بررسی دیدگاه پزشکان و پرستاران نسبت به نقش متخصص طب اورژانس بر عملکرد بخش اورژانس بیمارستان‌های آموزشی- درمانی شهر تهران

نوع مقاله : مقاله پژوهشی

نویسندگان
زری رحمت‌پسند فتیده 1
سید مجتبی حسینی 2
خلیل علی‌‌محمدزاده 3
1 دانشجوی کارشناسی ارشد، مدیریت خدمات بهداشتی درمانی، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت، واحد تهران شمال، دانشگاه آزاد اسلامی، تهران، ایران
2 استادیار، مدیریت خدمات بهداشتی درمانی، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت، واحد تهران شمال، دانشگاه آزاد اسلامی، تهران، ایران
3 دانشیار، مدیریت خدمات بهداشتی درمانی، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت، واحد تهران شمال، دانشگاه آزاد اسلامی و مرکز تحقیقات سیاست‌گذاری اقتصاد سلامت، واحد علوم پزشکی، دانشگاه آزاد اسلامی، تهران، ایران
10.22122/him.v16i6.4036
چکیده
مقدمه: بخش اورژانس بیمارستان به دلیل تأثیر چشمگیر آن در نظام سلامت، از اهمیت خاصی برخوردار است. استفاده از منابع انسانی کارامد در این بخش می‌تواند منجر به ارتقای کیفیت خدمات ارایه ‌شده و رضایت بیماران گردد. بنابراین، پژوهش حاضر با هدف تعیین دیدگاه پزشکان و پرستاران نسبت به نقش متخصص طب اورژانس بر عملکرد بخش اورژانس انجام شد.روش بررسی: این مطالعه از نوع توصیفی- پیمایشی بود که در سال 1398 در بخش اورژانس بیمارستان‌های آموزشی- درمانی شهر تهران انجام‌ گردید. بر اساس روش نمونه‌گیری خوشه‌ای، 9 بیمارستان انتخاب شد و 501 پرستار و پزشک شاغل در بخش اورژانس در تحقیق شرکت کردند. برای جمع‌آوری داده‌ها از پرسش‌نامه محقق ساخته استفاده شد و در نهایت، داده‌ها با استفاده از آزمون‌های t، ANOVA و همبستگی Pearson مورد تجزیه و تحلیل قرار گرفت.یافته‌ها: دیدگاه پزشکان و پرستاران شرکت‌کننده نسبت به حضور متخصص طب اورژانس بر ایمنی بیمار، شاخص‌های عملکردی اورژانس، کیفیت خدمات درمانی اورژانس و مدیریت بخش اورژانس در حد خیلی خوب برآورد گردید. همچنین، سابقه شغلی، پست سازمانی، جنسیت و سن بر دیدگاه افراد نسبت به نقش متخصص طب اورژانس بر عملکرد اورژانس تأثیرگذار بود (001/0 = P).نتیجه‌گیری: دیدگاه پزشکان و پرستاران بخش اورژانس نسبت به نقش متخصص طب اورژانس در وضعیت خوب قرار دارد. بر اساس نتایج پژوهش، پزشکان دیدگاه بهتری نسبت به پرستاران در مورد حضور متخصص طب اورژانس دارند.

کلیدواژه‌ها

عنوان مقاله English

Studying the Physicians' and Nurses' Attitudes towards the Role of the Emergency Medicine Specialists on the Performance of the Emergency Wards of the Training-Treatment Hospitals in Tehran, Iran

نویسندگان English

Zari Rahmatpasand-Fatide 1
Seyed Mojtaba Hosseini 2
Khalil Alimohammadzadeh 3
1 MSc Student, Health Services Management, Department of Health Services Management, School of Management, North Tehran Branch, Islamic Azad University, Tehran, Iran
2 Assistant Professor, Health Services Management, Department of Health Services Management, School of Management, North Tehran Branch, Islamic Azad University, Tehran, Iran
3 Associate Professor, Health Services Management, Department of Health Services Management, School of Management, North Tehran Branch, Islamic Azad University AND Health Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
چکیده English

Introduction: The emergency ward is an important part of a hospital given its central role in the health system. Undoubtedly, the use of efficient human resources in this field can boost the quality of services provided and thus patients' satisfaction. Therefore, this study is carried out aiming to determine the attitudes of physicians and nurses towards the role of the emergency medicine specialists on the performance of the emergency wards.Methods: This cross-sectional descriptive study was conducted in the emergency department of educational hospitals in Tehran in 2019. Based on the cluster sampling method, 9 hospitals were selected and 501 nurses and physicians working in the emergency department participated in this study. A researcher-made questionnaire was employed to gather data and analyses were performed using t-test, analysis of variance (ANOVA), and Pearson correlation coefficient tests.Results: Based on the findings, the attitude of the participants towards the role of the emergency medicine specialists on patient safety, emergency performance indicators, quality of emergency services, and emergency ward management were favorable. In addition, expertise, organizational position, gender, and age were effective on the attitude of the participants towards the role of the emergency medicine specialists in the emergency ward (P = 0.001).Conclusion: The results revealed that the attitude of physicians and nurses of emergency ward towards the role of the emergency medicine specialist was desirable. According to the results, physicians showed more favorable attitude compared to nurses towards the presence of an emergency medicine specialist.

کلیدواژه‌ها English

Emergency Medical Services
Hospitals
Emergency Medicine
Work Performance
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