Showing 6 results for Teaching Hospital
Maliheh Kadivar, Nakysa Hooman,
Volume 25, Issue 2 (7-2011)
Abstract
Abstract
Background: Morning report is an integral component of medical training programs. It is conducted as "evidence based" or "problem based". It takes an efficient time of all members of the medical team in teaching hospitals, it seems necessary to evaluate its role in the education. Because of the importance of morning report in education, we evaluated the current and ideal conditions of morning report according to the opinions of medical teams in teaching children’s hospitals.
Methods: A cross- sectional descriptive study conducted in three children’s teaching hospitals in Tehran in 2005. The opinion and perception of 358 participants, including faculties, residents, fellows, interns, and medical students, were collected by a questionnaire regarding the importance and structure of morning report. The data were presented as frequency and percentage.
Results: 78% of respondents expected a high educational role for morning report. Although 317(88.54%) had a regular attendance in morning report, only 34.1% were satisfied from current condition. The majority believed that faculty had better to lead the sessions, and voted for case presentation to be selected by senior resident on call, despite the prominent current leadership of the faculty. Most of the participants (88.6%) preferred complicated and unusual cases for presentation. Current morning reports predominantly based on the presentation of the interesting or complicated cases were admitted on the previous day. A few number of cases were reintroduced after achieving the final diagnosis. In addition out-patients and those under observation in emergency room were usually ignored in the meetings.
Conclusion: Regarding the educational role of morning report, there is a far distance between the present and ideal condition. Unattractiveness of presentations and poor participation in discussion might have negative impact on achieving the goals.
Ebrahim Shafiei, Ahmad Baratimarnani, Salime Goharinezhad, Rohollah Kalhor, Mohammad Azmal,
Volume 28, Issue 1 (1-2014)
Abstract
Background :Evidence-based practice (EBP) provides nurses a method to use critically appraised and scientifically proven evidence for delivering quality health care and the best decision that leads to quality outcomes. The purpose of this study was to measure the practice, attitude and knowledge/skill of evidence-based practice of nurses in a teaching hospital in Iran.
Methods : This cross-sectional study was conducted in 2011.The study sample was composed of 195 nurses who were working at the Fatemeh Zahra Hospital affiliated to Bushehr University of Medical Sciences (BPUMS). The survey instrument was a questionnaire based on Upton and Upton study. This tool measures Nurses' perceptions in the three sub-scales of practice, attitude and knowledge/skill of evidence-based practice. Descriptive statistical analysis was used to analyze the data. Pearson correlation coefficients were used to examine the relationship between subscales.
Results : The overall mean score of the evidence-based practice in this study was 4.48±1.26 from 7, and the three subscales of practice, attitude and knowledge/skill in evidence-based practice were, 4.58±1.24, 4.57±1.35 and 4.39±1.20, respectively. There was a strong relationship between knowledge and performance subscale (r=0.73, p<0.01).
Conclusion : Findings of the study indicate that more training and education are required for evidence-based nursing. Successful implementation of evidence-based nursing depends on organizational plans and empowerment programs in hospitals. Hence, hospital managers should formulate a comprehensive strategy for improving EBP.
Hesam Seyedin, Salime Goharinezhad, Soodabeh Vatankhah, Mohammad Azmal,
Volume 29, Issue 1 (1-2015)
Abstract
Background: Patient education is widely recognized as a core component of nursing. Patient education can lead to quality outcomes including adherence, quality of life, patients' knowledge of their illness and self-management. This study aimed to clarify patient education process in teaching hospitals affiliated to Tehran University of Medical Sciences (TUMS) in Iran.
Methods : This cross-sectional study was conducted in 2013. In this descriptive quantitative study, the sample covered 187 head nurses selected from ten teaching hospitals through convenience sampling. Data were collected with a questionnaire developed specifically for this study. The questionnaire measured patient education process in four dimensions: need assessment, planning, implementing and evaluating.
Results : The overall mean score of patient education was 3.326±0.0524. Among the four dimensions of the patient education process, planning was in the highest level (3.570±0.0591) and the lowest score belonged to the evaluation of patient education (2.840 ±0.0628).
Conclusion : Clarifying patient education steps, developing standardized framework and providing easily understandable tool-kit of the patient education program will improve the ability of nurses in delivering effective patient education in general and specialized hospitals.
Sara Razmjou, Hamid Reza Baradaran, Jalil Kouhpayehzadeh, Kamran Soltani-Arabshahi,
Volume 29, Issue 1 (1-2015)
Abstract
Background: Clinical
supervision is an important factor in the development of competency in residency
program. Attending physicians play a key role in supervision of residents.
However little is known about how attending physicians and residents perceive
the quality of clinical supervision. The aim of this study was to explore the
differences between perceived qualities of supervision in these two groups in
different wards in teaching hospitals in Tehran, Iran.
Methods: A valid questionnaire were completed by 219
attending physicians and residents from
surgery, psychiatry, gynecology, pediatrics, internal medicine, orthopedics and
radiology wards in two teaching hospital affiliated to Iran University of
Medical Sciences. This questionnaire contained 15 items in regards to
supervisory roles, rated on a five point Likert scale (1=never, 2=seldom,
3=sometimes, 4=often, 5=always).
Results: Out of 219 participants, 90 (41%) were attending
physicians and 129 (59%) were residents. The overall mean±SD scores of
perceived clinical supervision achieved by attending physicians and residents
were respectively, 4.20±0.5 and 3.00±0.7 which was statistically significant
(p<0.05). Attending physicians and residents acquired minimum scores
(mean=4.06 and 2.7, respectively) regarding expectation from their supervisor
to know and do during training period of residency.
Conclusion: It seems that the clinical supervisory does not
have an efficient performance in teaching hospitals which needs to be more
assessed and improved. Therefore it is suggested that policymakers in medical
education system pay more attention to this important issue and enhance some
faculty development programs for clinical educators in Iran
Shandiz Moslehi, Pezhman Atefimanesh, Ali Sarabi Asiabar, Nahal Ahmadzadeh, Mohamadhosein Kafaeimehr, Saeid Emamgholizadeh,
Volume 30, Issue 1 (1-2016)
Abstract
Background: There is an increasing trend of outsourcing public departments. Teaching hospitals also outsourced some of their departments to private sectors. The aim of this study was to investigate and compare the educational status of students in public and outsourced departments of teaching hospitals affiliated to Iran University of Medical Sciences.
Methods: This study was conducted in six teaching hospitals of Iran University of Medical Sciences, which had public and outsourced teaching departments in 2015. One hundred fifty students from the departments of radiology, physiotherapy and laboratory participated in this study and their perceptions about their educational status were assessed. A valid and reliable questionnaire was used; participation in the study was voluntary. Descriptive statistics such as mean (SD), t-test and Kolmogorov-Smirnov were used.
Results: No difference was detected between the educational status of students in public and outsourced departments of radiology, physiotherapy and laboratory (p>0.05).
Conclusion: Based on the students’ perception, the private sectors could maintain the educational level of the teaching departments similar to the public departments. It is recommended to involve all the stakeholders such as hospital administrators, academic staff and students in the decision- making process when changes in teaching environments are being considered
Rohaneh Rahimisadegh, Ali Akbar Haghdoost, Samira Emadi, Somayeh Noori Hekmat,
Volume 35, Issue 1 (1-2021)
Abstract
Background: The health sector evolution plan was implemented in 2014 in government hospitals across the country as a part of the universal health coverage achievement programs. This study assessed the performance of hospitals before and after the implementation of this plan, using the Pabon Lasso model.
Methods: The population of this study consisted of the hospitals of the country in the 2013-2015 time frame; overall, 874 hospitals (94.5% of the population) were included in the study. In order to assess performance, we used the Pabon Lasso model and hospital performance indicators (Average Length of Stay, Bed Turnover, and Bed Occupancy Rate). The data were collected from the Hospital Information System and provincial deputies of curative affairs and were then analyzed using the descriptive indicators of mean, frequency, and median in SPSS 22. Also, Paired Student T-test and ANOVA were used to compare the performance of different groups of hospitals before and after the implementation of the health sector evolution plan.
Results: The implementation of the health sector evolution plan has led to a significant improvement in the three performance indicators in the hospitals of the country. Before the implementation of the health sector evolution plan, the most inefficient, inefficient, fairly efficient, and most efficient zones included 31%, 18%, 17%, and 33% of the studied hospitals, respectively. However, the implementation of the health sector evolution plan changed the percentages to 29%, 21%, 20%, and 30%, respectively. Teaching hospitals, which are governmental and are mostly located in capital cities of the provinces, were overall more inefficient than non-teaching hospitals.
Conclusion: The number of the most efficient and most inefficient hospitals has decreased, and the number of average performance hospitals has increased after the implementation of the health sector evolution plan. Therefore, the health sector evolution plan has not led to an overall increase or decrease in the performance of hospitals but has reduced the difference in the performance of hospitals. Equal support of government hospitals along with financial protection against health expenses, improves the performance indicators of hospitals and reduces performance differences among them.
