management

Corona virus will not be the first and the last pandemic crisis in the world. For a society to know how and in what way to manage and lead that crisis is an important issue that experts and statesmen should be address. Therefore, this study aimed to explain the crisis management strategies according to the lessons learned from the covid-19 period.

In this qualitative study, semi structured interviews were held with 10 managers and employees in Ali-Ibn-Abitaleb hospital of Rafsanjan, 2022. The interviews first started with a general and open question for express the participants, opinions. the next questions were asked so that the researcher can reach the final goal of the study. The duration of the interviews was between 45-90 minutes. For transcription and analysis of interviews, MAXQDA2020 software was used and date were analyzed using content analysis approach.

Data analysis led to the development of 6 categories. They included: "resources and equipment", " human resources ", "physical space", "training", "rehabilitation" and "treatment", which was identified as crisis management strategies in Covid-19 period.

The results of this research indicate that prevention and preparation before the occurrence of a crisis, in various fields ranging from the provision of tools and equipment to planning and specialized and general training, which should be addressed, despite the great importance of They are neglected.

Migraine has been identified as the second most disabling disease by the World Health Organization. The aim of this review article was to Investigating the effect of telemedicine on the management of migrain headache.

A search was conducted with relevant keywords in all years to review the literature and background of studies in six electronic databases: Web of Science, Science of Direct, Scopus, PubMed, Google Scholar, Magiran. Search terms included telemedicine, migraine, headache, Tele-Care, Tele-Intensive Care. Studies investigating the effect of telemedicine on migraine headaches were included in the study. The PEDro scale was used to assess the methodological quality of the articles.

A total of 31 articles were found, and after more detailed evaluations and study inclusion and exclusion criteria, 5 articles related to the subject of the present study, whose scores on the PEDro scale were greater than 5, were reviewed. There were many differences in methodology, main indicators evaluated, sample size, implementation method, method of evaluating variables, etc. among the studies.

The results of past research studies showed that telemedicine and remote medicine improve patient outcomes and manage migraine headaches.

Telemedicine is an ideal method for providing services to patients and can be an effective alternative to in-person visits. Telemedicine facilitates immediate access to doctors and treatment teams and health care for affected individuals, improving and promoting strategies and timely diagnosis and treatment of patients in acute conditions. The aim of the present study was to investigate the effect of telemedicine on the management of chronic low back pain in women with regard to the attitude towards the improvement of chronic pain.

This is a narrative review study. The keywords "telemedicine, pain management, chronic low back pain, attitude towards improvement" were searched in articles published in national (SID and Civica) and international (PubMed and Science Direct) databases between 2015 and 2024. 46314 Persian and English articles were retrieved and the abstracts of the published articles were reviewed and duplicate and irrelevant articles were removed from the study in several stages. Finally, 24 final articles were selected for comprehensive review and data extraction.

Younger, university-educated, and single individuals were more likely to use telemedicine services. Since direct physician advice, as well as previous knowledge, attitude, and positive experience were effective in using telemedicine, physicians play a key role in encouraging individuals to use telemedicine and building trust in remote medical systems.

Therefore, it is suggested that educating people to use telemedicine systems can increase their willingness to receive virtual services and lead to reduced patient and healthcare system costs.

The covid-19 pandemic caused fundamental changes at various levels, including the levels of health and higher education. In many countries of the world, universities and institutions of higher education face challenges to continue the educational affairs and educational management of their institutions, and they use various strategies to manage these challenges. The purpose of this study is to identify these strategies.Materials & A review study with the keywords: management, strategy, education, and covid-19, strategy management, education, covid-19, in Magiran, Irandoc, and SID, PubMed, Scopus, direct science and Google Scholar in the last 6 years. After searching the mentioned databases, the studies were included in the research based on the inclusion criteria, then the text of the articles was read and an abstract consisting of the title, year of publication, country under study, research samples and the educational strategy was prepared. To check the quality of the articles, the PRISMA guidelines were used for reviewing systematic review studies.In general, the strategies were identified and classified as including 4 areas of human resources, teaching, health safety, and financial and psychological support. Strategies in the field of human resources have generally been centered on the work shift arrangement of educational staff and its method. Teaching strategies have mostly been based on distance education. Health safety strategies are focused on social distancing, disinfecting educational facilities and screening employees and students, and financial and psychological strategies are generally in the form of reducing the cost of students and employees and psychological counseling.Higher education in Iran, in line with the world, should focus and invest on the use of electronic education and its development so that it can manage its higher education in the event of a crisis such as the Covid-19 pandemic.

Managers, as the main decision-makers in facing various internal and external organizational problems, play a significant and determining role in the success or even failure of an organization. If competent and experienced managers are positioned at the top of organizations, the success of these organizations in achieving their goals will be guaranteed and an organization can achieve maximum efficiency with minimal resources. The aim of this study was to design a model of managerial competencies for hospital managers.

This qualitative research was conducted from year 2020 to 2022. After reviewing studies related to the topic, the extracted competencies were given to 19 experts consisted of relevant academic faculty members and managers with experience in the healthcare system and hospitals. Eventually, a managerial competency model was formulated through the use of the Delphi method and expert panel discussions. Collected data were analyzed in Excel software.

The developed model in this research for the concept of hospital managers’ competencies includes 33 managerial competencies of hospital managers in four main management functions (planning, organizing, leadership and control) and managerial roles, which starts from literature review and performing two Delphi steps and implementing two expert panel plans. In the competency of hospital managers model, the planning dimension consists 4 components, organizing consists 4 components, leadership consists 12 components, control consists 4 components, and managerial roles consists 9 components. Strategic thinking, which is a subset of planning, has the highest weight (0.495) and highest rank among other components, and continuous improvement, which is a subset of managerial roles, has the lowest weight (0.033) and lowest rank among other components.

This study proposes an exclusive and comprehensive model, utilizing practical techniques as a suitable solution for evaluating the managerial competencies of hospital managers. The proposed framework in this study can serve as a standard performance assessment tool for evaluating managers.

Daily increase in medical errors has caused a lot of human and financial losses to the health system, which can be caused by the lack of appropriate management of these errors and investigation of their causes. In order to help control them, the present study was conducted with the aim of investigating the effect of cybernetic management on medical errors.

The applied study was a descriptive-correlation survey. the sample consisted of doctors and nurses of four selected hospitals of Tehran University of Medical Sciences were formed in 1402 and finally 170 questionnaires and checklists were collected. Data collection tools were Ghorbanzadeh questionnaire and SHERPA checklist. To analysis data, descriptive and inferential statistics were used and analyzed with SPSS-24 software.

The findings of the research showed that there is a significant relationship between cybernetic management and medical errors, and 9% of the changes in the criterion variable, cybernetic management, can be explained by the variables of medical errors. Also, cybernetic management has an effect on communication errors (p-value=0.014), functional (p-value=0.009), revision (p-value=0.011) and recovery (p-value=0.001) and on selection errors (p-value=0.769) has no effect.

The results showed that medical errors were considerably reduced by using cybernetic management. In addition, the implementation of cybernetic features at different stages of errors can have a positive effect on hospital resources and save patients' lives.

 Paying attention to environmental cultures and acting based on them is one of the main success indicators of human resources management. This is particularly important for education, given its wide scope and goals, as it is one of the main requirements for creating national unity. Therefore, the current research has been carried out with the aim of identifying and investigating the dimensions and ethical components of management in multicultural schools.

 The approach of the current research was qualitative and its method was meta-composite. The research community included all the articles published in the last decade (2013-23) in the field of ethical indicators in the management of schools in areas with subcultures, from which 25 titles were selected as samples based on thematic content monitoring. Research data were collected by qualitative analysis of the studied documents.

Ethical Considerations: 

In writing the article, ethical aspects including preserving the authenticity of the texts, honesty and trustworthiness have been observed.

 By analyzing the data, the ethical indicators of management in schools in areas with subcultures were classified into 4 dimensions, 13 factors, and 67 categories. These dimensions include: individual-personality components (including the attitude of cultural ethics, knowledge of cultural ethics), social components (communication skills, cultural constructivism and intercultural ethics), professional-specialist components (managing diversity in human resources, specialized professional development, professional commitment and responsibility), and leadership-managerial components (paying attention to multicultural learning, intercultural conflict management, evolution towards pluralism).

 According to the findings, it can be concluded that paying attention to personality and empowering characteristics in line with the ethical management of human resources and understanding cultural diversity and the ability to make the school atmosphere collaborative helps to create an ethical environment in multicultural schools.

Although healthcare waste is generated in small quantities, improper management can lead to significant health risks. This study aimed to develop a model for assessing the requirements for effective medical waste management on Qeshm Island.

In this descriptive-analytical study, data were initially collected on the number of centers generating medical waste and the current status of waste management practices at these facilities. Subsequently, the quantitative and qualitative characteristics of waste from various medical waste-producing centers on Qeshm Island were assessed. Finally, the study identified the requirements, equipment, facilities, and machinery needed for effective medical waste management on the island.

The study found that Qeshm Island generates 104 kg of medical waste daily, necessitating a 500-liter autoclave, a van for waste transport, a driver, and 100 square meters of land for operational use, including a storage shed. The study also revealed that the quantity of medical waste generated in different clinical environments was considerably greater than that produced by general doctor's offices. In particular, midwifery offices, non-surgical specialists, surgeons, orthopedics, laboratories, dental offices, and obstetrics specialists generated medical waste at rates 1.19, 1.3, 1.97, 2.81, 7.5, 2.75, and 2.56 times higher than that of a general doctor's office, respectively. Moreover, each medical office is required to pay a minimum of 7,725,706 rials monthly for effective waste management.

Based on this study, the condition for the success and continuity of the medical waste management in this island is the support of the Qeshm free zone organization and Hormozgan university of medical sciences from the activities of investor company.

Background and purpose ‎: 

Managers, as the most important organizational decision-makers, have a significant and decisive role in the success and development of hospitals. Competency models help hospital managers to apply the knowledge, skills, and experiences needed to fulfill their responsibilities and mission. It helps them to do their jobs more successfully. The purpose of this study is to design a management competency model in order to optimize management systems in Karaj hospitals.

Methods‎: 

The current research is based on a quantitative approach, and in terms of its purpose, it is an applied research type, and in terms of data collection, it is a survey type. The statistical population of his research was all employees and medical staff in the hospitals of Karaj city. The sample size is 384 people and stratified random sampling method was used.The data was collected using a researcher-made questionnaire whose validity was confirmed by experts. The software used in this research is SPSS22 and AMOS.

‎According to the findings The impact of the six main dimensions of the management competency model included Knowledge competence (1.02), personal competence (0.98), interactive competences (0.38), executive competences (0.51), value and moral competences (0.42) and in The maximum job qualifications (0.41) were determined.

Based on the findings The impact of knowledge and personal competence on management competence in hospitals is higher than other dimensions. In other words, management competence in the hospital is highly dependent on the knowledge and personal competence of managers. Also, based on the goodness of fit index, the hospital management competency model was modified and evaluated within the standard. It is suggested to provide the basis and preparations for the implementation of the model for appointing competent managers and improving the competence of the hospital management system.