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Advanced cardiopulmonary resuscitation updates 2020: a narrative review 高级心肺复苏更新2020:叙述性回顾
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.72
Hajar Noori Sanchooli, Hossein Rashki Ghalenow, Afsaneh Sadooghiasl
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引用次数: 0
Design and implementation of tools for rapid assessment of the status of documentation of emergency department' physicians 设计和实施快速评估急诊科医生文件状态的工具
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.52
A. Mousavi, M. Yousefi, Jamshid Jamali, M. Meraji, S. Fazaeli
Aim: Medical record documentation by physicians in the emergency department is very important because it determines the required services of patients in the next step. This study aimed to design and implement appropriate tools for the rapid assessment of physicians' documentation in the emergency department. Methods: The present study was a cross-sectional study. First, a comprehensive review of resources was done in Google Scholar, PubMed, Web of Science, Scopus, Iran doc, and SID until 2021. Physician documentation indicators were provided to health information management specialists, emergency medicine specialists, forensic specialists, and the head of the HIM department in hospitals. Intra-class correlation coefficient (ICC) was used to evaluate face and content validity for instrument reliability. Then, the proposed tool randomly selected and reviewed 230 medical records of Imam Reza (AS) Hospital in Mashhad. Data were analyzed using SPSS 21 software. Results: First, a tool with 26 indicators was developed. Intra-class correlation coefficient (ICC) was obtained from the test of 30 medical records 0.980, which was acceptable. Seventeen indicators had scores higher than 0.79, 0.714, and 3.55 and CVR and face validity, including signature, date and time, diagnoses and procedures, correction of errors. The assessment results of 230 medical records showed a relatively good state of documentation of emergency physicians. Conclusion: The proposed tool allows the rapid assessments of the key index in the documentation of physicians in the emergency department and has high validity and reliability, so it is recommended to be used in the emergency department.
目的:急诊科医生的病历文件非常重要,因为它决定了下一步患者需要的服务。本研究旨在设计和实施适当的工具,以快速评估急诊科医生的文件。方法:本研究为横断面研究。首先,在2021年之前,对Google Scholar、PubMed、Web of Science、Scopus、Iran doc和SID等资源进行了全面的审查。向卫生信息管理专家、急诊医学专家、法医专家和医院卫生保健部门负责人提供了医生文件指标。类内相关系数(ICC)用于评估仪器信度的面效度和内容效度。然后,拟议的工具随机选择并审查了马什哈德伊玛目礼萨医院的230份医疗记录。数据分析采用SPSS 21软件。结果:首先,开发了一个包含26个指标的工具。对30份病案进行检验,类内相关系数(ICC)为0.980,可以接受。签名、日期和时间、诊断和程序、错误纠正等17项指标得分高于0.79、0.714和3.55,CVR和面效度高于3.55。230份病历的评估结果显示,急诊医生的档案状况相对较好。结论:该工具可快速评估急诊科医师文献中的关键指标,具有较高的效度和信度,推荐在急诊科使用。
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引用次数: 0
Assessing the maturity of knowledge management in medical universities: A cross-sectional study in Kermanshah University of Medical Sciences 医科大学知识管理成熟度评估:克尔曼沙医科大学的横断面研究
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.14
Soleiman Shafiee, Ardavan Hariri, Feizollah Foroghi
Aim: Knowledge is a strategic resource for developing services and gaining a competitive advantage, and timely evaluation of knowledge activities will be an important factor for organizational performance excellence. The aim of this study was to evaluate the level of management maturity and knowledge of Kermanshah University of Medical Sciences and its effect on performance excellence. Methods: The research method is a survey, and its type is applied. The study population included managers and staff of Kermanshah University of Medical Sciences. The research was conducted in 2021. Sampling was simple stratified random sampling. The sample size was 320 people. The data collection tool was the standard questionnaire of the Asian Productivity Organization (reliability coefficient of the questionnaire: 0.83). The questionnaire consisted of seven main criteria and 46 questions. The statistical software used was SPSS version 26. ANOVA, t-test, and simple linear regression analyzed the data and tested the hypotheses. Results : The research showed that the university was at the level of development of knowledge management maturity with a score of 141.16. The regression results showed that the knowledge processes index with a value of 0.69 had the highest effect, and the staff index with a value of 0.67 had the lowest effect on knowledge management maturity. The value of t-statistic was significant for indicators of knowledge maturity (technology, knowledge processes, leadership, process, learning and innovation, and knowledge management results) except employees at the level of less than 0.05. Conclusion : The results of data analysis proved the relationship between the Asian Productivity Organization knowledge management maturity model and performance improvement. Therefore, the mentioned model can be relied on, and the results can be generalized to the university.
目的:知识是企业发展服务和获得竞争优势的战略资源,对知识活动的及时评价将成为企业绩效卓越的重要因素。摘要本研究旨在评估克尔曼沙医科大学管理成熟度和知识水平及其对卓越绩效的影响。方法:研究方法为调查法,采用类型法。研究人群包括克尔曼沙阿医学院的管理人员和工作人员。该研究于2021年进行。抽样为简单分层随机抽样。样本量为320人。数据收集工具为亚洲生产力组织标准问卷(问卷信度系数:0.83)。问卷包括7项主要标准和46个问题。统计软件为SPSS 26。方差分析、t检验和简单线性回归分析了数据并检验了假设。结果:研究表明,学校处于知识管理成熟度发展水平,得分为141.16。回归结果表明,知识过程指数(0.69)对知识管理成熟度的影响最大,员工指数(0.67)对知识管理成熟度的影响最小。知识成熟度指标(技术、知识过程、领导力、过程、学习与创新、知识管理结果)除员工水平< 0.05外,其余各指标的t统计量均显著。结论:数据分析结果证明了亚洲生产力组织知识管理成熟度模型与绩效改善之间的关系。因此,该模型具有一定的可靠性,其结果可推广到高校。
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引用次数: 1
Recognizing the factors affecting the satisfaction of students of Hormozgan University of Medical Sciences: A qualitative study 影响霍尔木兹甘医科大学学生满意度因素的定性研究
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.62
Nahid Soltani, P. Jafari, M. Bagheri, N. Ghorchian
Aim: The success of educational organizations depends on their students' satisfaction, which leads to the university's progress and prosperity. Due to the vital position of a university of medical sciences and its serious responsibility in educating the forces directly related to the community's health, these centers must redouble their efforts to satisfy their students. For this purpose, this study was conducted to identify factors affecting students' satisfaction with Hormozgan University of Medical Sciences. Methods: This applied research was conducted with qualitative methodology and qualitative content analysis. The samples were purposefully selected from the Hormozgan University of Medical Sciences students. In this study, semi-structured interviews were conducted with 13 students. Data were analyzed using MAXQDA software. Results: Seven central themes, including "educational factors", "research factors", "managerial factors", "administrative factors ","welfare factors", and "support services" along with its sub-categories that express students' shared experience and understanding of factors which influence their satisfaction were extracted. Conclusion: Considering the importance of educational, research, managerial, administrative, welfare, and support services factors from the students' point of view, it is appropriate for policymakers and trustees to take into account the needs and expectations of students to develop programs that meet neglected needs of the students in these fields.
目的:教育机构的成功取决于学生的满意度,学生的满意度是学校进步和繁荣的关键。由于医学大学的重要地位及其在教育与社区健康直接相关的力量方面的重大责任,这些中心必须加倍努力,使学生满意。为此,本研究旨在找出影响霍尔木兹甘医科大学学生满意度的因素。方法:采用定性方法和定性内容分析方法进行应用研究。样本有目的地从霍尔木兹甘医科大学的学生中选择。本研究采用半结构化访谈法对13名学生进行访谈。数据分析采用MAXQDA软件。结果:提取出“教育因素”、“研究因素”、“管理因素”、“行政因素”、“福利因素”、“支持服务”等7个中心主题及其子类别,表达了学生对影响满意度因素的共同体验和理解。结论:从学生的角度考虑教育、研究、管理、行政、福利和支持服务因素的重要性,决策者和受托人应该考虑学生的需求和期望,制定满足这些领域学生被忽视需求的计划。
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引用次数: 0
The acceptance model of e-learning during the coronavirus pandemic 冠状病毒大流行期间电子学习的接受模式
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.24
Akbar Ghodratnama, Mayar Sabet, Omid Jabari
Aim: In emergency and virus epidemics, utilizing existing technologies and e-learning is the only way for institutes of higher education. In this study, factors affecting the acceptance of E-Learning in corona conditions were investigated. Methods: The research method was a descriptive survey, and it was an applied study. The sample consisted of 344 students of management and medical information sciences of Shiraz University of Medical Sciences in 2021. They were selected by stratified-randomly sampling. The data collection tool was a researcher-made questionnaire, including 26 questions and 6 factors. Data were analyzed by PLS software and path analysis test. Results: The results showed that facilitating condition has a direct effect on perceived ease of use (0.724) and perceived usefulness (0.580) and with path coefficient (0.328) through the mediating variable of perceived ease of use on perceived usefulness has an indirect and significant effect. In addition, the Perceived ease of use and Perceived Usefulness had a significant effect on students' attitudes of 43% and 44%, respectively. It was also found that by creating a positive attitude in students, 67% will lead to Behavioral Intention and then 80% to acceptance E-Learning by students of the University of Medical Sciences in Corona Crisis. Conclusion: In the present situation, in order to improve the acceptance and increase the efficiency of E-Learning, before using any educational and tool content, attention should be paid to the role of mental perception variables in ease of use and usefulness.
目的:在紧急情况和病毒流行的情况下,利用现有技术和电子学习是高等教育机构的唯一途径。本研究调查了电晕条件下影响电子学习接受度的因素。方法:采用描述性调查法,采用应用研究法。样本为设拉子医科大学2021年管理与医学信息专业344名学生。他们是通过分层随机抽样选择的。数据收集工具为研究者自编问卷,共包含26个问题和6个因素。数据分析采用PLS软件和通径分析检验。结果:促进条件对感知易用性(0.724)和感知有用性(0.580)有直接影响,通过路径系数(0.328)的中介变量感知易用性对感知有用性有间接显著影响。此外,感知易用性和感知有用性对学生态度的影响显著,分别为43%和44%。研究还发现,通过在学生中创造积极的态度,67%的学生会产生行为意向,80%的学生会接受新冠危机医学大学的电子学习。结论:在目前的情况下,为了提高E-Learning的接受度和效率,在使用任何教育和工具内容之前,应注意心理感知变量在易用性和有用性方面的作用。
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引用次数: 0
Future studies and scenario planning for health services development in Makran coastal Region 马克兰沿海地区卫生服务发展的未来研究和情景规划
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.1
Mohsen Salahshouri, Reza Ahmadi Kahanali, Ali Heyrani
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引用次数: 0
Comparison of the effectiveness of cognitive-behavioral therapy and combination therapy on self-compassion and emotional self-regulation in heart patients 认知行为疗法与联合疗法对心脏病患者自我同情和情绪自我调节的效果比较
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.33
Z. Mobasher, N. Bagheri, M. Abbasi, Z. Tanha
Aim: The present study compares the effectiveness of emotion-oriented cognitive-behavioral therapy and the combination of acceptance-based therapy and commitment and self-compassion training on self-compassion and emotional self-regulation in heart patients in Khoramabad in 2021. Methods: The present study is a quasi-experimental with pre-test-post-test design with a control group. The statistical population was women with heart disease in Khoramabad in 2021. Forty-five people were selected through the convenience sampling method and randomly assigned to two experimental groups and one control group. Ten separate 90-minute sessions were held for both treatment groups, and no training control group was applied. The research instruments were the Self-Compassion Scale of Neff with 26 questions and the Emotional Self-Regulation Scale of Larsen and Mike with ten questions. SPSS software and multivariate analysis of covariance were used to analyze the data . Results: Combining acceptance-commitment therapy with self-compassion training and emotion-driven cognitive-behavioral therapy improves self-compassion and emotional self-regulation in women with cardiovascular disease (P-Value> 0.05), and their recovery rate is higher than the control group (P-Value> 0.05). However, the two experimental groups were not significantly different (P-Value> 0.0). Conclusion: Combining acceptance-commitment therapy with self-compassion training and emotion-driven cognitive-behavioral therapy increase awareness of emotions and controls the level of emotions and self-compassion in women with heart disease. So, both treatments are effective for awareness of emotions and self-compassion.
目的:比较以情绪为导向的认知行为疗法和以接受为基础的疗法结合承诺和自我同情训练对2021年呼拉马巴德市心脏病患者自我同情和情绪自我调节的效果。方法:本研究采用准实验设计,采用前测后测设计,并设对照组。2021年呼拉马巴德的统计人口为患有心脏病的妇女。采用方便抽样法,选取45人,随机分为两个实验组和一个对照组。两个治疗组分别进行10次90分钟的训练,没有训练对照组。研究工具为Neff自我同情量表(共26题)和Larsen & Mike情绪自我调节量表(共10题)。采用SPSS软件和多变量协方差分析对数据进行分析。结果:接受承诺疗法结合自我同情训练和情绪驱动认知行为疗法能提高女性心血管疾病患者的自我同情和情绪自我调节能力(p值> 0.05),且康复率高于对照组(p值> 0.05)。但两组间差异无统计学意义(p值> 0.0)。结论:接受承诺疗法结合自我同情训练和情绪驱动的认知行为疗法可提高女性心脏病患者的情绪意识,控制情绪和自我同情水平。因此,这两种治疗方法对情绪意识和自我同情都有效。
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引用次数: 0
Investigating Barriers and Providing an Appropriate Model for Establishing Total Quality Management: A Case Study in Hospitals 探讨全面质量管理的障碍与模式——以医院为例
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.44
Azam Dehghani, Snjar Salajegheh, Mehdi Mohammad Bagheri, Samaneh Mehdizadeh
Aim: Total quality management (TQM) is one of the appropriate tools for structural changes in hospitals and the most important philosophy to increase the effectiveness of a dynamic and purposeful organization in a competitive environment. This study aimed to investigate the barriers to establishing TQM in Kerman hospitals. Methods: This descriptive-correlational study examined the barriers to establishing TQM in Kerman hospitals, 2019-2020. 377 managers and experts, medical, administrative, and financial staff of the hospitals were selected by available sampling. The data was collected by barriers to implementing the TQM questionnaire and analyzed by descriptive (frequency, percentage, mean, and standard deviation) and inferential statistics (Analysis of variance) and SPSS software version 20. Results: Most of the subjects were women (67.3%). The mean of total barriers to implementation of TQM in hospitals was 3.94±1.38. The highest mean was related to cultural barriers and staff (4.42±1.16). There was a significant relationship between cultural barriers and staff, barriers related to infrastructure, and managerial barriers with the realization of TQM with more than 99% confidence. The standardized value of the impact of the organizational dimension on the cultural barriers and staff was 0.19, organizational barriers on the barriers related to infrastructure were 0.51, organizational barriers on the managerial barriers were 0.30. These correlations were significant. There was a significant relationship between cultural and staff barriers, infrastructure barriers, and managerial barriers. Conclusion: This study showed that the most significant barriers to establishing TQM in Kerman hospitals were cultural barriers and staff. Therefore, hospital managers should identify these management barriers and eliminate them. Investigating barriers and providing an for case hospitals. Journal of Modern Sciences. 2021; 7(4):
目的:全面质量管理(TQM)是医院结构变革的合适工具之一,也是在竞争环境中提高组织活力和目的性的最重要理念。本研究旨在探讨克尔曼医院建立全面质量管理的障碍。方法:本描述性相关研究考察了2019-2020年克尔曼医院建立全面质量管理的障碍。采用现有抽样方法,抽取医院管理人员、专家、医务、行政、财务人员377人。采用实施TQM障碍问卷收集数据,并采用描述性统计(频率、百分比、均值和标准差)和推断性统计(方差分析)和SPSS软件版本20进行分析。结果:以女性居多(67.3%)。医院实施TQM的总障碍平均值为3.94±1.38。平均值最高的是文化障碍和员工(4.42±1.16)。员工文化障碍、基础设施障碍和管理障碍与TQM的实现之间存在显著的关系,置信度超过99%。组织维度对文化障碍和员工影响的标准化值为0.19,组织障碍对基础设施障碍影响的标准化值为0.51,组织障碍对管理障碍影响的标准化值为0.30。这些相关性是显著的。文化和员工障碍、基础设施障碍和管理障碍之间存在显著的关系。结论:本研究表明,克尔曼医院建立TQM的最大障碍是文化障碍和人员障碍。因此,医院管理者应该认识到这些管理障碍,并加以消除。调查障碍并为病例医院提供帮助。现代科学学报。2021;7 (4):
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引用次数: 0
Presenting a model for telemedicine implementation: A case study of Ahvaz Jundishapur University ‎of Medical Sciences 提出远程医疗实施的模型:Ahvaz Jundishapur医学科学大学的案例研究
Pub Date : 2022-01-01 DOI: 10.52547/jmis.7.4.4
A. Torabipour, Forough Minaie, Effat Jahanbani Vashareh, J. Zarei
Aim: Implementing telemedicine can help reduce costs and improve quality and equity access to health services. Simultaneously with the COVID-19 pandemic crisis, telemedicine has become one of the priorities of the Ministry of Health of Iran. This study aimed to provide a model for the implementation of telemedicine in Ahvaz Jundishapur University of Medical Sciences. Methods: The present study was conducted in 2020 with various reviews descriptive and qualitative methods. In this first study, the implementation requirements of telemedicine were determined using a review study. In the second step, physicians' familiarity with expertise in telemedicine was assessed. In the third step, the current infrastructure (admirative and technical) of Ahwaz University of Medical Sciences in the field of telemedicine was examined. Then a model for telemedicine implementation was proposed. This template was provided to 25 experts in the form of a questionnaire. Results: The telemedicine implementation model for Ahvaz Jundishapur University of Medical Sciences was approved by experts in a Delphi round. The final model consisted of 12 main axes and 180 components. Conclusion: The proposed model in the present study can assist medical universities in planning telemedicine implementation.
目的:实施远程医疗有助于降低成本,提高保健服务的质量和公平获得机会。与2019冠状病毒病大流行危机同时,远程医疗已成为伊朗卫生部的优先事项之一。本研究旨在为Ahvaz Jundishapur医科大学实施远程医疗提供一个模型。方法:本研究于2020年进行,采用多种综述,描述性和定性方法。在第一项研究中,采用回顾研究确定远程医疗的实施需求。第二步,评估医生对远程医疗专业知识的熟悉程度。在第三步中,审查了阿瓦士医科大学目前在远程医疗领域的基础设施(令人钦佩的和技术的)。在此基础上,提出了远程医疗的实现模型。该模板以问卷的形式提供给25名专家。结果:Ahvaz Jundishapur医科大学的远程医疗实施模式通过专家德尔菲论证得到认可。最终模型由12个主轴和180个部件组成。结论:本研究所建立的模型可协助医学院校规划远程医疗的实施。
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引用次数: 0
Toward a Model for Risks of Change Management Process in Teaching Hospitals 教学医院变革过程风险管理模式探讨
Pub Date : 2021-10-01 DOI: 10.52547/jmis.7.3.31
Mostafa Jahangir, Alireza Khorakian
{"title":"Toward a Model for Risks of Change Management Process in Teaching Hospitals","authors":"Mostafa Jahangir, Alireza Khorakian","doi":"10.52547/jmis.7.3.31","DOIUrl":"https://doi.org/10.52547/jmis.7.3.31","url":null,"abstract":"","PeriodicalId":231482,"journal":{"name":"Journal of Modern Medical Information Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125366389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Modern Medical Information Sciences
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