Whitehead Dean, Hamidi Yadollah, Ebrahimi Hossein, Hazavehei Seyed Mohammad Mahdi, Kharghani Moghadam Seyedeh Melika
School of Nursing and Midwifery, University of Tasmania, Hobart, Australia.
Department of Health Management and Economics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
Health Serv Insights. 2023 Sep 1;16:11786329231193792. doi: 10.1177/11786329231193792. eCollection 2023.
Providing quality healthcare services through health promotion activities to patients, hospital-based professionals and the wider community is the goal of the health promoting hospital (HPH). There is, however, no formal structured pathway for "universally" providing health promotion services in hospitals. Accordingly, this study was conducted with the aim of presenting a model designed to promote and increase health-related satisfaction of hospital-professionals in health-promoting hospitals (HPHs) in Iran-as a potential tool to guide international HPH standards. Lifestyle, quality of life, organizational culture, and job satisfaction were measured using standardized questionnaires in specialized hospitals in Hamadan, Iran. A structural equation model (SEM) using partial least squares (PLS) software (version 2) was used to determine the validity and fit of the conceptual framework/model. The study revealed that several factors were identified as strong predictors of job satisfaction and wellbeing, including various dimensions of lifestyle such as spiritual health, physical activity, stress management, and interpersonal communication, dimensions of quality of life including physical and mental aspects, and organizational culture. The values of predictive relevance () for physical and psychological dimension of life quality, organizational culture, and job satisfaction were estimated to be 0.101, 0.250, and 0.040 and 0.251, respectively. Conclusively, the study found a goodness of fit (GOF) value of 0.415, indicating that the model had a high predictive power and fit well. Based on these results, it is suggested that implementing HPH interventions that focus on the outcomes of this model could lead to increased job satisfaction and wellbeing in hospitals. Additionally, the model could serve as a useful indicator of HPHs.
通过健康促进活动为患者、医院专业人员及更广泛的社区提供优质医疗服务是健康促进医院（HPH）的目标。然而，在医院“普遍”提供健康促进服务并没有正式的结构化途径。因此，本研究旨在提出一个模型，以促进和提高伊朗健康促进医院（HPH）中医院专业人员与健康相关的满意度，作为指导国际HPH标准的潜在工具。在伊朗哈马丹的专科医院中，使用标准化问卷对生活方式、生活质量、组织文化和工作满意度进行了测量。使用偏最小二乘法（PLS）软件（版本2）的结构方程模型（SEM）来确定概念框架/模型的有效性和拟合度。研究表明，几个因素被确定为工作满意度和幸福感的强预测指标，包括生活方式的各个维度，如精神健康、体育活动、压力管理和人际沟通，生活质量的维度包括身体和心理方面，以及组织文化。生活质量的身体和心理维度、组织文化和工作满意度的预测相关性（）值分别估计为0.101、0.250和0.040以及0.251。最终，研究发现拟合优度（GOF）值为0.415，表明该模型具有较高的预测能力且拟合良好。基于这些结果，建议实施以该模型结果为重点的HPH干预措施，可能会提高医院的工作满意度和幸福感。此外，该模型可作为HPH的有用指标。
