فصلنامه مدیریت پرستاری
سال هفتم شماره 4 (پیاپی 26، زمستان 1397)

  Experience profile: Imam Sajjad Hospital (specialized), 154 beds and 700 manpower Describe the need for a change to be detected (description of the current situation is problematic):High deficiencies in the nurse's report Purpose of the change: Improve and improve the proper recording of writing

Occupational Exposure Experience: The Abhar Relief Hospital (General) with 135 beds and 416 manpower
- Human Resources: Nursing, Midwifery, Anesthesia and Operative Room
- Duration of validation: from 91 to 95 (three courses)
Describe the need for a change to be detected: The immediate reporting of critical values ​​has a significant impact on the patient's life or the interpretation and nature of the diagnosis and prevention of the disease. In some cases, due to the lack of identification of critical values ​​and their lack of immediate reporting to the department, the patient's safety has been compromised, leading to later diagnosis of the problem and sometimes serious complications in the patient. Therefore, given the importance of the issue, it should be possible to consider the immediate reporting method (due to the limited number of telephone lines and the busy and unavailable) one-way phone lines.
Change goal:Considering the importance of the issue of patient safety and the need for the "Emergency Critical Values" measure and its effect on saving patients' lives (according to Standard 2 and 1-6, under the control of the laboratory from the parachlinical service axis) Identification of critical values and rapid action The treatment team is urgently needed to initiate treatment for the patient's safety hazards.

Experience profile: Nargis Hospital (specialized), has 33 beds Describe the need for a change to be detected (description of the current situation is problematic):Find the first step and find the problem
1- Transferring women under cesarean section to the operating room should be carried out by a professional (nurse) who was provided by the service. That information was not given accurately and there was a risk to the patient.
Preoperative training is not about what awaits women under cesarean section (patient). Which caused women's fear and anxiety and increased blood pressure.
3. Before the operation, patients did not receive serum and usually suffered from hemodynamic instability, which was caused by reduced volume of fluids and electrolytes. The collection took about 8 days. The goal of the change: to enhance the strategy of the preoperative care process using the FOCUSPDCA method

Occupational Exposure Experience: The Abhar Relief Hospital (General) with 135 beds and 416 manpower
- Human Resources: Nursing, Midwifery, Anesthesia and Operative Room
- Duration of validation: from 91 to 95 (three courses) Describe the need for a change to be detected (description of the current situation is problematic):The staff performance evaluations were performed by the head nurses in an unformal and formal manner; the nurse completed the personnel performance evaluation checklist in the final form of the month, without having carried out an ongoing evaluation. The criteria for assessing the performance of head nurses were deliberate and evaluations were performed more mentally. Employee rewards and payouts, including non-performance measures, were not based on performance, personnel received inequity in terms of rewards and performance appraisal. Personnel were not dissatisfied with the system between the person who worked well with someone who does not work well, so they did not have the incentive to perform well.

Purpose of Changing: Principal Implementation of Nurses' Performance Evaluation by Nursing Managers such as Nurses and Supervisors and Improving the Performance of Nursing Staff

Occupation Specifications Occupation: Imam Khomeini Hospital (General, Professional and Professional), 500 beds and 1670 Human Resources
- Human Resources: Nursing, Midwifery, Anesthesia and Operative Room
- Duration of Validation: From 2013 to now Describe the need for a change to be detected (description of the current situation is problematic):The lack of implementation of the principles of performance evaluation in assessing the performance of nursing staff and ultimately the poor quality of nursing care

The purpose of the change was to achieve the results of implementing the principles of nursing performance evaluation, which in this study was to improve the quality of nursing care

Environmental Specifications Experience: The Ministry of Oil (the government) has more than 12,000 human resources
- Human Resources: Bachelor to Postgraduate Challenges identified in the initial assessments: Women make up more than half of the world's population and the country, and given the diverse and influential roles of the family and organizations and the community, their ability to produce and maintain their health can be the sustainable development of any country. To kill During the needs assessment and review, women employed in industrial organizations despite the high level of education, but in their health, family, and the improvement of the quality of work and life, needed education and development. On the one hand, in order to promote sustainable productivity and development in the country, it is essential that employees first of all be able to take care of themselves and their families so that they can perform their duties effectively in the industry. The mirror of organizations' success and efficiency; health and personal self-care; organizational and social staff.

Changing goal: Promoting the quality of working life of women employed in the oil industry

Occupation Specifications Experience: The Central Hospital of Oil Company (Specialist) has 259 beds and 505 manpower
- Human Resources: Assistants to Nursing Masters
- Duration of validation: 3 years

Occupation Specifications Occupation: Al-Zahra Teaching Hospital (supersonic), 750 beds and 2,500 manpower
- Human Resources: Nurses, Masters, Experts, Health Workers and Assistants
- Validation period: Starting from 1391

Specifications Occupation Occupation: Shahid Ayatollah Madani Hospital, Khoram Abad (Advanced), 12 beds and 24 manpower
- Human Resources: 15 expert nurses, 4 specialist and specialist specialist, four crew and one secretary
- Duration of validation: 27 month

This study aimed to investigate the relationship between social health and organizational silence. The population targeted in this study includes employees in Mahshahr Petrochemical Special Eocnomic Zone. Based on Cochran formula and simple random sampling technique, a total of 235 questionnaires were distributed. The research is a descriptive-correlational study in terms of method and applied in terms of the objective. Standardized questionnaires were used to collect the required data. The results of correlation test revealed that there was a significant and negative relationship between the components of community participation, social cohesion, social acceptance, social adaptiveness and social actualization and organizational silence among employees in Mahshahr Petrochemical Special Eocnomic Zone. According to linear regression analysis, only social cohesion could predict the organizational silence in the targeted population in the current study.