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1396 / 05 / 04

Relationship of quality of working life in Kashan teching and non-teaching hospitals with knowledge management according to the top and middle manager’s point of view


Background: The purpose of the present study was to compare quality of working life in Kashan

teaching and non-teaching hospitals and to determine its relationship with knowledge mamangment.

Materials and Methods:the study was descriptive in nature.The statistical population comprised of

middle and senior managers at Kashan teaching and non-teaching hospitals.The data were collected

using a valid Likert style questionaire (Very little to very much).Data analysis was carried out using


Results : Worke space gained the highest score among another parameters (3.64 in teaching hospitals

and 3.47 in non-teaching hospitals.Material facilities scored the lowest in teaching hospitals (2.7). Job

designe also attained the lowest score in non-teaching hospitals (2.81).

Democracy showed the strongest correlation with knowledge management in teaching hospitals

(r=0.83). There was a strong correlation between education and knowledge management in nonteaching

hospitals (r=0.69).

There was a strong correlation between quality of working life and knowledge managment both in

teaching and non-teaching hospitals (r=0.92 and r=0.83), respectively.

Conclusion : Based on the fidinges of the study, paying special attention to participation in

decision-making and education could play a crucial role in improving work life quality.

Key words : l. Work Life Quality, Knowledge Managment,Teaching hospital, Non-teaching hospital


Solid Waste Management of Hospitals affiliated to Kashan Medical University


Introduction: Hospital waste always has been tallied as one of the important path for

environmental contamination. Technology improvement and growth of population, ventually increases the hospital waste products, besides inadequate management could place healthcare workers, patients, communities and their environment at risks.

Objective: The aim of present study was valuation of hospital waste product management state in Kashan.

Methods: This study was a cross sectional-descriptive survey. Protocol of the survey was carried out in all of the training public hospitals including 850 active beds, in city of Kashan. Method applied for collecting the data was remarking (visiting each hospital).The weight and volume of the waste product were measured according to quality and quantity. Obtained data were analyzed using Mean (μ) ch- square and(X2).

Results: The results of the study showed that the daily hospital waste product were 2461 Kg per 24 hours, approximately 895804 kg per year, on average 219 kg per each bed. Most of the hospital waste products were collected from gynecology (62 kg), ENT (ear, nose and throat, 3 kg), medical (0/6kg) and dialysis (3kg) The results on various aspects of hospital waste management indicated that, all of the hospitals had cleared strategies for disposal of wastes except ENT wards. Similarly, the segregation process was inefficient.

Conclusion: Improvement of proper waste management systems and policies are strongly

recommended. This can be achieved only by the training according the guidelines and required

codes of practice to develop skills, understanding control, storage, transport and disposal of hospital waste product policy.

Keywords: Medical Waste Disposal, Medical Waste, Hospital.

Compression of clinical indicators before and after the

implementation of clinical governance and accreditation

programs in Beheshti Hospital – 2012

Introduction: Clinical governance is the application of mechanisms at the right time and

place to do tasks for patients properly and obtain maximum clinical results. In this regard,

accreditation is an assessment tool of health systems, especially hospitals, that is a top priority

of the ministry of health and medical education in Iran. So the aim of the present study is the

impact of clinical governance and accreditation programs on performance indicators in

Kashan Beheshti Hospital in 2012.

Methods & materials: This is a descriptive study. Data were gathered by census from 2009

to 2011 as pre- implementation of clinical governance and accreditation programs and 2011 to

2013 after utilization of it in the Kashan Shahid Beheshti Hospital. A validated check list

including 16 indicators was used. SPSS 16 was applied, using t-tests to do statistical analysis


Results:Comparing indices of health care management before and after implementation of

clinical governance and accreditation programs revealed that the ratio of active beds to

constant beds, beds turnover in a general hospital, beds occupancy rate, infant mortality rate,

hospital infection rates, rate of death to total hospitalized patients, mortality after surgery,

patients' satisfaction to hospital services in hospitalization wards and extent of organizing

committees according to the has significantly improved (P-Value<0/05).

Conclusion:According to the results of research by reinforcing performance indices, in order

to achieve the desired standards and identify weaknesses and improving strengths, higher

quality of service should be providedfor patients and society.

Key words: Accreditation, Clinical Governance, performance Indicators.


 Effect of Total Quality Management (TQM) in determining educational needs of Shafa and 7Tir HospitalNurses: Tehran 2011

 Today training, as one of the most important improvement ways for human resources, can increase organizational effectiveness and enhance employees` improvement. However, if this training is considered according to the process series of human resource management, regarding to the growing procedure for performance of Total Quality Management in our country hospitals, assessment of its effect on educational requirements of Shafa and Haftetir hospitals was carried out.This study was performed on 96 nurses of Shafa and Haftetir hospitals who were selected randomly. Participants were divided into two groups, a test group (Shafa hospital nurses) for whom TQM (Total Quality Management) was conducted, and control group (Haftetir hospital nurses) whom never had been taught TQM. Total management and educational need- assessment questionnaires were filled in by both health care services as posttests.The results obtained by determining educational needs of nurses in test group, was meaningfully higher than those without TQM. Also there was a meaningful difference between educational needs and TQM parameters in providing nursing services.TQM (total quality management) is effective on determination of nursing educational needs and can support better assessment for educational needs. In hospitals in which TQM is performed, nurses try to improve their knowledge by taking modern learning methods and try to enhance their knowledge by learning modern educational methods and try for more successfulness in healthcare services .


 Relation between physical environment changes and personnel satisfaction in Tehran Moayeri Hospital

 This study is about the nurses’ satisfaction of job’s physical environment and increasing their motivation by involving them in this goal and examining the relation between physical environment changes and nurses’ satisfaction of Moayeri hospital in Tehran to increase the satisfaction and motivation of nurses’ which finally causes an enhancement in the quality of services and an increase in efficiency of the hospital. This study is practical in the point of result and analogical in the point of performance logic. In order to find the main physical agents and nurses’ viewpoint agents we have used open questionnaire and to determine the nurses’ satisfaction about each agent, we have used multiple questionnaire with the score between 0 and 20. The t test has been used for comparative examination of the data achieved by questionnaires. Moreover, experts help us in examining narrative content and narrative superficies of the questionnaires; the reliability of results have been scrutinized by the repetitive method for 15 cases of the sample group and showed 0.93 in the coefficient of correlation point. The average of satisfaction about the light system increased from 11.51 to 17.46. This satisfaction about the ventilation system and painting the environment amended from 9.6 to 17.94 and 10.97 to 17.37, respectively. Moreover, the satisfaction about condition of windows, condition of walls and the façade of the hospital were ameliorated from 10.94 to 17.11, 9.91 to 17.74 and 9.03 to 18.31 respectively. A significant increase in nurses’ satisfaction (from the average 10.33 to the average 17.66) after doing the environmental changes confirms the relation between physical environment changes and nurses’ satisfaction. The most overt result of the study is the significant increase in nurses’ satisfaction in all the examined cases which will certainly result in an increase in nurses’ motivation and enhancement in their performances and services. The improvement in services not only causes enhancement in the reputation of the hospital but also has an effect on the health of the society. Therefore, managements of organizations and especially the managements of therapeutic centers should involve nurses’ in making decision whereby they can improve nurses’ motivation and the organization effectiveness and accomplish their mission more successfully.


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