Hospitals

Open Access Article

1 - Designing a Management Development Model for Hospitals Affiliated with Iranian Social Security Organization
S.J. Tabibi A.A. Nasiripour

The main goal of the present Study was to identify the most important factors for the ManagementDevelopment programs in Social Security Organization Hospitals. To identify the currentqualification indicators used in recruiting Managers was also a Side interest to the st More

The main goal of the present Study was to identify the most important factors for the ManagementDevelopment programs in Social Security Organization Hospitals. To identify the currentqualification indicators used in recruiting Managers was also a Side interest to the study. In order toachieve the above goal, managers of the hospitals affiliated with Social Security Organizationthrough the country (total of 31) were surveyed using a self-report questionnaire. The questionnairecontained five dimensions and 165 items. The questionnaires were distributed and collected by theSocial Security Organization head quarter office .The data on recruitment process of managers andqualifications required for their selection was collected via an interview with the top executives inthe Social Security Organization office .The findings in this research indicated that the currentrecruitment process of managers in the hospitals affiliated with the Social Security Organizationdoes not takes into account all of the dimensions suitable to management development . In thisresearch most of the investigated items found to be highly influential factor on managementdevelopment. With this knowledge at hand this research suggests that for designing a managementdevelopment program for the Social Security Organization, Hospitals all of the identifieddimensions (I. e. Knowledge, abilities, skills, personality and attitudes) should be taken underconsideration. A model for management development in such organization has been identified inthis research and the important factors are introduced. Manuscript profile

Open Access Article

2 - Predicting Performance and Organizational Commitment Based on the Dimensions and Components of Organizational Intelligence (Case Study: Nurses in Private Hospitals Alborz Province)
Ahmad sardari Mir mohamad Moosavi Hosein Bahrami

Introduction: According to research conducted by many factors have an impact on the performance and commitment of organizations including organizational structure, organizational environment, policies and procedures, organizational culture, training and knowledge manage More

Introduction: According to research conducted by many factors have an impact on the performance and commitment of organizations including organizational structure, organizational environment, policies and procedures, organizational culture, training and knowledge management in the organization, etc.Intelligence agencies that the organization makes decisions wisely using the maximum of their intellectual abilities and intelligent behavior and presence in the business environment of the show. And thereby improve their organization's performance and organizational commitment. Methods: This research is based on correlation assumptions level of performance and commitment of nurses in private hospitals Alborz Province was conducted. A stratified sampling study population included 700 patients from community nurses in private hospitals, sample using a questionnaire containing 80 questions and 101 assigned to the face and content validity by using confirmatory factor analysis were examined is taken. Cronbach's alpha reliability coefficient questions via (0.91), respectively. For this purpose, 130 questionnaires were distributed and then collected 106 of these, 5 were deleted as a result of flawed. Results: Based on the results of the study measured a total score of organizational intelligence in the study population, higher than average performance and organizational commitment has been below the national average. The dispersion observed in 7% of nurses and 47% of the variance in organizational commitment of nurses is explained by the dimensions of organizational intelligence. Conclusion: As the results show higher than average of the sample group has organizational intelligence and organizational performance and organizational commitment is lower than average, it is suggested to preserve, protect, and promote the necessary measures be taken.   Manuscript profile

Open Access Article

3 - A Systematic Review of Treatment and Quality of Diagnostic Coding and its Influencing Factors in Iran
طلعت مدنی مریم احمدی

Introduction: One of the perennial challenges associated with coding diagnoses and treatment, quality data encryption is. Accuracy, reliability, completeness timed and all the components are coding quality. The aim of this study was to evaluate studies on the quality of More

Introduction: One of the perennial challenges associated with coding diagnoses and treatment, quality data encryption is. Accuracy, reliability, completeness timed and all the components are coding quality. The aim of this study was to evaluate studies on the quality of diagnostic coding and medical care and its determinants in Iran, respectively. Methods: This study is a systematic review, in which all articles published on the topic in the lower period 1380 to the end of March 1394 (March 2001 to March 2015) were studied. Internet search to find articles in the internal data base Magiran, BarakatKnowladege Network System, Irandoc, SID and external databases, Google scholar, Science Direct and PubMed and was Persian and English keywords. 200 articles published in Farsi and English were retrieved and finally 14 articles were identified and evaluated. Results: Four paper specifically examines the components of quality of coding, six paper examines the factors affecting coding quality, and the four paper also common for both components and factorsaffecting coding quality were examined. Component coding quality, most studies (seven cases) were examined coding accuracy. The factors affecting coding quality, most studies (five cases) to investigate the role of documentation and diagnosis recording among, respectively. Conclusion: The results of the study showed that among the components of quality timeliness of coding properties is not desirable. Findings of the study on factors affecting coding quality is the importance of observing principles of documentation on coding quality. Manuscript profile

Open Access Article

4 - An Evaluate of status the Internal Controls system in Educational-Remedial Hospitals of Tehran City After the Implementation of Modern Financial System
Razeyeh Alikhani mehdi Maranjory Noshin Joz Khlil poor

Introduction: The presence of internal control systems leads to an increase of efficiency, reduction of property loss risk levels, achieving the logical assurance in financial statement’ trust factors, and complying with laws and regulations. Internal control mech More

Introduction: The presence of internal control systems leads to an increase of efficiency, reduction of property loss risk levels, achieving the logical assurance in financial statement’ trust factors, and complying with laws and regulations. Internal control mechanisms should be identified as the necessary component of each system which management uses to regulate and guide the activities not as a separate mechanism in an executive body. This paper aims, above all, to evaluate the functioning of Educational- Remedial hospitals in the city of Tehran regarding the use of internal control systems.  Methods: The data for this survey research were acquired through distribution of questionnaire among 107 employees of financial sector in the Educational-Remedial Hospitals of Tehran City. Using the statistical methods of Binomial and One-sample Tests, the data were analyzed to test the hypotheses. Results: Due to the significant threshold test is 0/001 and 0/05 is less than the average calculated (3/500), the average abstention (3), more (H1: μ> 3). Therefore, the implementation of new financial systems, internal control system hospitals - of Tehran, the level is satisfactory. Conclusion: Thefindings of the current study, demonstrate that the degree of familiarity of employees of financial sector in the Educational-Remedial Hospitals of Tehran was tap. To that after implementing the modern financial system, internal controls system possess acceptable level. Introduction: The presence of internal control systems leads to an increase of efficiency, reduction of property loss risk levels, achieving the logical assurance in financial statement’ trust factors, and complying with laws and regulations. Internal control mechanisms should be identified as the necessary component of each system which management uses to regulate and guide the activities not as a separate mechanism in an executive body. This paper aims, above all, to evaluate the functioning of Educational- Remedial hospitals in the city of Tehran regarding the use of internal control systems. Methods: The data for this survey research were aquired through distribution of questionnaire among 107 employees of financial sector in the Educational-Remedial Hospitals of Tehran City. Using the statistical methods of Binomial and One-sample Tests, the data were analyzed to test the hypotheses.Results: The results of the study show that after implementing the modern financial system, internal control system of Tehran’s Educational- Remedial hospitals possess acceptable level.Conclusion: The findings of the current study, demonstrate that the degree of familiarity of employees of financial sector in the Educational-Remedial Hospitals of Tehran was tap. Whih that after implementing the modern financial system, internal controls system possess acceptable level. Manuscript profile

Open Access Article

5 - Measuring the Readiness of State Hospitals for Implementation of Lean Systems; Case of HamedanState Hospitals
روح اله سهرابی هدیه مبشری عباس صمدی

Introduction: In the way of the policies of the healthcare system of many countries, based on the improvement of the healthcare services, the lean implementation has been taken into consideration as the way of achieving it but no organization can become lean overnight s More

Introduction: In the way of the policies of the healthcare system of many countries, based on the improvement of the healthcare services, the lean implementation has been taken into consideration as the way of achieving it but no organization can become lean overnight so it needs providing some precondition structures. Therfore, understanding the fundamental factors plays a profound role in successfully and effectively implementing the lean system. Mothods: This research is a descriptive survey which has been done in cross-sectional way in the state hospitals of the Hamedan city in the first half of the year 2015. In this study, a questionnaire in two stages, was used for data collection. The population of the first stage 179 members of supervisors, managers and support clinical units were used to randomly sample, 122 subjects were selected randomly. In the second stage of the respondents, 10 master's degree or doctorate senior executive experts in the field of hospital management were at least 5 years. In the first phase analysis using statistical software SPSS22 and secondly ranking factors affecting the purity of the hospital AHP method took Expert Choice software. Results: The hospitals of the Hamadan city are not in a desirable situation in accordance with educational issues, employee participant, and the alignment of the performance and reward system with the lean goals. Also, identifying and eliminating wastes has the greatest weight by the relative weight of 0.234 and the system of evaluating performance and reward has the least weight by the relative weight of 0.032 among the seven readiness factors of lean implementation. Conclusion: Implementing lean without considering the sufficient fundamental conditions will lead to non-performance and wastage of resources. Moreover, considering the readiness factors is essential due to the important role of identifying and eliminating the wastes in lean implementation to achieve performance improvement. Manuscript profile

Open Access Article

6 - The Causes of the Mortality of Inpatients in the hospitals covered by Semnan Province Universities of Medical Sciences Based on ICD10
mohamad ali Jahani fateme zahra Eskandari shahebano Mahmoudjanloo ghahreman Mahmoudi

Introduction: Identifying the trends and causes of mortality can be a base for health-care policy-making and planning in society. This study aimed at identifying the causes of the mortality of hospitalized patients based on International Classification of Diseases. Meth More

Introduction: Identifying the trends and causes of mortality can be a base for health-care policy-making and planning in society. This study aimed at identifying the causes of the mortality of hospitalized patients based on International Classification of Diseases. Methods: This retrospective study was a descriptive-analytical one. Research population included all inpatients died in hospitals under supervision of Semnan University of Medical Sciences during a 5-year period (2011-2016). Sampling was done as the senses and data were collected by a checklist extracted from death registration system of the Treatment Deputy of the university. Data were analyzed in SPSS by applying statistical approaches in the significant level of p≤ 0.05. Results: 8,270 hospital mortalities were registered during the period. 6,370 (76.3%) of dead patients were burghers and 4,450 (53.8%) were male. The most frequent causes of the mortality were cardiovascular diseases (3,201, 38.7%), cancers (1,287, 15.5%), and respiratory diseases (865, 10.5%). There were significant differences among the mortality rates according to patients' gender, residences, and age ranges (p< .001). Conclusion: Chronic and non-communicable diseases were the main causes of the mortality. Health policy-makers can decrease in these diseases by applying screening programs, empowering people and endorsing regulations on safety life style and so on. Keywords: Hospitals, International Classification of Diseases (ICD10), Mortality, Patients, Iran. Manuscript profile

Open Access Article

7 - Factors Affecting of the Mean Rates Visiting-Hour Indicator in the Hospitals of Mazandaran University of Medical Sciences after Implementation of Health System Reform Plan
mohammad ali jahani roya fakhteh ali reza fathi ahmad khosravi Ghahraman Mahmoudi

Introduction: A doctor's obligation to follow standard time of visiting patients has an important role in diagnosis and treatment of diseases and decreasing in visiting times. This study aimed to determine the trend of changes in the rate of Physicians' visiting-hour in More

Introduction: A doctor's obligation to follow standard time of visiting patients has an important role in diagnosis and treatment of diseases and decreasing in visiting times. This study aimed to determine the trend of changes in the rate of Physicians' visiting-hour indicator after carrying out the Health System Reform Plan.  Methods: This comparative study compared the indicator from September 23, 2014 to 20 March 2015 and from September 23, 2016 to 20 March 2017.Research population included all 24 hospitals located in Mazandaran. Information on visiting activities in private clinics in each hospital (including the hours of Physicians' activity and the number of visited patients, teaching vs. non-teaching hospital, Physician's employment kind and his/her profession, etc.) was extracted and analyzed in pResults: The mean rates of visiting-hour indicator were 11.9±17.7 and 8.4±4.2 first year and second year, respectively (p=.002). The mean rates of this indicator amounted to 12/0±15.7, 9.7±12.4 and 7.8±4.2 for surgery, internal medicine and other professions, respectively (p=.002). In first year, the mean rates of the indicator amounted to 10.3±12.1 and 14.5±23.4 in non-teaching and teaching hospitals, respectively (p=.02). In second year, the mean rates of the indicator were 8.1±3.6 and 8.8±4.9 in non-teaching and teaching hospitals, respectively (p= .1). The mean rates of visiting-hour indicator were significant difference with Expertise (p< .001) and Ownership (p= .43) Conclusion: The mean of visiting-hour indicator recovered in second year (2016-2017) in comparison with that of first year (2014-2015). Therefore, while paying attention to continuous improvement of this process, more monitoring is recommended to achieve the objectives of this important service package. Manuscript profile

Open Access Article

8 - Investigating the effects of budgetary control system on budgetary performance considering the mediating role of budgetary perception in public hospitals (Case Study: Hospitals in Fars province)
Navid Reza Namazi Gholam Reza Rezaee Seyedeh Maryam kheibargir

Introduction: In management accounting, the budget is cornerstone of management control process and one of the unresolved issues. In this regard, the purpose of this study is to investigate the effects of hospital budgetary control system on budgetary performance consid More

Introduction: In management accounting, the budget is cornerstone of management control process and one of the unresolved issues. In this regard, the purpose of this study is to investigate the effects of hospital budgetary control system on budgetary performance considering the mediating role of budgetary perception. Methods: This is a descriptive and correlational research in terms of nature and method. The statistical population of study is the managers of public hospitals in Fars province. 400 questionnaires were distributed among members of statistical population and 103 questionnaires were collected. For statistical analysis, structural equation modeling technique have been used. Results: Findings showed that with increasing managers' budgetary evaluation, budgetary attitude (0.895) and budgetary motivation (0.280) increases. Also, managers' budgetary performance by increasing budgetary motivation (0.305) and managers' propensity to budgetary slack (0.382), will increase. However, increasing budgetary participation have no effect on managers' budgetary perception in terms of budgetary attitude (-0.085), propensity to budgetary slack (0.208) and budgetary motivation (-0.1). Budgetary feedback also has not the power to influence managers' budgetary perception in terms of budget attitude (-0.220), propensity to budgetary slack (0.271) and budgetary motivation (0.066). In addition, between budgetary evaluation and managers' propensity to budgetary slack (0.139) and also between budgetary attitude and budgetary performance (-0.055) have no significant relationship was observed. The results of the Sobel test also confirmed the mediating role of the budgetary motivation (3.050) in the relationship between budgetary evaluation and budgetary performance. Conclusion: Hospital managers and policymaker via giving more importance to budget evaluation can improve managers' budgetary motivation and attitude; Also, they can improve the performance of hospital budgets by improving budgetary motivation. Manuscript profile

Open Access Article

9 - Operating Room Safety Status Based on Patient Safety Friendly Hospitals Standards at Ardabil University Hospitals
Mohammad Mehrtak Abdollah Mahdavi Kamal Ebrahimi اعظم نصراللهی Abbas Sorkhi

Introduction Patient safety is an important global concern in all areas of health care services. The purpose of safety in the operating room is to provide the safety of the operating staff and the safety of the disease undergoing surgery. Considering the special importa More

Introduction Patient safety is an important global concern in all areas of health care services. The purpose of safety in the operating room is to provide the safety of the operating staff and the safety of the disease undergoing surgery. Considering the special importance of patient safety in the operating room, this study was conducted with the aim of Operating Room Safety Status Based on Patient Safety Friendly Hospital Standards at Ardabil University Hospitals. Methods: This cross-sectional study was carried out with the participation of all 57 operating room personnel of three university hospitals in Ardabil in 1396. The data collection tool was a standard questionnaire of the WHO Patient Safety Friendly Hospital. Validity and reliability of this questionnaire has been confirmed in numerous studies. Data were statistically analyzed using the SPSS 18 software program. Results: According to the Patient Safety Friendly Hospital Standards, IMAM KHOMEINI Hospital with a score mean %82, ALAVI with a score %84 and FATEMI with a score %77 were in good condition. Conclusion: given the importance of the subject, although the safety conditions of the hospitals studied were good, it seems, it should be continually included in the managers' plans, trying to achieve higher levels of Patient Safety Friendly Hospital Standards. Manuscript profile

Open Access Article

10 - Identification of biodiversity of Nocardia spp. Isolated from clinical samples of the Tehran hospitals using phenotypic and molecular method
fatemeh gharebaghi Seyyed Saeed Eshraghi Saeed Zaker bostanabad

Background and objective: Nocardia is a germ-positive filamentous bacterium with relative acid-fast properties that ubiquitously exists as an environmental saprophyte. Nocardiosis is usually characterized as an acute or chronic illness associated with pus or granulomato More

Background and objective: Nocardia is a germ-positive filamentous bacterium with relative acid-fast properties that ubiquitously exists as an environmental saprophyte. Nocardiosis is usually characterized as an acute or chronic illness associated with pus or granulomatosis, which can cause an aggressive disease both in healthy people and immunosuppressive patients. The aim of this study was to identify the biodiversity of Nocardia species isolated from Tehran hospitals via phenotypic and PCR molecular approaches. Materials and methods: 200 samples were collected from Tehran hospitals. After being separated by paraffin baiting technique, the colonies were evaluated for their growth abilities in liquid lysozyme and at 45°C and based on other biochemical tests via macroscopic examinations and then microscopic gram and relative acid-fast staining practices. Ultimately, we designed a genus-specific primer set and performed the PCR reaction to compare both results. Results: From the 200 samples, 30 samples were identified as positive based on the culture and biochemical tests and molecular method. Conclusion: Considering the species diversity of Nocardia genus and the existence of different conditions for performing phenotypic and biochemical tests, it is very probable that another genus relevant to the actinomycete family be mistakenly identified as Nocardia. Thus, molecular methods can provide confirmation of the phenotypic approach. Manuscript profile

Open Access Article

11 - Relationship of Personality Characteristics and Psychological Hardiness with Job Stress of Nurses of Public Sector Hospitals in Shiraz
سارا مستغنی سیروس سروقد

The purpose of this study was to investigate the relationship of personality characteristics and psychological hardiness with job stress of nurses in state hospitals of Shiraz. The research method was correlational and the population was all nurses of state hospitals More

The purpose of this study was to investigate the relationship of personality characteristics and psychological hardiness with job stress of nurses in state hospitals of Shiraz. The research method was correlational and the population was all nurses of state hospitals in Shiraz, among them 141 nurses were selected through multi-stage sampling method. Research instruments were the big five personality factors questionnaire ( McCrae & Costa,1985), psychological hardiness questionnaire(Barton,1984) and Job Stress Questionnaire(Steinmetz,1977). The data were analyzed using Pearson s correlation coefficient and multiple regression analysis stepwise method).The findings indicated that there was a positive significant relationship between neuroticism and job stress(p < 0.01), but negative significant relationships between extraversion, openness to experience and consciousness, and also between commitment and control with job stress in nurses(p < 0.01). Also, in multiple regression analysis it was shown that the consciousness, neuroticism along with commitment and challenging were the strongest predictors for job stress. Manuscript profile

Open Access Article

12 - Developing a Work Ethics Model in Shiraz Public Hospitals
Reyhaneh Mosallanejad Hamdollah Manzari Tavakoli Shahin Sharafi Navid Fatehi Rad Sanjar Salajegheh

10/jtihr.2023.1976508.1121

Given the significance of work ethics in healthcare organizations, the present study developed a work ethics model in Shiraz public hospitals. The present study is applied-exploratory research. The study method included the grounded theory in the qualitative section and More

Given the significance of work ethics in healthcare organizations, the present study developed a work ethics model in Shiraz public hospitals. The present study is applied-exploratory research. The study method included the grounded theory in the qualitative section and structural equation modeling in the quantitative section. The statistical population of the study included staff of the administrative department of Shiraz public hospitals during the research implementation. The sample in the qualitative section included 14 people selected using a purposeful sampling method. The sample in the quantitative section included 320 people selected using convenience random sampling. Data collection tools included semi-structured interviews and a researcher-made scale of factors related to work ethics. The data were analyzed with coding in the qualitative section and SPSS26 and AMOS24 software in the quantitative section. The developed model for work ethics in the qualitative section in one primary theme and four secondary themes was categorized into operational concepts (14 concepts). In the qualitative section, the model fitting was done using the structural equation method. The obtained indices showed that the model has a good fit with the data. In the proposed work ethics model, the highest mean (3.73) was related to the subcategory of human-centered communication and flexible hierarchical structure with a standard deviation of 0.77. The lowest mean (3.42) was related to the subcategory of sense of agency and activism in the workplace with a standard deviation of 0.91. Given the effect of work ethics components in hospitals, managers should pay attention. Manuscript profile

Open Access Article

13 - Evaluating the Effectiveness of Tehran Hospitals in Attracting Medical Tourists through Grey Relational Analysis
ebtehal zandi Mohanna Nikbin

Medical tourism presents opportunities for hospitals to leverage their potential in providing services. Data Envelopment Analysis (DEA), known for its comprehensive and high accuracy, plays a vital role in analyzing relative efficiency and measuring the performance of t More

Medical tourism presents opportunities for hospitals to leverage their potential in providing services. Data Envelopment Analysis (DEA), known for its comprehensive and high accuracy, plays a vital role in analyzing relative efficiency and measuring the performance of tourism industries. This study employs DEA to determine the efficiency of IPD-licensed hospitals in the field of medical tourism. The BCC and CCR output models are utilized, and gray ratio analysis is employed to compare and rank the effective units. The findings reveal that, based on the CCR model, eight out of 52 IPD-licensed hospitals in medical tourism demonstrate efficiency, while based on the BCC model, 18 hospitals exhibit efficiency, indicating inefficiency among the remaining hospitals. Furthermore, the study identifies and suggests referral hospitals based on the inefficient hospital model. It can be concluded that the return-to-fastness model is more stringent than the return-to-scale model, encompassing a smaller number of efficient units. Additionally, the calculated efficiency for each hospital in this model is lower than that in the return-to-scale model. Consequently, it is crucial for relevant managers to utilize the results of this method to enhance the efficiency of their hospitals. Manuscript profile

Open Access Article

14 - Evaluating the Efficiency of Hospital Emergencies during COVID-19 Pandemic Crisis in the Presence of Undesirable Inputs in DEA
Abbasali Monzeli Behrouz Daneshian Ghasem Tohidi Masoud Sanei Shabnam Razavyan

10.30495/fomj.2021.1943126.1040

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Open Access Article

15 - ارزیابی عملکرد در تحلیل پوششی داده های شبکه ای پویا با خروجی های نامطلوب
محمد نجاری الموتی رضا کاظمی متین محسن خون سیاوش زهره مقدس

در این مقاله، یک مدل جدید تحلیل پوششی داده های شبکه ای پویا با خروجی های نامطلوب ارائه می گردد. ابتدا، ما از یک رویکرد اصول موضوعه ای در DEA با خروجی نامطلوب استفاده نموده و یک مدل شبکه ای با خروجی های نامطلوب ارائه می نماییم. سپس، رویکرد پیشنهادی را گسترش داده و یک مدل More

در این مقاله، یک مدل جدید تحلیل پوششی داده های شبکه ای پویا با خروجی های نامطلوب ارائه می گردد. ابتدا، ما از یک رویکرد اصول موضوعه ای در DEA با خروجی نامطلوب استفاده نموده و یک مدل شبکه ای با خروجی های نامطلوب ارائه می نماییم. سپس، رویکرد پیشنهادی را گسترش داده و یک مدل با ساختار شبکه ی پویا با خروجی نامطلوب و ورودی ثابت ارائه می نماییم. پس از آن، از این مدل برای ارزیابی عملکرد بیمارستان‌ها در یک مطالعه تجربی برای برآورد کارایی شبکه پویا استفاده می گردد. Manuscript profile

Open Access Article

16 - Investigating the relationship between antecedents and consequences of cultural competence (Case study: public hospitals in Urmia)
Eghbal Mohammadpour mansour irandoost hamid lorestani Jalil sahabi

Abstract Background and purpose: One of the most important duties of doctors and nurses is to provide quality care to patients of any ethnicity and culture, so providing such care requires cultural competence. The main purpose of the research is to investigate the rela More

Abstract Background and purpose: One of the most important duties of doctors and nurses is to provide quality care to patients of any ethnicity and culture, so providing such care requires cultural competence. The main purpose of the research is to investigate the relationship between the antecedents and the consequences of cultural competence in public hospitals in Urmia. Research method: The current research is developmental-applied. The statistical population includes doctors and nurses of public hospitals in Urmia city. For sampling, Sample Power 3 software was used and the sample volume was estimated to be 300 samples. The reliability of the questionnaires was confirmed through Cronbach's alpha tests, and the composite reliability and validity were confirmed through the convergent validity test. Binomial test was used to analyze the data. Findings: The results of this research showed that the variables of cultural diversity with a path coefficient value of 0.706, cultural inclination with a path coefficient value of 0.175, cultural encounter with a path coefficient value of 0.046 and cultural humility with a path coefficient value of 0.379 have a significant relationship. and are positively related to cultural competence, also the variables of respect with a path coefficient of 0.315, job performance with a path coefficient of 0.360 and development of professional values with a path coefficient of 0.611 have a positive effect on cultural competence. Conclusion: Due to the importance of cultural competence in the field of health and its effect on the growth and development of the health system, it is necessary to improve the level of their cultural competence in order to communicate effectively with patients.   Manuscript profile

Open Access Article

17 - Presenting a Novel Model for Intelligent Electrical Consumption Management of Hospital Equipment by Using Goal Programming
horie sadat hadadi hamed shakori ganji aliyeh kazemi armin dahnad

Nowadays, energy management is highly regarded throughoutthe world. High energy consumption leads to high costs for consumers in thelong term and at the national level. In this study by modified consumptionpatterns and presenting a proposed plan, it has been tried to op More

Nowadays, energy management is highly regarded throughoutthe world. High energy consumption leads to high costs for consumers in thelong term and at the national level. In this study by modified consumptionpatterns and presenting a proposed plan, it has been tried to optimizeelectrical energy consumption in hospitals.The proposed model is agoal programming model. Objective functions consist of minimization of peakenergy consumption and minimization of electricity costs. Some constraintssuch as daily energy requirements and user preferences have been modeled usingmixed integer programming. Regarding objective functions, three differentscenarios have been considered.The developed model canbe easily performed in a hospital unit. The combined scenario that has been considered both objectivessimultaneously is the best.The proposed model is apractical one for intelligent management of electrical consumption. Thus,performing the model in hospitals is recommended Manuscript profile

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