بررسی تأثیر آموزش ضمن خدمت بر بهره‌وری پزشکان شاغل در مراکز بهداشتی درمانی: یک مطالعه نیمه تجربی
محورهای موضوعی : -مدارک پزشکی
1 - دانشجوی کارشناس‌ارشد آموزش جامعه‌نگر در نظام سلامت، معاونت بهداشتی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
2 - دانشجوی دکتری آموزش پرستاری، دانشکده پرستاری مامایی بویه، دانشگاه علوم پزشکی گلستان، گرگان، ایران
کلید واژه: بهره‌وری, پزشک, آموزش ضمن خدمت, مراکز بهداشتی درمانی,
چکیده مقاله :
مقدمه: آموزش کارکنان یکی از عوامل اصلی بهره‌وری نیروی انسانی در هر سازمان است. این مطالعه با هدف تعیین تأثیر برنامه آموزش ضمن خدمت بر بهره‌وری پزشکان شاغل در مراکز بهداشتی درمانی دانشگاه علوم پزشکی اصفهان طراحی گردید. روش پژوهش: این مطالعه شبه تجربی یک گروهی از نوع قبل و بعد بوده و شرکت‌کنندگان شامل 86 نفر از پزشکان شاغل در مراکز بهداشتی درمانی دانشگاه علوم پزشکی اصفهان بودند که به روش تصادفی انتخاب شدند. ابزار جمع‌آوری اطلاعات، پرسشنامه سنجش بهره‌وری بر اساس مدل هرسی و گلداسمیت بود که قبل و بعد از مداخله توسط پزشکان تکمیل گردید. گروه مداخله به مدت 51 ساعت آموزش‌های ضمن خدمت را دریافت کردند. داده‌ها توسط نرم‌افزار 16SPSS و با استفاده از روش آماری تی زوجی تجزیه و تحلیل گردید. یافته‌ها: نتایج نشان داد بین میانگین نمره بهره‌وری پزشکان قبل و بعد از دریافت آموزش‌های ضمن خدمت ارتباط مثبت و معنادار وجود دارد (p<0/05). از نظر مؤلفه‌های مؤثر بر بهره‌وری نیز در حیطه‌های انگیزش و ارزیابی عملکرد اختلاف معنادار آماری قبل و بعد از آموزش مشاهده گردید (p<0/05). نتیجه‌گیری: برگزاری دوره‌های آموزش ضمن خدمت باعث بهبود بهره‌وری در تعدادی از مؤلفه های مؤثر بر بهره‌وری می‌گردد. لذا توصیه می‌گردد با غنی ساختن آموزش‌ها دیگر مؤلفه های مؤثر بر بهره‌وری بهبود یابند.
Introduction: one of the main causes of the efficiency and effectiveness of any organization, is Staff training. This study aimed to determine the effect of training on productivity in physicians in health centers of Isfahan University of Medical Sciences. Methods: The semi experimental design was conducted. The population was consisting of 86 staff who were selected randomly. The population of this study was physicians that working in Health centers of Isfahan University of Medical Sciences. Data was collected through "Productivity Questionnaire of Hersi & Goldsmith". This questionnaire was completed before and after the study by physicians. The intervention group received in-service training for 51 hours. Before and after the intervention physicians completed questionnaires of productivity. Data were analyzed using SPSS software version 16. Paired t-test was used to compare the data in both groups before and after the intervention. Results: The results showed that there is a positive and significant relationship between the mean score of physicians' productivity before and after of in-service training. (P<0.05). The subscales include motivation and performance evaluation also increased after intervention. (P<0.05). Conclusion: The in-service trainingin physicians can improved a number of components of productivity. Therefore, it is recommended to improve the factors affecting productivity by enriching the training.
1- Rabiee F, Moayedi N, Naderi Z. Effect of in-service educational courses on human resources efficiency from university experts’ point of view. Iranian Quarterly of Education Strategies, 2011; 4(2): 85-89. [In Persian]
2- Emamzade Ghasemi H, Vanaki Z, Memarian R. The Effect of Using “Applied In-Service Education Model” on Quality of Nursing Care in Surgery Unit. Iranian Journal of Medical Education, 2005; 4(12): 13-20. [In Persian]
3- Rezaee A. Evaluation of the impact of in-service educational courses on job performance .Quarterly Journal of Insurance Industry, 2005; 19(4): 81-100. [In Persian]
4- Egiwale J A. Leadership skills development through service learning. Midwest Section Conference of the American Society for Engineering Education; 2008.
5- Bordbar GH, Mousavi M, Moradi B. Analysis of the educational needs employees using fuzzy TOPSIS, fuzzy DEMATEL. Journal of Educational Planning, 2013; 1(1): 106-129. [In Persian]
6- Hariri MH, Mahdian S, Hasanzadeh A. Survey of staff views of Isfahan University of Medical Sciences on the role of in-service training on the productivity of human resources.[research project] Isfahan University of Medical Sciences; 2011.
7- Yilmaz HY, Esen DG. An investigation on in-service trainings of the Ministry of National Education (MONE). Procedia-Social and Behavioral Sciences, 2015; 186: 79-86.
8- Den CZ, Yi LC, Jean MY. Study of in-service training, job promotion, working environment and work passion on job performance among the primary school’s English teacher in Malaysia. [Thesis] UNIVERSITI TUNKU ABDUL RAHMAN, FACULTY OF BUSINESS AND FINANCE DEPARTMENT OF BUSINESS: 2017.
9- Khorasani A, Dousti H. Evaluating the effectiveness of in-service engineering courses based on return on investment model. Journal of Engineering Education in Iran, 2012; 13(52): 103-122.
10- Asghari F, Jalilian HR. The effect of in-service training on productivity in Red Crescent Society. Journal of Help and Rescue, 2013; 4(3): 59-66. [In Persian]
11- Rezazadeh Bahadoran H, Khosravi babadi A, Toontab Haqiqi S. Effect of In-Service Education Courses on Staff’s Efficiency of Islamic Azad University South Tehran Branch based on Kirk Patrick Model. Economics and Business, 2012; 2(1): 11-22. [In Persian]
12- Jalilvan MA.The necessity and role of education in human resource improvement and development. Moddat, 2010; 10: 68-70. [In Persian]
13- Bagheri A. The effect of in-service training on productivity of agricultural management staff from Islamabad West. [MS Thesis] Tarbiat Moallem University.Tehran; 2005. [In Persian]
14- Nekouee Moghadam M, Mir Rezaee N. The effect of in-service training on productivity in staff of Kerman University of Medical Sciences. Health Information Management, 2006; 2(1): 40-45. [In Persian]
15- Raoufi MH, Tarikhi A. The impact of in-service training on the effectiveness and efficiency of principals and school personnel. Psychology and Education Studies, 2005; 5(1): 67-80.
16- Donnell L, Stueve A, Doval A. The effectiveness of the reach for health community youth service learning program in reducing early and unprotected sex among urben middle school students. American Journal of Public Health, 1999; 89(2): 176-181.
17- Bristol L, Knapp C, Fisher T. The effectiveness of service-learning: it’s not always what you think. The Journal of Experiental Education; 2010: 208-224.
18- Poorghaz A, Balouch M. The effect of in-service training for employees on job skills development of human resources in the Jahad Organization of Sistan and Baluchestan. Humanities and Social Sciences North, 2007; 2(1): 87-108. [In Persian]
19- Sharifiasl Z. The relationship between organizational commitment and productivity of members of rehabilitation: Razi psychiatric hospital. [MS Thesis]. University of Social Welfare & Rehabilitation Sciences; 1390. [In Persian]
20- Furco A. Advancing service-learning at research universities. New directions for higher education, 2001; 114: 67-88.
21- Burgess RG. Implementing in-service education and training: Psychology Press; 1993.
22- Ozcan D, Gunduz N. Evaluation of In-Service Training Programs of Associations. Procedia-Social and Behavioral Sciences, 2015; 191: 1028-33.
23- Özcan D. Evaluation of 4th and 5th class’s teachers’ competence perceptions towards lifelong learning. International Journal of Learning and Teaching, 2011; 3(1): 1-9.
24- Lamb D: Could simulated emergency procedures practised in a static environment improve the clinical performance of a Critical Care Air Support Team (CCAST)? A literature review. Intensive Crit Care Nurs, 2007, 23(1): 33–42.
25- Merien AE, Van de Ven J, Mol BW, Houterman S, Oei SG: Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol, 2010, 115(5): 1,021–1,031.
26- Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ: Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach, 2005, 27(1): 10–28.
27- Kaushal R. Most effective tactic to resolve problematic infection control practices in developing countries: periodic in service training sessions. Internatonal Journal of Medical and Biomedical Studies, 2019, 3(1): 29-34.
_||_1- Rabiee F, Moayedi N, Naderi Z. Effect of in-service educational courses on human resources efficiency from university experts’ point of view. Iranian Quarterly of Education Strategies, 2011; 4(2): 85-89. [In Persian]
2- Emamzade Ghasemi H, Vanaki Z, Memarian R. The Effect of Using “Applied In-Service Education Model” on Quality of Nursing Care in Surgery Unit. Iranian Journal of Medical Education, 2005; 4(12): 13-20. [In Persian]
3- Rezaee A. Evaluation of the impact of in-service educational courses on job performance .Quarterly Journal of Insurance Industry, 2005; 19(4): 81-100. [In Persian]
4- Egiwale J A. Leadership skills development through service learning. Midwest Section Conference of the American Society for Engineering Education; 2008.
5- Bordbar GH, Mousavi M, Moradi B. Analysis of the educational needs employees using fuzzy TOPSIS, fuzzy DEMATEL. Journal of Educational Planning, 2013; 1(1): 106-129. [In Persian]
6- Hariri MH, Mahdian S, Hasanzadeh A. Survey of staff views of Isfahan University of Medical Sciences on the role of in-service training on the productivity of human resources.[research project] Isfahan University of Medical Sciences; 2011.
7- Yilmaz HY, Esen DG. An investigation on in-service trainings of the Ministry of National Education (MONE). Procedia-Social and Behavioral Sciences, 2015; 186: 79-86.
8- Den CZ, Yi LC, Jean MY. Study of in-service training, job promotion, working environment and work passion on job performance among the primary school’s English teacher in Malaysia. [Thesis] UNIVERSITI TUNKU ABDUL RAHMAN, FACULTY OF BUSINESS AND FINANCE DEPARTMENT OF BUSINESS: 2017.
9- Khorasani A, Dousti H. Evaluating the effectiveness of in-service engineering courses based on return on investment model. Journal of Engineering Education in Iran, 2012; 13(52): 103-122.
10- Asghari F, Jalilian HR. The effect of in-service training on productivity in Red Crescent Society. Journal of Help and Rescue, 2013; 4(3): 59-66. [In Persian]
11- Rezazadeh Bahadoran H, Khosravi babadi A, Toontab Haqiqi S. Effect of In-Service Education Courses on Staff’s Efficiency of Islamic Azad University South Tehran Branch based on Kirk Patrick Model. Economics and Business, 2012; 2(1): 11-22. [In Persian]
12- Jalilvan MA.The necessity and role of education in human resource improvement and development. Moddat, 2010; 10: 68-70. [In Persian]
13- Bagheri A. The effect of in-service training on productivity of agricultural management staff from Islamabad West. [MS Thesis] Tarbiat Moallem University.Tehran; 2005. [In Persian]
14- Nekouee Moghadam M, Mir Rezaee N. The effect of in-service training on productivity in staff of Kerman University of Medical Sciences. Health Information Management, 2006; 2(1): 40-45. [In Persian]
15- Raoufi MH, Tarikhi A. The impact of in-service training on the effectiveness and efficiency of principals and school personnel. Psychology and Education Studies, 2005; 5(1): 67-80.
16- Donnell L, Stueve A, Doval A. The effectiveness of the reach for health community youth service learning program in reducing early and unprotected sex among urben middle school students. American Journal of Public Health, 1999; 89(2): 176-181.
17- Bristol L, Knapp C, Fisher T. The effectiveness of service-learning: it’s not always what you think. The Journal of Experiental Education; 2010: 208-224.
18- Poorghaz A, Balouch M. The effect of in-service training for employees on job skills development of human resources in the Jahad Organization of Sistan and Baluchestan. Humanities and Social Sciences North, 2007; 2(1): 87-108. [In Persian]
19- Sharifiasl Z. The relationship between organizational commitment and productivity of members of rehabilitation: Razi psychiatric hospital. [MS Thesis]. University of Social Welfare & Rehabilitation Sciences; 1390. [In Persian]
20- Furco A. Advancing service-learning at research universities. New directions for higher education, 2001; 114: 67-88.
21- Burgess RG. Implementing in-service education and training: Psychology Press; 1993.
22- Ozcan D, Gunduz N. Evaluation of In-Service Training Programs of Associations. Procedia-Social and Behavioral Sciences, 2015; 191: 1028-33.
23- Özcan D. Evaluation of 4th and 5th class’s teachers’ competence perceptions towards lifelong learning. International Journal of Learning and Teaching, 2011; 3(1): 1-9.
24- Lamb D: Could simulated emergency procedures practised in a static environment improve the clinical performance of a Critical Care Air Support Team (CCAST)? A literature review. Intensive Crit Care Nurs, 2007, 23(1): 33–42.
25- Merien AE, Van de Ven J, Mol BW, Houterman S, Oei SG: Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol, 2010, 115(5): 1,021–1,031.
26- Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ: Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach, 2005, 27(1): 10–28.
27- Kaushal R. Most effective tactic to resolve problematic infection control practices in developing countries: periodic in service training sessions. Internatonal Journal of Medical and Biomedical Studies, 2019, 3(1): 29-34.