Health and Safety Factors Affecting on Management of Nutrition Part in Social Security Hospitals with Approach of Modeling Structural Equations
Subject Areas : medical documentsesa fathi 1 , Amir Ashkan Nasiripour 2 , nader khalesi 3 , Reza Ziyari 4
1 - PhD Student, Department of Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran
2 - Department of Health Services Management, Sciences and Research Branch, Islamic Azad University, Tehran, Iran
3 - Associate Professor, Department of Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran
4 - Assistant Professor, Department of Economics, Semnan Branch, Islamic Azad University, Semnan, Iran
Keywords: Modeling Structural Equations, Social Security Organization, Hospital Nutrition part, Safety and Health,
Abstract :
Introduction: this study done to determine and provide a model for explaining the role and importance of the components needed In Social Security Hospitals due to importance of safety and health factors in the optimal management of nutrition part in hospitals and the lack of clarity on the impact of these factors on the preparation, production and distribution of healthy food. Methods: type of this study was qualitative - quantitative. The research population consisted of managers of hospitals, environmental health experts and nutrition experts. The data collection tool was an information form, that was a Social Security treatment checklist that completed by direct observation and interviewing. Data collected using a questionnaire including 15 questions that gathered in three areas. Use of SPSS software and AMOS Software analyzed with approach of modeling structural equations. Results: In this study, 3 aspects identified that included safety and health, monitoring and control, and human resources. Obtained Fitness was very close to unit, indicated the strength of the model's one dimensional. Based on the confirmatory factor analysis, "good food storage" in proper temperature and " Inappropriate storage conditions for raw materials "had the highest and the least effect among safety and health factors with coefficients of 0.753 and 0.554 , Respectively . Conclusion: In order to better manage of nutrition section in hospitals, while emphasizing on issues of health and safety, it is necessary to consider other influential factors and this will be applied in the future planning of the managers of social security hospitals.
1- Notermans S, Gallhoff G, Zwietering MH, Mead GC. Identification of critical control points in the HACCP system with a quantitative effect on the safety of food products. Food Microbiologyو 1995; 12(Supplement C): 93-8.
2- Sadeghifar J, Tofighi S, Hamouzadeh P, Raad Abadi M, Roshani M, Salimi M, et al. The compliance status of HACCP implementation requirements in nutrition departments of the selected hospitals of Tehran University of Medical Sciences. Jundishapur Journal of Health Sciencesو 2012; 4(3): 15-24. ]Presian[
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4- Lynch M, Painter J, Woodruff R, Braden C. Surveillance for Foodborne-disease Outbreaks: United States, 1998--2002: US Department of Health and Human Services, Centers for Disease Control and Prevention (CD); 2006.
5- Choi J, Norwood H, Seo S, Sirsat SA, Neal J. Evaluation of food safety related behaviors of retail and food service employees while handling fresh and fresh-cut leafy greens. Food Control, 2016; 67: 199-208.
6- Miokovic B, Njari B, Kozacinski L, Cvrtila Z. Application of HACCP in the control of the microbiological survey of meals in restaurants. Veterinarski Arhiv J, 2001; 71(2): 75-84.
7- Naing NN, Zain MM, Abdullah N. A study on reliability of questionnaire on knowledge, attitude and practice (KAP) of food handlers towards foodborne diseases and food safety. International Medical Journal, 2007; 14(4): 285-1
8- Okojie O, Wagbatsoma V, Ighoroge A. An assessment of food hygiene among food handlers in a Nigerian university campus. The Nigerian postgraduate medical journal, 2005; 12(2): 93-6.
9- Kramer J, Scott W. Food safety knowledge and practices in ready-to-eat food establishments. International journal of environmental health research, 2004; 14(5): 343-50.
10- Christison C, Lindsay D, Von Holy A. Microbiological survey of ready-to-eat foods and associated preparation surfaces in retail delicatessens, Johannesburg, South Africa. Food Control, 2008; 19(7): 727-33.
11- Familian A. Survey of quality improvement with assessing the HACCP critical factors in the industries in Lord Macaron. Iran University of Science and Technology, School of Industrial Engineering; 1998. ]Presian[
12- Ghavamsadri M, Derakhshni K. Management of food sector: guide for Food. Preparation centers Iran: Baraye farad; 2004: 21-3. ]Presian[
13- Guallar C, Ariza J, Dominguez A, Peña C, Grau I, Verdaguer R, et al. An insidious nosocomial outbreak due to Salmonella enteritidis. Infection Control & Hospital Epidemiology, 2004; 25(1): 10-5.
14- Farhadfar A. Nutrition sector review selected hospitals of Isfahan on HACCP prerequisite enforcement system. J Hosp, 2007; 19: 22-9. ]Presian[
15- Taylor E. A new method of HACCP for the catering and food service industry. Food Control, 2008; 19(2): 126-34.
_||_1- Notermans S, Gallhoff G, Zwietering MH, Mead GC. Identification of critical control points in the HACCP system with a quantitative effect on the safety of food products. Food Microbiologyو 1995; 12(Supplement C): 93-8.
2- Sadeghifar J, Tofighi S, Hamouzadeh P, Raad Abadi M, Roshani M, Salimi M, et al. The compliance status of HACCP implementation requirements in nutrition departments of the selected hospitals of Tehran University of Medical Sciences. Jundishapur Journal of Health Sciencesو 2012; 4(3): 15-24. ]Presian[
3- Organization WH. Food safety and foodborne illness. Fact sheet 237. World Health Organization, Geneva Available at: http://www who int/mediacentre/factsheets/fs237/en/ Accessed; 2012: 10.
4- Lynch M, Painter J, Woodruff R, Braden C. Surveillance for Foodborne-disease Outbreaks: United States, 1998--2002: US Department of Health and Human Services, Centers for Disease Control and Prevention (CD); 2006.
5- Choi J, Norwood H, Seo S, Sirsat SA, Neal J. Evaluation of food safety related behaviors of retail and food service employees while handling fresh and fresh-cut leafy greens. Food Control, 2016; 67: 199-208.
6- Miokovic B, Njari B, Kozacinski L, Cvrtila Z. Application of HACCP in the control of the microbiological survey of meals in restaurants. Veterinarski Arhiv J, 2001; 71(2): 75-84.
7- Naing NN, Zain MM, Abdullah N. A study on reliability of questionnaire on knowledge, attitude and practice (KAP) of food handlers towards foodborne diseases and food safety. International Medical Journal, 2007; 14(4): 285-1
8- Okojie O, Wagbatsoma V, Ighoroge A. An assessment of food hygiene among food handlers in a Nigerian university campus. The Nigerian postgraduate medical journal, 2005; 12(2): 93-6.
9- Kramer J, Scott W. Food safety knowledge and practices in ready-to-eat food establishments. International journal of environmental health research, 2004; 14(5): 343-50.
10- Christison C, Lindsay D, Von Holy A. Microbiological survey of ready-to-eat foods and associated preparation surfaces in retail delicatessens, Johannesburg, South Africa. Food Control, 2008; 19(7): 727-33.
11- Familian A. Survey of quality improvement with assessing the HACCP critical factors in the industries in Lord Macaron. Iran University of Science and Technology, School of Industrial Engineering; 1998. ]Presian[
12- Ghavamsadri M, Derakhshni K. Management of food sector: guide for Food. Preparation centers Iran: Baraye farad; 2004: 21-3. ]Presian[
13- Guallar C, Ariza J, Dominguez A, Peña C, Grau I, Verdaguer R, et al. An insidious nosocomial outbreak due to Salmonella enteritidis. Infection Control & Hospital Epidemiology, 2004; 25(1): 10-5.
14- Farhadfar A. Nutrition sector review selected hospitals of Isfahan on HACCP prerequisite enforcement system. J Hosp, 2007; 19: 22-9. ]Presian[
15- Taylor E. A new method of HACCP for the catering and food service industry. Food Control, 2008; 19(2): 126-34.