney H. Making an “attitude adjustment”: Using a simulation-enhanced interprofessional education strategy to improve attitudes toward teamwork and communication. Simulation in Healthcare 2016; 11(2):117-25.
16
Behnia O, HosseinPour M, Zare K. The Analysis of the Team Working Facilitating Factors among nurses Working in Training Centers affiliated with the University of Jondi SHapour in Ahvaz. Scientific Journal of Hamadan Nursing and Midwifery Faculty 2016; 24(4): 247-55.
17
Ravanipour M, Yazdankhahfard M, Akaberian S, Bahreini M. Teamwork Concept in Nursing Students’ Point of View at Bushehr University of Medical Sciences. Educational Developement of Jundishapur 2014(3): 266-74.
18
Monajemizadeh A. An Investigation of the Relationship between Interpersonal Disciplines and the Social Acceptance of Students at Payame Noor University, Khorasgan. Bachelor of Science in Social Sciences 2011. Accessed: 2017-6-20. Available from: http://e-space.mmu.ac.uk/id/eprint/576549
19
Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS Teamwork Attitudes Questionnaire. Qual Saf Health Care. 2010;19(6):e49.
20
Najafi M, Keshmiri F, Najafi M, Shirazi M. Assessment of validity and reliability of TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) in Iran. Journal of Payavard Salamat 2014; 7(5):389-98.
21
Pishgar Z. The study of the effect of training on the attitude and knowledge of the anesthesia and operating room students about teamwork in Jahrom University of Medical Sciences (MSN thesis): School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran, 2015.
22
Jeseviciute-Ufartiene L. The interface between the employee attitude to teamwork and communication skills: example of sport clubs. Transformations In Business and Economics 2016;15(2B):38B.
23
Ruiz Ulloa BC, Adams SG. Attitude toward teamwork and effective teaming. Team Performance Management: An International Journal 2004; 10(7/8):145-51.
24
Nayebi N, Majd Teymouri R. Communication skills and related factors within patient by nursing student. J Holist Nurs Midwifery 2015;25(2):93-101.
25
Shaghayeghfard B, Derakhshan RSA, Kamali SF. Attitude survey of physiatrist and rehabilitation professionals towards team working process in the city of Shiraz. J Res Rehabil Sci 2013; 8(8): 1319-27.
26
Hekmat SN, Dehnavieh R, Rahimisadegh R, Kohpeima V, Jahromi JK. Team attitude evaluation: An evaluation in hospital committees. Mater Sociomed. 2015; 27(6):429-33.
27
Orlando JP, Joshi A, Carter M, May H, Bortle C, White P. Parallel-group randomized study on the impact of a modified TeamSTEPPS training on resident and nurse attitudes toward teamwork and their adherence to patient safety protocols. IJAM 2016;2(2):145.
28
Kuhn P, Villeval MC. Are Women More Attracted to Co‐operation Than Men? The Economic Journal. 2015; 125(582):115-40.
29
Ebadi A. Study of communication skills in nursing students and its association with demographic characteristics. Iranian Journal of Medical Education 2014;14(1):23-31.
30
ORIGINAL_ARTICLE
Comparison of World Confederation’s Code of Ethics for Physical Therapy to Islamic Culture Principles
Background: Ethics in medicine is of particular importance in Islamic culture. Physiotherapy is one area of medical sciences, which has grown dramatically in the recent years. Ethical principles of physiotherapy should be developed in accordance with Islamic culture and be provided to physiotherapists. To achieve this goal, it is necessary to define a set of ethical codes that could form physiotherapists’ performance structure and provide strategies for dealing with ethical challenges. Methods: This study aimed to compare the ethical principles presented by World Confederation for Physical Therapy to Islamic ethics. Results: The results revealed consensus and common principles between the professional ethics of World Confederation for Physical Therapy and Islamic culture. Conclusion: In metaphysical worldview, God’s existence is the principle. Thus, the centrality of God is considered in all aspects, including individuals’ intentions. In contrast, man and the world are the center of non-divine worldviews. Therefore, this viewpoint towards one’s profession, including physiotherapy, can lead to a gap in spiritual and emotional relationships.
https://smsj.sums.ac.ir/article_43932_69cfd31f378d5c5ad1e3689cf2cd8ea4.pdf
2017-03-21
111
118
ethics
Professional
Physical Therapy
Islam
culture
M
Mohamadi
1
PhD Candidate of Physical Therapy, Student Research Committee, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
H
Mahmoodian
mahmoodian@sums.ac.ir
2
Instructor of Medical Ethics, Research Center of Quran, Hadis and Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
N
Ajdari
3
MSc Student of Physical Therapy, Student Research Committee, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zeraatkar M, Mahmoodian F. Barresi akhlagh tebabat dar barkhi az motoon kohan iran va eslam. Medical Ethics 2012;3(7):141-64. (Persian)
1
Kodadoost K, Hosseini SF, Mohajel-Shoja MA. Aghlagh pezeshki va ahammiat an dar iran bastan. Majaleh Irani Akhlagh va Tarikh Pezeshki 2010;3(5):11-8. (Persian)
2
Ghafari F. Doornamaee az akhlagh pezeshki va roayat hoghoogh bemar dar barkhi motoon teb sonnati iran va eslam. Faslnameh Tarikh Pezeshki 2012; 2(4):11-45. (Persian)
3
Korth M. History of physical therapy. Available from: https://www.network-synergy.com/news/the-history-of-physical-therapy.aspx.
4
Nalette E. Constrained physical therapist practice: an ethical case analysis of recommending discharge placement from the acute care setting. Physical Therapy 2010; 90(6):939-52.
5
Edwards I, Delany CM, Townsend AF, Swisher LL. New perspectives on the theory of justice: implications for physical therapy ethics and clinical practice. Physical Therapy 2011; 91(11):1642-52.
6
Swisher LL. A retrospective analysis of ethics knowledge in physical therapy (1970–2000). Physical Therapy 2002; 82(7):692-706.
7
Poulis I. Bioethics and physiotherapy. Journal of Medical Ethics 2007; 33(8):435-6.
8
Delany CM, Edwards I, Jensen GM, Skinner E. Closing the gap between ethics knowledge and practice through active engagement: an applied model of physical therapy ethics. Physical Therapy 2010; 90(7):1068-78.
9
Praestegaard J, Gard G. The perceptions of danish physiotherapists on the ethical issues related to the physiotherapist-patient relationship during the first session: a phenomenological approach. BMC Medical Ethics. 2011; 12(1):21.
10
Praestegaard J, Gard G. Ethical issues in physiotherapy–Reflected from the perspective of physiotherapists in private practice. Physiotherapy Theory and Practice 2013; 29(2):96-112.
11
Hudon A, Drolet M-J, Williams-Jones B. Ethical Issues Raised by Private Practice Physiotherapy Are More Diverse than First Meets the Eye: Recommendations from a Literature Review. Physiotherapy Canada 2015; 67(2):124-32.
12
Drolet M-J, Hudon A. Theoretical frameworks used to discuss ethical issues in private physiotherapy practice and proposal of a new ethical tool. Medicine, Health Care and Philosophy 2015; 18(1):51-62.
13
Bialocerkowski A, Wells C, Grimmer-Somers K. Teaching physiotherapy skills in culturally-diverse classes. BMC Medical Education 2011; 11(1):34.
14
Swisher LL, Hiller P, APTA Force to Revise the Code Ethics Documents. The revised APTA Code of Ethics for the Physical Therapist and Standards of Ethical Conduct for the Physical Therapist Assistant: theory, purpose, process, and significance. Physical Therapy 2010; 90(5):803-24.
15
World confederation for physical therapy 2007. Available from: http://www.wcpt.org/ethical-principles.
16
Amid-Zanjani AA, Tavakkoli MM. Hoghoogh bashar eslami va keramat zatie ensan dar eslam. Faslnameh Motaleat Hoghoogh Khosoosi (faslnameh hoghoogh sabegh) 2007; 37(4):161-89. (Persian)
17
Razi S. Nahgolbalagheh. shiraz: Shahcheragh. 752 p.
18
Available from: http://www.askquran.ir/thread18817.html.
19
Ansari B. harime khosoosi va hemayat az an dar hoghoogh eslam tatbeaghi va Iran. Majaleh Daneshkadeh Hoghoogh va Olume Siasi. 2004; 66:1-53. (Persian)
20
Abbasi M, Zamani M, Ganjbakhsh M. Edalat dar salamat va jayegah an dar akhlagh pezeshki. Medical Ethics 2009; 3(10):11-33. (Persian)
21
Ansari ME, Shaker-Ardacani M. Akhlagh kar eslami va taahod sazemani dar mian karkonan daneshgahe olume pezeshki esfahan. magaleh Irani Akhlagh va Tarikh Pezeshki 2013; 6(2):86-98. (Persian)
22
Armoon A, Asadi A. Negareshi bar sirehe akhlaghi payambar akbar faslnameh elmi takhassosi hablolmatean (Vijeh nameh Noghteh Pargar) 2013; 1: 97-121. (Persian)
23
Sarvari-Majd A. Ghoran va Jameh Armani. Seraj Monear 2014; 4(12):35-89. (Persian)
24