Maleki B, Rahimikian F, Salehi T, Mehran A
Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Faculty of Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Med Life. 2015;8(Spec Iss 4):174-179.
The importance of efficiency and improvement of health service for resolving people's health requirement and meeting their expectation is increasing. In addition, it considers as a priority for making decision and manager's activity in health officials. Manager's control on the management principle and the proper use of their management skill and creating a sense of trust and commitment are the tools that were providing a good condition for working and catching the organization's goals. In this quasi-experimental study, before beginning the research, the non-teaching hospitals that are affiliated to the Kurdistan's medical science university were randomly divided into 2 groups. Three hospitals from 3 cities considered as a control group, and three hospitals from 3 cities considered as an intervention group.80 person of hospital's obstetrician staff classified in these 2 group by quota method and the hospital's nurses and obstetrician's manager of case-control involved by census method. The research's tool was Hersi and Gold Smith's standard efficiency questionnaire, which was filled out at the beginning of the study by the obstetricians of both groups and then it gave to the hospital's nurses and obstetrician's managers of the case group's instructing management skills for 16 hours. The efficiency's questionnaire was filled out, compared, and evaluated again by the obstetricians of both groups, 12 weeks after intervention. The data analyzed by the independent T-test, variance analysis, paired T-test, and SPSS 22. The findings showed that the average of the obstetrician's efficiency mainly developed in the intervention team after the instruction of management skills to the managers (P < 0.001).
The instruction of the management skill to the nurses and obstetrician's managers caused the efficiency's promotion. Therefore, the instruction of the management skills has suggested as a method of increasing efficiency in hospitals.
提高医疗服务效率和改善医疗服务以满足人们的健康需求并达到他们的期望，其重要性日益增加。此外，它被视为卫生官员决策和管理活动的优先事项。管理者对管理原则的把控、其管理技能的恰当运用以及营造信任和责任感，这些都是为工作创造良好条件并实现组织目标的手段。在这项准实验研究中，在研究开始前，库尔德斯坦医科大学附属的非教学医院被随机分为两组。来自3个城市的3家医院被视为对照组，来自另外3个城市的3家医院被视为干预组。通过配额法将医院的80名产科工作人员分为这两组，病例对照的医院护士和产科管理人员采用普查法纳入。研究工具是赫尔西和戈德史密斯的标准效率问卷，两组的产科医生在研究开始时填写该问卷，然后对病例组的医院护士和产科管理人员进行16小时的管理技能指导。干预12周后，两组的产科医生再次填写、比较和评估效率问卷。数据采用独立样本t检验、方差分析、配对t检验以及SPSS 22进行分析。结果显示，在对管理人员进行管理技能指导后，干预组产科医生的效率平均有显著提高（P<0.001）。
对护士和产科管理人员进行管理技能指导可提高效率。因此，管理技能指导被建议作为提高医院效率的一种方法。
