[Nurses' organizational behavior and their quality of documentation]

Introduction: numerous factors affect on quality of nursing documentation. Continuous evaluation and identifying factors affecting documentation have a significant role on improving the quality of documentation. This study aimed at Nurses' organizational behavior and their quality of documentation in teaching hospitals of Hormozgan University of Medical Sciences

Method: this is a descriptive cross-sectional study conducted in 2013. The study population were nurses in teaching hospitals of Hormozgan University of Medical Sciences. From a total of 552 nurses, 215 nurses were selected using random sampling. Three standard questionnaires and three Self-made check list were used for data collection. Validity of the tools was measured using comments of professors and experts and reliability of the questionnaire was measured using Cranach's alpha. Collected data were analyzed using SPSS version 16. Pearson, ANOVA, and Tstudent were used to assess relationship between variables

Results: levels of nursing education and type of employment stipulated in the employment contract had significant effect on the score of documentation [P<0.01]. In addition, hospitals and various departments had significant differences in the documentation scores. From the other side, job satisfaction, social capital and organizational citizenship behavior have significant positive correlation with the total score of nursing documentation [P<0.05]

Conclusion: nurses organizational behavior including job satisfaction, social capital, and organizational citizenship behavior, can have an impact on the quality of their documentation. Therefore, hospital managers and supervisors can ensure quality of nursing documentation following improving organizational behavior

[ relationship between social capital and organizational citizenship behavior among teaching hospitals staff at Hormozgan Univercity of Medical Sciences]

Introduction: Organizational citizenship behavior [OCB] and social capital constitute Organizational behavior, which have immense effect on performance and productivity. This study was conducted to analyze the relationship between social capital and [OCB] among employees at teaching hospitals in Hormozgan University of Medical Scinces

Methods: This cross-sectional study was performed in 2011. Standardized questionnaires of Podsakoff and Nahapeit were used to gather data on OCB and social capital, respectively. The validity of questionnaires was approved and its reliability was measured by calculating Cronbach's alpha which was shown to be 0.72, 0.84, respectively. Sampling was done through classified random sampling method. Data analysis was performed using SPSS 19 software and to analyze the relationship between above mentioned variables ANOVA and Pearson tests were used

Results: The mean value of organizational citizenship behavior and social capital were found to be 3.1 +/- 0.53 and 2.7 +/- 0.58, respectively. A statistically significant relationship between OCB and social capital was observed. In addition, There was significant relationship between demographic variables such as education, organizational position, shift work and gender with social capital and OCB [P<0.01]

Conclusion: Considering the importance of organizational citizenship behavior for Institutions, to improve efficiency it is suggested that administrators of hospitals and health care institutes adopt policies to enhance these two issues among staff

[ comparison of the cost of patient records in a global system with corresponding retrospective reimbursement system: a case study in Iran]

Introduction: The reimbursement mechanism of the cost of treatment is an important factor which directly or indirectly affects the financial management and control of hospitals costs, hence different countries use different reimbursement systems. This study evaluated the prospective reimbursement system [global system]; at one of the hospitals in Hormozgan University of Medical Sciences

Methods: This descriptive-analytical study evaluated 1286 Global inpatient records in Fekri hospital affiliated to Hormozgan University of Medical Sciences. First the actual cost of care and length of stay for each of the global records was extracted using the hospital information system. Then the average cost and patient's stay for each of global procedures were compared with the cost and length of stay determined by Iran global system. Data analysis was performed using descriptive statistics and T-test was used to test the research questions

Results: One quarter of all inpatient records belonged to global payment system. 62% of global records belonged to OB/GY operations, 20% to general surgery and 18% to ophthalmic surgery. The analysis of the cost of 86% of surgery global records showed to be beneficial for the hospital, where 91% of these cost differences were found to be significant. For more than 99% of cases in global system, the average length of stay was less than average standard length of stay, and for 64% cases this difference was found to be statistically significant

Conclusion: Regarding the reduction of length of stay of patients in global payment system, the review and implementation of global payment system for other diagnoses and operations is highly recommended

[ impact of errors in completing death certificate on coding, underlying the cause of death in Shahid Mohammadi hospital of Bandarabbas]

Death information plays a critical role in the adjustment of health plans, and the cause of death coding leads to organizing this information. The Purpose of this study was to review the impact of errors in the completion of death certificate on underlying the cause of death coding in Shahid Mohammadi hospital in Bandarabbas. This descriptive-cross sectional study was performed in the second half of 2011 by studying the death certificates of all extinct. First, certificates were written on aside forms and residents determined the sequences of death certificates. Next, researcher recoded certificates and compared his codes with original coders. At last, researcher referred to certificates themselves to extract information about documentation errors. Data were analyzed by SPSS using descriptive statistics, chi [2] test and 95percent confidence interval. The accuracy rate of underlying the cause of death coding was 51.7 percent. There was a significance between coding accuracy and major errors [P=0.001] but there was no significance between coding accuracy and minors. There was a significance between language of death certificate and occurrence of both major and minor errors[0.227and 0.006]. There was also significance [0.227and 0.006] between number of lines and occurrence of both kinds of errors[0.000]. The Impact of majors errors on accuracy of underlying cause of death coding has been proved. To solve this problem, physicians must be trained and the structure of death certificate must be edited