scholarly journals Survey on the Relationship between Organizational Silence and Management Styles from the Viewpoint of Employees of TUMS General Hospitals 2016

Author(s):  
Maryam Shirvani ◽  
Mohammad Arab ◽  
Hassan Karami ◽  
Sajad Delavari ◽  
Mohammad Mehdi Kiani

Background: Management style is one of the factors that could cause staff unwillingness for sharing information and ideas that ultimately leads to dominance silence culture in organizations. This study aimed at determining the relationship between management style and organizational silence in hospitals affiliated by Tehran University of Medical Sciences. Methods: This study was an analytical, descriptive cross-sectional study conducted in 2016. The study population included all employees of General Hospitals of Tehran University of Medical Sciences with 4251 employees that 354 among this population were selected as samples with stratified random sampling method. Organizational silence questionnaire by Vakola and Bouradas was used for data collection. The reliability of the questionnaire was α = 0.83 assessed by Cronbach’s alpha method. Data were analyzed using a t-test, ANOVA and Pearson correlation coefficient and also post-test experience if necessary. SPSS19 software was used for analyzing the data. Results: The results showed that there was a positive and meaningful relationship between exploitative-authoritative and benevolent-authoritative styles and organizational silence (P<0.001). Furthermore, organizational silence in Baharloo and Shariati hospital compared to other hospitals were more common. Conclusion: Given that the type of management style on organizational silence is very important, managers should support free and open communication to reduce organizational silence

2002 ◽  
Vol 5 (4) ◽  
pp. 553-560 ◽  
Author(s):  
Davide Arcella ◽  
Livia Ottolenghi ◽  
Antonella Polimeni ◽  
Catherine Leclercq

AbstractObjective:To propose an approach for investigation of the relationship between the frequency of carbohydrates intake and dental caries in real-life conditions.Design:The frequency of separate eating events (with the exclusion of lunch and dinner) and their sugars and starch content were assessed on the basis of diaries collected for seven consecutive days. The total number of decayed, missing and filled teeth (DMFT) was assessed through clinical examination. The interrelation between DMFT and frequency of eating events was analysed through Pearson correlation coefficient and stepwise forward linear regression analysis.Setting:Italy.Subjects:One hundred and ninety-three students (males and females, mean age 16 years) of a secondary school.Results:Individual DMFT varied between 0 (24% of subjects) and 12, with a mean of 3. Once lunch and dinner were excluded, the mean number of separate eating events was 2.9. A statistically significant relationship was found between DMFT and eating frequency thus defined. Correlations were calculated considering only eating events containing a proportion of sugars or starch higher than different cut-off levels. In a stepwise multiple regression model for DMFT, the frequency of ‘high sugars and high starch events’ accounted for 8% of the DMFT variance. Overall frequency of separate eating events defined according to their content of both sugars and starch accounted for 18% of the DMFT variance. A stronger correlation was found among males only.Conclusions:The precise characterisation of eating events in terms of their sugars and starch content allows us to explain a consistent percentage of the variability in DMFT.


Author(s):  
Ali Reza Yusefi ◽  
Parnian Nikmanesh ◽  
Zahra Kavosi ◽  
Ahmad Sadeghi

Background: Medication errors are one of the major causes of injury to patients while receiving medical care. This study aimed  to investigate the effective causes of medication errors in nurses in educational hospitals affiliated with Shiraz University of Medical Sciences. Methods: This descriptive-analytical and cross-sectional study was conducted in 2020 on 340 nurses from 10 educational  hospitals affiliated to Shiraz University of Medical Sciences. The data collection tool was a questionnaire. Data were analyzed using t-test, ANOVA and Pearson correlation coefficient were analyzed using SPSS23 software . Results: According to the results, human factors have been the most important factor in the occurrence of medication errors. The most important causes of medication errors with respect to human, managerial and environmental factors include fatigue due to overwork (3.13 ± 1.16), method of supervision (3.06 ± 0.98) ,and heavy workload (3.00 ± 1.19), respectively. There was a statistically significant relationship between human factors and  age (p = 0.024), gender (p = 0.013), employment relationship (p = 0.016), and marital status (p = 0.027), and between management factors and employment relationship (p = 0.034) and the number of patients under observation (p = 0.011). Conclusion: Considering the most important causes of medication errors, including fatigue due to overload, supervision methods, and heavy workload, using strategies to reduce fatigue due to workload, such as balancing nurses' work shifts and also holding workshops on supervision methods is recommended in order to improve the level of managerial competencies of nurses.


Author(s):  
Mohammad Reza Yeganeh ◽  
Moluk Pouralizadeh ◽  
Atefeh Ghanbari

Background & Aim: Professional autonomy is a key component of decision-making and empowerment of the nurses. However, ICU nurses sometimes experience a degree of moral distress in their decision-making but the relationship of this distress with their autonomous performance in intensive care units is unclear. The aim of this study is determining the relationship between professional autonomy and moral distress of ICU nurses. Methods & Materials: In this correlational cross-sectional study, 180 ICU nurses were selected by census method from educational hospitals of Guilan University of Medical Sciences in 2017. Research tools were Varjuss professional autonomy and Corely et al. moral distress questionnaires. Data were analyzed using SPSS software version 16. Results: Most of the subjects were female (93.89%), full-time nurses (61.67%), with age mean and standard deviation of 35±5.97. Mean and standard deviation of professional autonomy and moral distress were 77.04±4 and 140.85±5.45, respectively. Moral distress of most nurses (55.6%) was moderate. There was a positive and significant correlation between professional autonomy and moral distress scores (p<0.001, r=0.33). Conclusion: This study showed that by increasing the professional autonomy, the moral distress of ICU nurses increases as well. These results, by informing nursing mangers, remind the necessity of using some approaches for reducing the moral distress of nurses along with improving their professional autonomy.


2020 ◽  
Vol 13 (1) ◽  
pp. 627-633
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Niloofar Aboozarzadeh ◽  
Leila Khojasteh ◽  
Zakieh Sadeghi ◽  
...  

Background: A person's lifestyle plays an important role in his health. This study aimed at determining thehealth-promoting lifestyle and its related factors among the medical students of Shahroud Islamic Azad University. Methods: In this cross-sectional study, a total of500 students of medical sciences were selected using the stratified random sampling method and they completed the health-promoting lifestyle, self-efficacy, and well-being questionnaires. The collected data were entered into SPSS 16 and were analyzed with a T-test, Chi-square, Pearson correlation coefficient, and a backward regression model. Results: The mean age of the students was 22.25±1.45 and 65% of the participants were female. The mean scores of health-promoting lifestyle, well-being, and self-efficacy were 134.1±23.85, 14.41±5.09, and 41.67±8.05, respectively. Among the students, 32.8% had a health disorder and only 2.2% had a high self-efficacy. Well-being and self-efficacy were statistically correlated with the health-promoting lifestyle (p<0.001). The results showed that out of 17 independent variables, only 4 variables of educational level, academic year, marital status, well-being were the best predictors of health-promoting lifestyle. Conclusion: More than 90% of students had low self-efficacy and more than 30% of them did not have good well-being. Moreover, the health-promoting lifestyle of students was moderate. More attention to the above areas, such as well-being status and applying required interventions, can help to improve the situation.


2021 ◽  
Vol 20 (3) ◽  
pp. 317-323
Author(s):  
Farnaz Salahizadeh Baghmisheh ◽  
◽  
Amaneh Mohammadi Roushandeh ◽  
Sajjad Rezaei ◽  
Alia Sabari ◽  
...  

Background. Medical students have a significant role in improving new perspective about stem cell application in treatment of incurable diseases; such as degenerative neurologic disorders. Methods. In this descriptive cross-sectional study conducted in 2019-2020, 424 medical students at Guilan University of Medical Sciences responded to a questionnaire. The questionnaire was included the questions about knowledge of medical students about application of stem cells in neurologic disorders and stem cells donation and their attitude as well. Exclusion criteria were reluctance to participate in study and less than 20% response to questionnaire. The convenience sampling method was used. Inclusion criteria were being a medical student and willingness to participate in the project. Data were analyzed using SPSS 20 by Pearson correlation, independent student t, one-way ANOVA, U-Mann-Whitney. Results. 49.5% and 43.2% of participants had very low and low knowledge about using the stem cell. The higher score of knowledge was related to higher education periods. 70.3% of medical students had moderate attitude toward using stem cell. Only 17% of them had known the state agencies and private centers of donation. 70.5% had moderate knowledge and 55.2% had moderate attitude toward the stem cell donation. There was a correlation between the knowledge and attitude toward its donation (p = 0.004, r = 0.14). Knowledge about stem cells donation had correlation with the knowledge about its application (p = 0.001, r = 0.161). Conclusion. Although the majority of medical students have very low knowledge about stem cell application in treatment of neurologic disorders, but their attitude toward using stem cell was moderate.


2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Behire Sancar ◽  
Demet Aktas

Background & Objective: Effective communication in the nursing profession is not just a personal skill but is accepted as a learned and gained technique in the instructional process. It is possible for nurses to professionally provide effective and quality service with the establishment, development, and transfer to emotion of effective communication with people. The purpose of this study was to investigate the relationship between levels of alexithymia and communication skills of nursing students. Methods: This cross-sectional study was conducted among students attending the School of Nursing in a university in Turkey in the 2017-2018 Spring semester. A total of 634 nursing students participated in the study. The data in the study were collected with the “Student Introduction Form”, the “Toronto Alexithymia Scale (TAS)” and the “Communication Skills Scale (CSS)”. Means, standard deviations, t-test, ANOVA and Pearson correlation analysis were used for the analysis. Results: The mean TAS scores of the nursing students were found to be 56.31±8.82, and the students had “moderate alexithymia” based on the average scores of the scale. The mean CSS scores of the nursing students in the study was found to be 91.16±12.99, and the students had “Good level of communication” based on the average scores of the scale. In our study, a negative and moderate correlation between the levels of alexithymia of nursing students and their communication skills was detected (p: 0.001). Conclusion: It was found that as the levels of alexithymia of nursing student increased, their communication skills decreased. How to cite this:Sancar B, Aktas D. The relationship between levels of Alexithymia and communication skills of nursing students. Pak J Med Sci. 2019;35(2):---------. doi: https://doi.org/10.12669/pjms.35.2.604 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 33 (1) ◽  
pp. 38-44
Author(s):  
Renata Lamenha-Lins ◽  
Maria Cavalcanti-Campêlo ◽  
Cláudia Cavalcante-Silva ◽  
Kelly Rodrigues-Mota ◽  
Carlos Leão-Oliveira ◽  
...  

The aim of this study is to assess the prevalence of odontogenic infection in low-income Brazilian schoolchildren and evaluate its association with the subjective variables of oral health-related quality of life and dental pain. In this cross-sectional study, 230 schoolchildren aged eight to ten years old underwent a clinical oral survey in which the DMFT/dmft and PUFA/pufa indexes were measured. Afterward, children responded individually to the Child Perceptions Questionnaire (CPQ8-10) and self-reports of dental pain were collected. Data were statistically analyzed using MannWhitney or Kruskal-Wallis test with a post-test by Dunn's and Pearson correlation. Of the children evaluated, 42.6% had odontogenic infection and 80% reported experiencing dental pain. Children's age (p = 0.034) and past experience of dental pain (p < 0.002) were associated with odontogenic sepsis, in addition to impairment of their emotional well-being (p = 0.008), social welfare (p = 0.009) and overall impact on quality of life (p = 0.019). Toothache intensity (p < 0.001), frequency (p < 0.001) and duration (p < 0.001) were correlated to the overall impact on children's quality of life. The prevalence of odontogenic infection remains high among low-income Brazilian schoolchildren. Pediatric infection and its related pain induce not only various biological disorders but also impair children's self-perception of quality of life.


Author(s):  
Ali Miri ◽  
Mostafa Norouzzadeh ◽  
Fatemeh Mozafari ◽  
Elham Rajabipour ◽  
Najmeh Souri-Naseri ◽  
...  

affect different aspects of human life. Today because of changing in lifestyle and unhealthy dietary patterns, there is augment in the incidence of obesity, chronic disease and mental disorders like depression. In this study, we have investigated the prevalence of depression and dietary patterns in the students of Zabol University of Medical Sciences. Methods: A descriptive cross-sectional study carried out on 313 students of Zabol city using simple random sampling in 2019. Results: The prevalence of depression in studied students was 58%. Two major dietary patterns were identified: the healthy dietary pattern and the unhealthy dietary pattern. After adjusting confusing variables, individuals who gained higher scores in unhealthy dietary pattern, had higher probability (OR = 2.19, 95%CI: 1.10 to 4.36, p value = 0.02) of depression, however healthy dietary patterns showed no significant association with the risk of depression. Conclusion: Findings indicate a higher prevalence of depression and positive relationship between unhealthy dietary patterns with the risk of depression in studied students.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Aymen Elsous ◽  
Mahmoud Radwan ◽  
Samah Mohsen

Interprofessional collaboration and teamwork between nurses and physicians is essential for improving patient outcomes and quality of health services. This study examined the attitudes of nurses and physicians toward nurse-physician collaboration. A cross-sectional study was conducted among nurses and physicians (n=414) in two main referral public hospitals in the Gaza Strip using the Arabic Jefferson Scale of Attitude toward Physician-Nurse Collaboration. Descriptive statistics and difference of means, proportions, and correlations were examined using Student’st-test, one-way ANOVA, and Pearson correlation andp<0.05was considered as statistical significant. Response rate was 42.8% (75.6% for nurses and 24.4% for physicians). Nurses expressed more positives attitudes toward collaboration than physicians (M ± SD on four-point scale:3.40±0.30and3.01±0.35, resp.) and experience duration was not proved to have an interesting influence. Teamwork approach in the professional practice should be recognized taking into consideration that the relationship between physicians and nurses is complementary and nurses are partners in patient care.


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