Healthcare Admnistration

Natural disasters and unexpected incidents happen regardless of borders and we could say that in most cases they happen in an improper time. what's more we can confidently say that no individual or country in all over the word isn't safe from them and their consequences. Present study is executed aiming to evaluate the management of maneuvers to defeat natural disasters in Tabriz City to plan and response management toward natural disasters. Method: Present research is descriptive and of measurement nature which studied all participants in the maneuver including doctors, pharmacists, technicians and environmental health expertise, disease group experts, general health and laboratory experts as statistical society of this research. the tool to gather data was a 20 question questionnaire which was made in 6 arises and the extracted data were analyzed by means of SPSS software version 18. Findings: Findings show that the maximum level of response was related to the mission dimension (69%) which clarified the general goal to some extent, the maximum level in mission designing dimension was 62.1 percent based on state's

Background and Objective: Because of social progress, population growth, industrialization, and the requirements of some jobs, a significant percentage of employees are working in shifts. Shift work is considered a threat to health that could have unfavorable effects on various aspects of human life. This study investigated the relationship between shift work and the personality traits of nurses and their coping strategies in a selection of non-governmental hospitals in Tehran in 2014.

Abstract
Organizational spirituality is a modern topic of discussion in the field of organizational behavior. Iran
compared to the world has more spirituality level so the responsibility of the management researchers for
using this value tools to solve organizational problems has decreased. Providing peace of mind alongside
comfort and convenience for hospital staff greatly affects their competence and will naturally influence the
quality of service. The purpose of this study was to investigate the relationship between spirituality and
professional burnout among the hospital staff in Ardebil. This descriptive-analytical study was conducted on
the staff of Ardebil hospitals (3 public hospitals, 1 private hospital and 1 veterans’ hospital) selected by
sampling. Data were collected using the Maslach Burnout Inventory (MBI) and a Spiritual Leadership
Questionnaire. The reliability of the questionnaire was confirmed through Cronbach’s Alpha coefficient at
0.95. Finally, data were analyzed using the SPSS 20 software, t-test, ANOVA, Mann-Whitney and Kruskal-
Wallis statistical tests.
The results showed the mean of spiritual leadership among the staff of public, private and veterans’ hospitals
to be 3.51 out of a possible 5, indicating a good spiritual condition. Spearman’s Rho test results showed a
significant negative relationship between spiritual leadership and professional burnout of the staff (P < 0.05).
Moreover, professional burnout among the subjects was calculated at 43.2%, indicating a medium level.
In conclusion, spiritual leadership and its dimensions were found to be above average, thus indicating
favorable conditions. Considering the importance of spiritual leadership and its relationship with burnout,
managers should strengthen all dimensions of spiritual leadership in hospitals to create an environment
without conflict and reduce burnout to improve efficiency.
Keywords: spiritual leadership, professional burnout, Ardabil, hospital staff

The purpose of this study was to investigate the dimensions and conditions caused by shifts in nurses who worked in constant shifts in non-governmental selective hospitals in Tehran in 2014. In this cross-sectional and applied research, the shifts standard questionnaire was used. After confirming the validity and reliability (Cronbach's alpha 0.73), the questionnaires were distributed among 305 nurses of 6 non-governmental selective hospitals in Tehran, based on stratified random sampling. In the research, the data analysis was conducted in two levels of descriptive and inferential statistics. The response rate was 0.91. 74.4% of the participant nurses were female and 25.6% were male. The results showed that there was a significant relationship between age and physical health (P = 0.008), gender and physical health (P = 0.015), education and health (P = 0.014), gender and physical-cognitive anxiety (P = 0.006), age and social-familial status (P = 0.001), Marital status and social-familial status (P = 0.001), having a second job and social-familial status (P = 0.001), education and sleep-fatigue (P = 0.002). Planning with respect to standards of nurses' working hours and avoiding overtime, especially nurses who have more experience, can prevent severe complications of shifts and improve health level and ultimately the quality of care.

As social health is a condition-driven, dynamic and fluid concept, it seems necessary to construct and obtain a national and relevant concept of it for every society. Providing an empirical back up for Iran&#39;s concept of social health was the aim of the present study. This study is an ecologic study in which available data for 30 provinces of Iran in 2007 were analyzed. In order to prove construct validity and obtain a social health index, an exploratory factor analysis was conducted on six indicators of population growth, willful murder, poverty, unemployment, insurance coverage and literacy. Following the factor analysis, two factors of Diathesis (made up of high population growth, poverty, low insurance coverage and illiteracy) and Problem (made up of unemployment and willful murder) were extracted. The diathesis and problem explained 48.6 and 19.6% of social health variance respectively. From provinces, Sistan & Baluchistan had the highest rate of poverty and violence and the...

Like any other health-related disorder, irritable bowel syndrome (IBS) has a differential distribution with respect to socioeconomic factors. This study aimed to estimate and decompose educational inequalities in the prevalence of IBS. Sampling was performed using a multi-stage random cluster sampling approach. The data of 1,850 residents of Kish Island aged 15 years or older were included, and the determinants of IBS were identified using a generalized estimating equation regression model. The concentration index of educational inequality in cases of IBS was estimated and decomposed as the specific inequality index. The prevalence of IBS in this study was 21.57% (95% confidence interval [CI], 19.69 to 23.44%). The concentration index of IBS was 0.20 (95% CI, 0.14 to 0.26). A multivariable regression model revealed that age, sex, level of education, marital status, anxiety, and poor general health were significant determinants of IBS. In the decomposition analysis, level of education (89.91%), age (-11.99%), and marital status (9.11%) were the three main contributors to IBS inequality. Anxiety and poor general health were the next two contributors to IBS inequality, and were responsible for more than 12% of the total observed inequality. The main contributors of IBS inequality were education level, age, and marital status. Given the high percentage of anxious individuals among highly educated, young, single, and divorced people, we can conclude that all contributors to IBS inequality may be partially influenced by psychological factors. Therefore, programs that promote the development of mental health to alleviate the abovementioned inequality in this population are highly warranted.

Background: Health and nutrition are important aspects in the analysis of
households’ multidimensional poverty. The present research investigated poverty
in Tehran’s households through a cohort approach. In this regard, households’
financial participation about health costs and food intake calories were analyzed.
Methods: Households’ data of costs – income survey were then collected. Health
and nutrition poverty trend was investigated through generational approach, index
of poverty "Foster, Greer, Turbak", and in the period of 1984-2014 by dividing
Tehrany families into eight various age groups. Excell and Stata11 were applied to
process and calculate the indices.
Results: During the study years, the highest level of health poverty (29%) in 1999
was in age range of 21-26 and the highest level of nutrition poverty in 1984 (65%)
was in age range of 42-46. There has been an ascending trend of health and
nutrition poverty at the end of the Fourth Development Plan (2009) up to 2013 for
all age groups.
Conclusion: Generally, rate and severity of health and nutrition poverty had many
fluctuations among different age groups of Tehrani households’ heads. This rate
has raised during recent years which indicates lack of stable and coherent social
policies to reduce households’ exposures with catastrophic health care costs and
funding of the food aid needs