جستجوی مقالات مرتبط با کلیدواژه « مدیریت زمان » در نشریات گروه « پزشکی »

Time management and knowledge management are two important and influential components of the quality of care and the improvement of nurses' performance, especially in Intensive Care Units (ICUs). Therefore, this study was conducted with the aim of determining the relationship between knowledge management and time management among nurses working in ICUs in hospitals in the Khuzestan province.

The present cross sectional study was conducted with the aim of determining the relationship between knowledge management and time management in 384 head nurses working in ICUs in educational and private hospitals in Khuzestan province, with the position of head nurse and with informed consent, using a census method. Demographic, time management, and knowledge management questionnaires were completed by the participants.

The findings indicated that the majority of participants were female (189 Individuals, 93.1%) and married (196 Individuals, 96.6%). Time management among the studied charge nurses in the ICUs was mostly at a moderate level, with 87.2% (177 Individuals) falling into this category. Regarding knowledge management scores, most of the studied charge nurses in the ICUs were weak, with 91.2% (186 Individuals) falling into this category. There was a significant relationship between knowledge management and time management (P<0.003).

Since according to the findings of the current research, the score of time management was at an average level and the score of knowledge management was at a weak level, therefore, including the educational content related to these two subjects in the educational program of undergraduate students and designing in-service training courses, especially for nurses and supervisors is suggested. Actually, it is considered as one of the effective steps that can help improve the present situation.

Different factors affect the quality of virtual education. Identifying them and their relationships with each other can provide a suitable opportunity for educational planning based on the needs of learners and the characteristics of the educational environment. Therefore, the purpose of this study was to investigate the status and relationship of three factors of metacognitive state, learning styles and time management among virtual master's students in the field of medical education.

This cross-sectional analytical study was conducted in Iran University of Medical Sciences in 2021-2022. Fifty-four medical education master's students were included in the study by census method. Data collection tools were O’neil and Abedi's metacognitive state questionnaires, WARk's learning style questionnaire and Truman's time management questionnaire. The data were analyzed and using Mann-Whitney, Chi-square, Kruskal-Wallis and Spearman's correlation coefficient through SPSS .

The results showed that the most used learning style in both sexes was listening. The mean of time management score was 41.77±6.74 and the mean of metacognitive strategies was 50.03±7.46. The results of the study showed that there was significant relationship between learning style and metacognitive score (P=0.005, H=14.745),  as well as,between learning style and time management (P=0.001, H=19.433). Also, the relationship between learning style and all metacognitive components was significant (P<0.05). According to Spearman's test, there was no significant relationship between metacognitive state and time management (P>0.05, r=0.109).

According to the results of the current study, the dominant learning style of virtual students was listening, and the mean of metacognitive score was average and time management was relatively favorable. Therefore, it is suggested, policy makers pay attention to these three factors in the revision of curriculum and educational planning for virtual students.

Occupational stress reduces the efficiency, productivity and quality of work and affects the body, mind, behavior and job performance of a person. Having time management skills helps to prevent and control the consequences of occupational stress. This study aimed to determine the relationship between time management and occupational stress of critical care nurses.

This is a cross sectional study that was conducted on 350 nurses working in adult critical care units (CCU and ICU) of teaching hospitals in Tehran, 2022. Nurses were selected by multistage cluster sampling. The research data collection tool included the Condensed Nurses' Occupational Stress Scale (NOSS) and time management questionnaire.

In this study, 55.7% of nurses were women, and bachelor's education was the most frequent with 75.7%. In addition, 38% were between 30 and 39 years old and 58% were married. Time management of 45.4% of nurses was at a favorable level and 9.4% was at a very favorable level. None of the nurses had unfavorable time management. The mean and standard deviation of time management (based on 0 to 100) of nurses was 56.41 ± 19.67. The mean and standard deviation of occupational stress of nurses was 51.39 ± 10.77. Time management and its dimensions had a statistically significant negative correlation with occupational stress and its dimensions, that is, with increasing time management, occupational stress decreases (r = 0.638, p<001). The results of linear regression analysis showed that time management (adjustment of responsibilities and norms, management of requests and management of emotions) can explain 51% of nurses' occupational stress (p<0.05)

According to findings, the majority of nurses had good time management, and with increasing time management, job stress decreased.

Graduate students, in addition to engaging with complex academic content in the university environment, mainly acquire new roles in society. Coordination between learning and performing social tasks requires high time management skills. This study was performed to determine the factors affecting the time management of Iranian graduate medical sciences students during the coronavirus disease 2019 (COVID-19) pandemic.

This web-based cross-sectional study was conducted across Iranian medical sciences universities in 2019, using web sampling through the official social networks of medical sciences universities in Iran. The data were collected using an online version of time management questionnaire by Trueman and Hartley (1996). Data were analyzed in SPSS software (version 22) through descriptive statistics and multiple linear regression analysis.

In total, 362 graduate students in different majors of medical sciences participated in this study. The mean (SD) score of the total time management of students was obtained at 47.27(5.47). According to the results of multiple linear regression analysis, among 13 individual and academic variables of students, educational level (P=0.019, β=-0.126) and duration of study per day (P=0.002, β=0.172) were effective in predicting time management skills.

The time management skill of Iranian medical sciences students is relatively desirable. However, masters' students had better time management, compared to Ph.D. and residency students. Furthermore, the duration of study per day is a stronger factor in predicting the time management of graduate students.

 Nursing students deal with psychological stress due to exposure to the hospital atmosphere and contact with patients; hence, they are more prone to harms. It is necessary to investigate their academic and mental health problems, including addiction to Internet, and its relationship with their academic procrastination. Therefore, the present study aims to determine the role of Internet addiction in predicting the academic procrastination in nursing students.

This descriptive cross-sectional study was conducted in 2018 on 392 nursing students at Shahrekord University of Medical Sciences who were selected by quota sampling method. A demographic information form, Young's Internet Addiction Test (IAT), and Solomon and Rothblum's academic procrastination questionnaire were used to collect data. Data were analyzed in SPSS v. 16 software using descriptive statistics (mean, standard deviation, frequency, and percentage) and analytical tests (t-test, analysis of variance, regression analysis, Pearson correlation test). 

 Pearson correlation test results showed a positive and significant relationship between Internet addiction and academic procrastination (P<0.05). Regression analysis results showed that all dimensions of IAT (adjusted R2= 0.186) significantly predicted academic procrastination. The non-standardized beta value showed that the shares of low time control/management and salience/neglect of social life in predicting academic procrastination were 2.14 and 2.018, respectively. The mean scores of IAT and academic procrastination were reported 20.69±2.81 and 64.4±2.48, respectively.

Considering the roles of poor time management and neglect of social life in predicting the nursing students' academic procrastination, their importance should be emphasized to the parents and students. Screening students for academic problems and procrastination and identifying the related factors as well as increasing students' awareness and skills to manage time and improve social relations should be considered.

Today, time is an important element in therapeutic interventions. In addition to the care task, nurses are also responsible for time management, which has an important role in using the quality of nursing care and patient satisfaction. Accordingly, the present study was conducted with the aim of determining the relationship between Time Management and the Quality of Nursing Care and Satisfaction of patients admitted to teaching hospitals in Khuzestan province, 2020.

In this descriptive-analytical study, 880 people (576 patients and 304 nurses) were selected by random sampling method. The research instruments were a questionnaire containing demographic questions, a questionnaire of four dimensions of time management, a standard questionnaire of quality nursing care and a questionnaire of patients' satisfaction with the quality of nursing care. Data were analyzed using SPSS-23 software and descriptive and inferential statistics (frequency distribution, Pearson correlation coefficient).

The mean age of nurses was (33/39 ± 7/21) and patients were (36/14 ± 13/31) years There was a significant relationship between time management and quality of nursing care from the perspective of nurses and time management and quality of nursing care from the perspective of patients and the quality of nursing care and patients' satisfaction with the quality of nursing care (p<0/001). No significant relationship was found between time management and patient satisfaction (p=0/253).  

Considering the relationship between the quality of nursing care and the average level of satisfaction that patients had with the performance of nurses. It is suggested that nurses' performance and Patients satisfaction be evaluated and measured by managers with a closer look

Time management is effective in controlling stress especially for medical residents. Time management in the surgical field and residential education is very important as they are directly involved in treating patients. Proper time management will help decrease work-related stress and increase efficacy, although there is no time management in medical courses. There are few studies in Iran in this field. So, we designed this study to assess the effects of time management on improvement of educational and therapeutic services in surgical residents of Imam Hospital.

This before–after study was done in Imam hospital between February-March 2015. In this before-after study, 18 surgical residents of Imam Hospital (residents of 1-4 years), were enrolled. Their activities were evaluated in 11 scopes. To evaluate the effects of this self-evaluation, 5 scopes were assessed by the staff. The time during two weeks spent on each item was claimed as a percentage of 336 hours in two weeks. The self-assessment results and their effects on their scores were considered. Data regarding age, sex, and marital status were also gathered. Data were analyzed using SPSS software.

Eighteen residents were enrolled in this study. Ten residents were male (55.6%) and eight were female. Six (33.3%) were married. The mean age was 30±3.7 years. Resting time and emergency room time were significantly higher in the first-year residents while studying time was higher in the fourth-year residents. Second-year residents spend more time in training classes than others. The mean score at the beginning and the end of the study was highest in the forth-year residents and lowest in the first-year residents. All scores at the end of the study were significantly higher than the beginning except clinical judgment. The increase of the mean overall score was significantly higher in the fourth-year group and lowest in the first-year group.

Time management could improve the educational performance of surgical residents.

Regarding the vital role and function of pre-hospital emergency and the need for regular performance monitoring, particularly for determining indicators, we investigated the association of pre-hospital emergency time indicators and clinical status and outcome in patients transferred to emergency in Zanjan.

In this descriptive cross-sectional study, from all pre-hospital emergency missions in Zanjan province registered in 2018, we randomly selected 806 calls that led to patients’ transfer to medical centers. Next, we extracted their corresponding information (e.g., time indicators) and demographics using 115 emergency forms. Patients’ outcomes and clinical status after transfer were extracted using their emergency files.

Of 806 patients transferred by pre-hospital emergency, 61% (490 patient) were male and 39.2% (316 patient) were female. The mean age of patients was 28 years. Most pre-hospital emergency contacts were related to trauma caused by accidents (50.1%) and internal trauma (15.7%), respectively. In terms of time indicators, the average time was 0.9 min (delay time), 8.41 min (response time), 11.9 min (scene time), 39.92 min (mission time), 19.96 min (Transfer time), and 74.61 minutes (total mission time). Regarding the outcome of transferred patients, the highest frequency was related to patient discharge (55.9%), hospitalization (12.7%), transfer to other centers (1.1%), and death (2%). In terms of vital signs, 1% of the patients had 3 and 0 Glasgow coma scale, 89.3% had Glasgow scale of 15, 91.4% support above 90%, 7.7% oxygen saturation below 90%, and 32% had a heart rate in the normal range of 70 to 78.

The results showed that traffic accidents in Zanjan are the top causes of trauma in its hospitals. Overall, the dispatch timing was appropriate, and emergency personnel operated quickly in patients with poor clinical conditions.Based on the results of this study and future studies, appropriate planning was done to improve the indicators.

According to the latest guidelines, in ST-segment elevation myocardial infarction (STEMI) cases, the best intervention to restore blood flow in the occluded coronary arteries is angioplasty at a time less than 90 minutes. Delay in timely implementation of reperfusion is one of the key problems in the management of STEMI. In this review study, the aim is to investigate the role of pre-hospital and hospital emergency staff  in time management of STEMI. For this purpose, the articles published 1999-2019 with available full texts in ProQuest, SID, Science Direct, Google Scholar and Scopus databases were searched using the keywords: Pre-hospital Emergency, Hospital Emergency, Primary Angioplasty, Time Management, Ischemia, and Acute Myocardial Infarction. A total of 59 articles in Persian and English (from 10 different countries) covering both qualitative and quantitative studies were initially yielded. Those which were not a review paper and their full texts were unavailable were excluded from the review. Faster reperfusion reduces the cardiac necrosis area, resulting in reduced morbidity and mortality.  Early ECG recording by the pre-hospital emergency team followed by the activation of the code STEMI by the emergency team can increase the speed of diagnosis, decision making, and transfer of the STEMI patient to receive the best treatment.

Currently, due to the limitedfunding of the health care system as an industry, it is necessary to provide vital services without the least waste of time and resources, and one of these is the provision of equipment for the provision of services. The aim of this study was to determinethe availability of equipment for serving patients referred to the CPR department of Hazrat Rasoul-e-Akram Hospital in Tehran, as well as the problems associated with any pharmacy system and automated inventory system.

This descriptive cross-sectional study was performed on emergency patients in the CPR department of Rasoul-e-Akram Hospital of Iran University of Medical Sciences during the year 1397 (sample size 200) that needed emergency services. The availability time of equipment was measured intwo groups by the pharmacy method and using the automatic sales mechanism .

The average time taken to receive supplies from the time it took with the pharmacy system was 167 seconds, while it took 28.3 seconds with the automatic inventory system,which was a significant difference (p-value <0.001). The weaknesses of this system were: lack of connectivity to the Hospital HIS, inadequate equipment, crowded CPR, device charging, and lack of RFID cards .

The results showed that the use of this device for delivery of the equipment in the emergency ward increased the speed of the work, and the availability of the device for other emergency departments and its use for delivery of medication was also necessary

Due to the time constraints in the nursing system, it seems necessary to assess the time management competency of clinical nurses. Time management has sociocultural nature. Existing time management tools have not considered social aspects of time management. The purpose of this study was to design a questionnaire for assessing the social component of time management competency in clinical nurses population.

This research was carried out with a explanatory sequential mixed methods design. First, qualitative study and using the grounded theory method, the concept of social components of time management competency of clinical nurses was explained. Based on quotations, the items of the initial questionnaire was generated and then the face and content validity was determined by using the quantitative and qualitative methods. The construct validity was determined with the exploratory factor analysis. The reliability was approved with the measurement of internal consistency using Cronbach's alpha coefficient and the stability assessed using a test-retest (Interclass correlation coefficient) method..

Of the first 41 items, 36 items entered into the exploratory factor analysis after calculating the impact score of items with values higher than 1.5, content validity ratio higher than 0.53, content validity index higher than 0.79, and item analysis. In construct validity step, 29 items was grouped into 6 factors. The internal consistency of the questionnaire was 0.858 and the stability (ICC) of the questionnaire was 0.906. These 6 factors explained 46.714 % of the variance of the Questionnaire

The questionnaire, according to its designation, can be used to assess the social components of time management competency of clinical nurses.

Promoting health and responding to the health needs of people and communities is the most important mission of any country's health system.In recent years،the concept of health and its determinants and on the other hand the health needs and demographic structure of societies have undergone many changes. Fair access to High quality health care seems impossible without formulating appropriate strategies and planning and utilizing human resources management principles. In other words, establishing a balance between workforce and the workload of health workers working in different areas, including suburban areas that have different demographic structure and needs compared to the urban population, is one of the health management requirements. To date, numerous studies have been done in Iran and other countries, but it can be said that the studies are mainly focused on specific areas such as treatment and have included one of the urban or rural contexts of research. Considering the variety of forms of health care systems in different countries as well as the type and variety of services and methods of study, the above studies have had a different approach than the present study. Also، timing of service delivery as the most important factor in improving productivity and optimizing the use of all available health resources and facilities، is necessary for rational and realistic human resource estimation as well as standard time setting. This study was designed to compare the timing of primary health care and the workload of staff working in Qom city comprehensive health bases in urban and marginal areas.

This cross-sectional study was conducted in the second half of the year 1396 (Solar -Hijri) through random sampling from two bases located in two marginal bases of the city and two urban texture bases of Qom. Over a 3-month period, 1000 people-care at comprehensive health bases and age groups for infants, children, adolescents, youth, middle aged, elderly, mothers (prenatal, pregnancy and postnatal cares) were timed. The number of bases and sample size required for the study were determined by Systematic Random Sampling and according to the population of each geographical area in Qom. The four sites studied in this study were selected from four different urban areas. The present study was conducted in 4 stages. In the first phase, in order to coordinate the supervisors and health care providers, an 18 hour workshop was held for uniformizing the method of work, the variety of services, the type of care and the content of the training provided to the target group. During this period, 10 health educators were trained. In the second phase, out of 10 trained caregivers, 4 caregivers with the highest agreement rate in terms of service time, work experience, degree and field of study were selected. Each caregiver was referred to one of the health bases studied each day. In the third step, the timing was done by the Stop Watch method. In this process, the timing of services was recorded by a stopwatch in a complete care consisting of new or periodic care and from verbal communication with the caregiver to the end of full care. Also timing of each service and its components was measured by another stopwatch. Other references to follow-up or examination of tests or referral for purely special care were not subject to timing. In addition, in the event of a power failure or the Internet, the timing process was stopped and the time was recorded, and the duration of the power outage or the Internet was calculated separately and the necessary explanations were noted at the end of the checklist. In the fourth step, after recording the service times and their components in the standard timing checklists, data analysis was performed in SPSS software version 22 using descriptive and analytical statistics including mean and standard deviation and independent t-test.

 In this study, 96.1% of clients were Iranian and 3.9% were non-Iranian. Also, 497 people (49.7%) of all target groups were living in the marginal areas of the city and 503 people (50.3% of the samples) were living in urban areas of Qom. Out of 92 referrals for healthy reproductive care, 46 subjects were timed in the marginal areas and the same number in the urban context. The mean age of the subjects was 28.5 and 31.5 years in urban and suburban areas, respectively. Also out of 88 referrals that were timed for pregnancy care (including 44 subjects in urban tissue and 44 subjects in marginal areas) the mean age of mothers in urban and suburban contexts was 28.8±5 and 27±6 years, respectively. The mean age of women was 28.8±5 and 27±6 years for prenatal care so 25±5 and 28.6±5 years for postpartum care (respectively at the comprehensive health base in urban and marginal areas). in the case of neonatal and child care the mean age was considered in terms of day (for neonatal care) and month(for child care)  and it was 18±11 as well 20±11 days(for neonatal care) and 19±15 as well17±16  month (for child care)  in urban and suburban areas. The mean age (in terms of year) for adolescent and youth care in this study was 11±4 as well 11±5 (for adolescent care) and 25±3 as well 23.5±4 (for youth care) in urban and marginal texture, respectively. Based on the findings of this study, the mean age of female middle-aged women cares in urban and suburban areas was 42± 8 years. Similarly, the mean age for middle-aged men in both areas was 40±7years. Finally, the mean age for the elderly cares was 64±4 in urban context and 66±6 in marginal context. In all service packages, except for prenatal care, there was no significant difference between the mean age of the subjects in urban and marginal areas (p <0.05). In this study, the mean of total time for prenatal and postpartum care was 23 ± 6 and 20±5 minutes. The mean time of postpartum care was 21.5 ±4.5 and 18 ±3 minutes (in marginal and urban context, respectively) and the difference was not statistically significant (p = 0.08). But, unlike postnatal care, the timing of prenatal care showed a significant difference in the marginal (27.4 ± 4min) and urban (18 ± 3min) tissue (p = 0.001). Also, pregnancy care with a total mean of 35 ± 9.5 minutes was the most time consuming care and there was a significant difference in the mean time allocated to this care in the urban (28±7min) and suburb (39±8min) context(p =0.005). Mean timing of healthy reproductive care was 7.7±3 and 6.8±2.7 minutes in marginal and urban areas respectively (the total time devoted to these cares was 7.4 ± 2.8 minutes. According to statistical tests, the difference between the time of healthy reproductive care in the marginal and urban context was not significant (p = 0.139).While the results obtained from the timing of other cares provided in the Health Reform Plan package, the average overall time for infant and children cares were 24.7 ± 5 and 22 ± 6, respectively, The mean time of neonatal care was 27±7 and 22± 4 minutes (respectively at the comprehensive health base in marginal and urban areas) and the observed difference was statistically significant (p =0.004). Also, there was a significant difference between the timing of child care in the urban and marginal areas (19± 3.5 and 25± 6 minutes respectively).In the case of middle-age women care the average overall time was 26.5 ± 4.5 min and the difference observed in timing of care (33±6 and 23±5 in marginal and urban areas) was significant (p =0.001).In contrast, the results of the study showed no significant difference between the timing of middle-aged men care in urban (26±6 min) and suburban (34±8 min) area (p =0.29) and the total time of care in this case was 31±9 minutes. The total time of the elderly care was 33± 9 min (37±8 and 27±8 in marginal and urban areas), which showed significant difference between urban basin health and urban areas (p =0.001).In addition, the mean of total time for adolescent and youth cares were, 32.5 ± 5.8 and 24 ± 6.4 min which did not show any significant difference between urban basin health and suburban areas (p = 0. 1). The mean of time taken to care for adolescents and youths was 40±6 and26±6 min in suburban texture 38±8 as well 23±7 min in urban area.

Differences in the timing of health services and work load in suburban and urban texture health contexts can be used in planning the number of appropriate manpower by the type of care, service location, and needs of the target group in order to provide high quality care in accordance with the principles of human resources. In other words, fairer access to primary health care requires more attention from planners and policymakers to demographic differences and the needs of urban and marginal regions. Further studies are recommended to compare the timing of services in different age and sex groups. A comparative study with other developing and developed countries can also highlight the strengths and weaknesses of the program.