Background and Objectives: The work-family conflict has many negative consequences, such as absenteeism, employee turnover, and reduced performance. This study aimed to investigate and compare perceived work-family conflict among clinical and non-clinical employees working in hospitals affiliated to Shahid Sadoughi University of Medical Sciences. Methods: This descriptive analytical cross-sectional study, was conducted on 210 employees working in Shahid Sadoughi educational hospital in Yazd city, 2016. Data collection was performed using Carlson work-family conflict questionnaire. Data analysis was carried out by t-test, Spearman correlation coefficient, and one-way analysis of variance. Results: The mean perceived work-family conflict among the study population in terms of three dimensions of time, pressure, and behavior, were 18.11+4.23, 7.91+5.09, and 18.16+4.71, respectively, which showed a significant difference between clinical and nonclinical employees (p<0.001). Furthermore, perceived work-family conflict had negative correlation with age and work experience of the personnel (r=-0.222, r=-0.237). Conclusion: Given that female employees are more exposed to workfamily conflicts compared to male ones, therefore, measures should be taken to decrease work-family conflict level through greater focus on these groups, creating an appropriate supportive environment, and avoiding rigid and inflexible rules.

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ObjectivesThe purpose of this study was to evaluate the performance indicators for obstetrics and gynecology wards in Iran.MethodsThis study was designed as a cross-sectional study and was carried out in obstetrics and gynecology wards of Afshar and Shahid Sadoughi hospitals in 2015. The information required for the performance indicators was gathered through questionnaires, statistical forms, and direct observation. In several tables, performance rating and performance status are presented using the Likert scale index based on the expected limits.ResultsAccording to the results of the categories of input indicators, the bed occupancy rate of Afshar Hospital’s obstetrics and gynecology ward was, at 83%, higher than expected (79%), and that in Shahid Sadoughi Hospital (at 69%) was lower than expected. For medicinal methods and nonmedicinal methods of pain alleviation, the index process at Afshar Hospital was much lower than expected (40%). In Afshar Hospital, patient satisfaction at discharge was about 66.74%.ConclusionEffective steps can be taken to improve the input and output criteria: allocating appropriate physical space, examining the reasons for low bed occupancy rate by using complex analytical models, and in order to study the reasons for large number of cesarean section childbirth, it was recommended to place more emphasis on training of pregnant mothers and to inform them about the side effects of cesarean section and advantages of natural childbirth.

BACKGROUND: The prerequisite for promoting safety culture is to assess the existing safety culture level of institutes, because safety precautions without appropriate evaluation increase costs and unforeseen risks. OBJECTIVE: This study aimed to systematically review the status of patient safety culture from the perspective of clinical personnel at Iranian hospitals through a meta-analysis of studies using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. METHODS: The present systematic review and meta-analysis was conducted in 2018. Data were gathered by searching Google Scholar, Scopus, PubMed, and Web of Science databases up to November 2018. Search keywords were “patient”, “safety”, “culture”, “healthcare”, “hospital”, “medical center”, “HSOPSC tool”, and “Iran”. The search protocol was limited to 10 years. To estimate the PSC score, computer software CMA:2 (Comprehensive Meta-Analysis) was used. The presence of heterogeneity across the studies was assessed with the I2 statistic. A forest plot was used to report the results. Publication bias was assessed through a funnel plot. RESULTS: The meta-analysis of studies showed that the PSC score based on the random effect model was 52.7% (95% CI: 50.2%–55.2%), (Q = 522.3, df = 54, P < 0.05, I2 = 89.6). A mean of 12 dimensions of HSOPSC showed that the “Teamwork within units” dimension had the highest PSC score (67.2%) and “Non-punitive response to error” had the lowest score (40.4%). CONCLUSIONS: Managers and policymakers should be directed towards non-punitive responses to errors and persuade staff to report errors and execute the approach to learn from mistakes. Also, a periodic government evaluation of the patient safety culture will help further its sustainable development.

Introduction: Despite the fact that virtual education has been launched for a short time in medical sciences universities, especially Shahid Sadoughi University of Yazd, it is on initial steps. There is still no information available on the possible effects of this course so that we cannot identify the potential obstacles or problems or use its benefits in efficient way. In the present study, the researchers sought to explain the experiences and perspectives of teachers and students by using qualitative approach. Methods: This study was conducted using a qualitative approach and semi-structured interview. The target population for the interview was teachers and students who had experienced such courses at Shahid Sadoughi University of Medical Sciences in 2019. Result: The findings highlighted seven strengths in areas such as time, place, and cost. Interviews have been done from 15 teachers. In examining weaknesses in virtual education, four main categories include facilities, equipment, classroom control, inadequate teacher preparation, and student and emotional and cultural issues and eleven subcategories were extracted. Conclusion: With respect to some obstacles in current education and due to the ever-increasing advances in technology, the use of virtual education methods is needed. If the weaknesses in the implementation of this approach, including upgrading of training and skills levels, technical infrastructure and equipment and cultural context, are fulfilled, it would be more successful.