The aim of this study was to determine the relationship between the levels of care for patients and length of stay in hospital. Materials and Methods: This was a cross-sectional descriptive study. Scientific information using related library resources, online articles and dissertations was collected and data related to variables, average stay, and need for patient care using nursing report forms and patient cases have been collected from 204 cases in Hazrat Rasool Complex, Tehran, Iran in 2013. Results: There are significant differences between the average stay in different departments. The level of care needed with an average length of stay had strong and significant correlation. Gender, age, and marital status have no significant effect on the average length of stay. Conclusion: Although the overall performance of the hospital due to the need for patient care was desirable and appropriate, a great improvement can be achieved by enhancement of the levels of patient care.

Introduction: : Managers as main decision-makers play a crucial role in success or failure of an organization with respect to internal and external issues. Thus, some dimensions and components are necessary to select the qualified managers for the position. In this respect, this study aims to develop a competency model for hospital managers. Methods: This descriptive study is conducted in 2016. At the initial stage, studies on competency concept were studies and 46 components are sent to 30 experts of the Delphi panel. The first group of the panel experts consist of expert faculty members in the field of hospital managers' competency. The second group are hospital managers of Tehran city whom were experienced in the field of health management and hospital. According to the results of the first phase of the Delphi panel, in the second round 36 components are sent to the expert panel. The components of the third round is resubmitted to the experts without modification. The data is analyzed using SPSS.24. Results: Based on the results, the competency model is developed. The model consists of three individual, technical and interactive dimensions. The individual dimension has seven components, the technical section consists of 25 components and the interactive part has four components. Conclusions: The developed competency model for hospital managers consists of three dimensions. It is recommended to use the model to select suitable hospital managers.

The ability to communicate is crucial for the people working in the health system, particularly the nurses. Communication barriers between the medical team disrupt teamwork and resulting in a lower safety and quality of care. The aim of this study was to investigate the correlation between nurses' communication skills and standardized communication. Materials and Methods: This is a descriptive study and was conducted in the 2014. The study population was the nursing staff of Hazrat Rasoul Akram Complex. Eligible nurses were selected randomly. Two questionnaires were used to collect information on interpersonal communication skills and the standard situation, background, assessment and recommendation (SBAR) communication tool and demographic data. Results: Less than 45% of nurses had good communication skills and less than 50% of nurses were used standards communication items. There was a significant correlation between interpersonal skills and communication standards as well as individual skills with situation, background, assessment, and recommendation. Conclusion: Improvement of communication skills and standardized communication increase coordination between the medical team and providing information about the background and situation of the patient. Moreover, reduction of the likelihood of errors and ignoring information improve the efficiency, reduce dissatisfaction, and provide optimum care.

The aim of this study was to investigate the relationship between organizational culture and the involvement of employees, as an important variable incentive, in the Khatam Alanbia Hospital in Tehran. Materials and Methods: A cross-sectional study was conducted among 1645 staffs of Khatam Alanbia Hospital, Tehran in 2014. The sample was determined by the Cochran formula, 312 cases. Results: Our data revealed a strong corporate culture and a high job involvement in this hospital. A significant relationship between job involvement and different organizational cultural factors (except the dominant features) was observed. Conclusion: The individual, organizational and environmental variables affect the rate of success and job involvement of employee. Improving of job involvement leads to a higher efficiency, and through the identification of relevant factors, such as organizational culture and cultural values, facilitates achievement of the organizational goals. Managers should try to create a good atmosphere and strengthening the organizational culture to improve the performance of the organization.