Patient safety in Tehran university of medical sciences' general hospitals, Iran

It is important to focus on creating opportunities for patients' participation at all levels of health systems in order to promote their ability to improve patient safety and quality of services. The general aim of this study was to determine patient safety level in Tehran University of Medical Sciences' [TUMS] general hospitals, Tehran, Iran from patients' perspective and to determine the contributory factors on their perspective. This was a cross-sectional study. In the spring 2011, the list of clinical departments of the six general hospitals affiliated to TUMS was obtained through the Website of TUMS. By using stratified random sampling, the sample size was calculated 300 patients. Data were collected by using a structured questionnaire and its validity and reliability were acceptable. Descriptive statistics, linear regression and logistic regression were used for analyzing the data. Totally, 60% of patients were female. Patient safety was evaluated high by 60% of respondents. The unmarried or educated or employed individuals tend to score lower than others. TUMS's general hospitals are enough safe from patients' perspective, patient safety should be improved. In clinical governance, contributing patients' perspective to the improvement of patient safety reforms is critical in generating new models of good practice

relation between nursing administration's self-confidence and the staff's vocational satisfaction

Self-confidence is a glorious feature of an effective administrator. Their main goal is the organizational success. Therefore, we approached this idea by evaluating the self-confidence of nursing Administration in Tehran University of Medical Sciences [TUMS] Teaching Hospitals and its relation to vocational satisfaction of the staff. In a cross-sectional study, we interviewed 200 nursing administrators and 200 staff in different departments of the TUMS Teaching Hospitals using a standardized questionnaire to assess the self-confidence among nursing administrators and staff satisfaction. Data were entered in SPSS [17.0] and analyzed using this software and STATA [11.0] using non-parametric tests and Spearman's correlation of coefficient. The significant level was set as P<0.05. Of 200 nursing administrators 58 [29%] were male and 142 [71%] were female. Mean +/- SD of the self-confidence score for the nursing administrators was 134.9 +/- 19.8. Among the staff 68 [34%] were male and 132 [66%] were female. The mean +/- SD of the vocational satisfaction for staff was 89.12 +/- 18.3. After considering the effect of departments in a regression model, the correlation between nursing administration's self-confidence and the staff's vocational satisfaction was found not significant [P=0.055]. Gender and years of employment were the only factors affecting self-confidence and vocational satisfaction between the nursing administration and staff respectively, which not significantly correlated after adjustment