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Showing 5 results for Shoghli

Fereidoun Eskandari, Mehrnoosh Pazargadi, Mansoureh Zagheri Tafreshi, Soheila Rabie Siahkali, Ali Reza Shoghli,
Volume 3, Issue 2 (2-2014)

Background and Objectives: Nurses are the largest group of health workers whose professional abilities play important role in realization of health sector mission. Nurseschr('39') perceptions of their work environment forms their sense of empowerment and commitment to the organization. This study aimed to determine the relationship between psychological empowerment and affective commitment among nurses. Materials and Methods: In this descriptive-correlative study, 491 nurses working in Zanjan province hospitals were selected to the study in winter 2010. The data collection tool included the "Sprietzer psychological empowerment questionnaire" and the "organizational commitment questionnaire of Allen and Meyer". The validity and reliability of the questionnaire were assessed through appropriate methods. Data were analyzed using the ANOVA, t-test, Pearson correlation, and linear regression method in the SPSS-16. Results: Most of the participants (%90.6) were female. The mean age of the participants was 30.7 years. The mean score of the empowerment perception among %85.7 of nurses was high. The mean score of the affective commitment was moderate (3.17±0.88). The correlation and linear regression tests indicated that psychological empowerment was statistically correlate with the affective commitment of nurses and could predicted it. Conclusion: Based on the findings of this study, psychological empowerment was a predictive factor for affective commitment. In order to improve affective commitment of nurses, hospital managers should try to increase independency and participation of nurses in organizational decision-makings.

Dr Soghrat Phaghizadeh, Dr Nima Motamed, Dr Alireza Shoghli, Dr Mohsen Asoori, Dr Mahboobeh Safaean,
Volume 4, Issue 2 (3-2015)

Background and Objectives: Patient safety is the most vital indicator of hospital management. Ignorance of the patient safety may lead to an increase in hospital mortality rates due to medical errors. Multiple studies have pointed out that there is a positive association between patient safety culture with reduction of medical errors and improvement in healthcare outcomes. This study was conducted in order to evaluate patient safety culture in hospitals of Amol city in Iran. Materials and Methods: This descriptive study was carried out among 530 non-physician- healthcare staff selected from three hospitals of Amol city. The instrument of this study was Hospital Survey on Patient Safety Culture Questionnaire (HSPSCQ) the items of which measure twelve dimensions of patient safety culture. All statistical analysis was performed in the SPSS-16. Results: Among twelve patient safety culture dimensions, the lowest positive responses included: dimensions of staffing (22%), non- punitive policy concerning medical errors (25%), and frequency of adverse event reporting (33%). Conclusion: The staffing, non-punitive policy and frequency of adverse events of patient safety culture aspects were assessed as less desired by nurses. Providing adequate staff and appropriate work hours, and developing the culture of voluntary adverse events and non-punitive policy can help to improve patient safety culture.

Ramazan Fallah, Alireza Shoghli, Asghar Marzban, Mansor Sadeghzadeh, Nima Motamed,
Volume 6, Issue 4 (3-2017)

Background: Low birth weight is one of the key indicators to assess the health of infants, and appropriate birth weight is one of the most important goals of any health system which also reflects the quality of prenatal care.

Objectives: The present research aimed to study some of the factors associated with low birth weight using quantile regression analysis.

Methods: A cross-sectional study was carried out on 621 infants born weighing less than 2500 grams in the period 2012-2013. The data were collected from the medical records of infants in health care centers of Zanjan Province which were selected based on multi-stage cluster sampling. The obtained data were statistically analyzed using quantile and multiple regression analysis in SAS-9.2.

Results: In this study, 320 infants (51.5%) were female, and the mean age of mothers and the mean weight of infants were 27.1±5.8 years and 2236±299 grams, respectively. The results showed that low birth weight is significantly related to age, educational attainment, and the number of children. In addition, there was a significant relationship between infant weight and maternal age only in the tenth percentile (P=0.007), while such a relationship was not found in the higher percentiles (50 and 90) (P=0.0, 953.585).

Conclusion: Some of the demographics of mothers such as educational attainment and gestational age were influential in the low birth weight of infants. Maternal age and birth weight were not statistically significant in all areas.

Neda Ghavanloo, Somayeh Abdollahi Sabet , Alireza Shoghli, Esmail Rezazade, Benyamin Mohseni Saravi, Nima Motamed,
Volume 7, Issue 3 (11-2017)

Background: Breast cancer is one of the most important malignancies in both developed and developing countries.
Objectives: To reduce the burden of this disease, the prediction of individuals at risk and implementation of efficient preventive interventions can be effective. The present study was aimed at investigating five-year and lifetime risks of the breast cancer in a rural community in Zanjan province, Iran.
Methods: A total of 435 subjects aged 35 years old were randomly selected using systematic randomization in a rural community in Zanjan. The participation rate was 92.4% (402 women). Data collection instrument was a questionnaire in which all associated variables of Gail model and demographic information were included. The data were analyzed using SPSS software version 18, and mean cancer risks were reported.
Results: Family history of breast cancer and history of breast biopsy were found to be positive in 3.5% and 0.3% of participants, respectively. Out of all participants, 84.3% were under 60 years old and 13.2% were illiterate. Five-year and lifetime mean risks were fund to be 0.74% and 7.6%, respectively. About 2% of the participants had a higher cancer risk>1.66%.
Conclusion: The findings demonstrated that based on the Gail model, the lifetime risk of the participants will be one out of 13 women. Given the lower estimations of Gail model in the prediction of breast cancer, we suggest general population interventions and high-risk strategies be implemented to decrease problems associated with the breast cancer in the future.
Roya Jalili, Saeid Asefzadeh, Alireza Shoghli, Mahnaz Mohebbi,
Volume 9, Issue 2 (9-2019)

Background: Performance-based payment makes rewards and outcomes result in paid satisfaction , which leads to the success and promotion of employee value and alignment with organizational goals in the light of organizational justice.
Objectives: This study aimed to assess The role of organizational Justice in Nurses and Midwives’ Satisfaction with Performance-Based Payment (Qasedak Project) in Zanjan Educational Hospitals
Methods: This descriptive cross-sectional correlation study was conducted on 149 nurses and midwives in educational hospitals with Cochran formula. The researcher-made questionnaires of satisfaction based on P4P and organizational justice of Moorman and Niehoff were used, and data were analyzed using SPSS software and descriptive and analytic statistics (independent t-test, regression, analysis of variance, and nonparametric Spearman correlation coefficient and cross-tabulation).
Results: Nurses and midwives reported moderate organizational justice with an average of 55.7 and low merit pay satisfaction with an average of 13. There was a positive and significant correlation between organizational justice and job satisfaction (r = 0.65), the amount of merit pay and satisfaction (r = 0.33), and organizational justice and the amount of merit pay (r = 0.23). The results revealed that organizational justice with a standard beta of 0.58 had a positive effect on the satisfaction with the merit pay received and alone accounted for 33% of the changes.
Conclusion: Since there was a positive and direct correlation between organizational justice and nursing and midwifery staff satisfaction, it is recommended that managers accomplish exact and accurate evaluation of staff performance by means of increasing staff’s awareness of Qasedak project, providing timely feedback to them, and observing justice in the payment of rewards.

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