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THE EVALUATION OF THE POSITION OF HEALTH AND SAFETY SYSTEM IN MULTI-LEVEL STRATEGIC MANAGEMENT OF STAFFS IN SHIRAZ UNIVERSITY OF MEDICAL SCIENCE

Objective: The present research aimed to evaluate the position of health and safety system in multi-level strategic management of Shiraz University of medical science. Method: This is a correlational-surveying study. Field information was collected via questionnaire. Statistical population consists of all staffs of Shiraz University of medical science (900 individuals). To determine the sample size, Morgan table was used so 269 individuals were selected by simple random method. To prevent drop out, 320 questionnaires were distributed and collected. As a result, 308 questionnaires were completed. Random sampling was used in the research. The instrument includes researcher-conducted questionnaire for evaluation of position of health and safety in multilevel management. The questionnaire's validity and reliability were confirmed. To analyze data, Kolmogorov-Smirnov, Pearson correlation coefficient, one sample T, independent T as well as variance analysis tests and SPSS version 20 were used. Results: Results indicated that the safety system has an improper position in multilevel management of staffs in Shiraz University of medical science. in addition, health system has a good position in multilevel management of staffs in Shiraz University of medical science. Conclusion: It is suggested that subjects related to multilevel management of staffs is considered.


Introduction
All organizations wish to reach correct job performance via control of risks of occupational health and safety which is compatible with macro goals and policy of occupational safety and health. This is done in form of strict rules, development of economic policies and other actions in direction of proper activities of occupational safety and health as well as the increasing attention of stakeholders to occupational safety and health (Jaccard, 2013).
It is necessary to deal with staffs' health, welfare and comfort as well as to apply strategies for adaptation with psychological and physical conditions. High level of staffs' health is effective on the growth and development of organizations and society. The role of management, as a main factor in promotion of health and welfare of the organization, is very important leading to organizational growth (Fleischer, 2004).
Strategic management has been considered as one of important factors in successful organizations. The process of strategic management consists of three stages: formulation, implementation and evaluation of strategy. The practices done in these stages are conducted in three levels of organizational hierarchy management including the whole company, current strategic unit and task level.
Multilevel planning is used to model non-centralized decision. Therefore, there are either several decision makers in several levels or a hierarchical organization and their decisions have reciprocal influence. In such planning, decision makers in different levels have related variables and targets (Hama'di, 2010). ILO organizations are responsible for protection of workers against occupational diseases and events. Occupational diseases and events are due to ignorance of workers' health and safety. The main goal of ILO is to increase the chance of women and men in reaching qualified work under conditions of freedom, justice, safety and respect to human rights. We summarized such conditions under the term " qualified labor". Qualified labor is safe which is a positive and effective factor on economic growth and manufacture of products (Shabani and Nazari, 2006).
According to statistics of international labor organization, 2.1 million people will die annually due to occupational diseases and events throughout the world. 250 million occupational events as well as 160 million occupational diseases are occurred in different regions of the world. About 4 percent of national gross production is due to such diseases and events. Technological advances and competitive pressures cause rapid changes in work condition, manufacture process and company structure. In this way, rules and regulations are not sufficient to resists against risks and an efficient management is required  (Behroozi, 2005). Technological advances and strong competition between industries caused rapid changes in managerial condition, process and system. However, it is necessary but not sufficient to legislate rules for such changes as well as new risks. Organizations should solve problems occurring continuously for health and safety. They should find good solutions by dynamic managerial strategy (Shabani and Nazari, 2006). Safety and health require an active management system because they cannot be supplied either collectively or individually or by compulsory regulations. The evidences for importance of safety management system in the high level of industrial safety and health suggest that an organizational cause has been involved in 46% of occupational events that lead to disability. According to studies, 50% of occupational events are due to lack of an efficient safety management system (Ligade, 2013). A professional health and safety management system as well as environmental management should be created and kept by top managers and supervisors of the organization (Chen, 2013). First, top management should try hard to grow and strengthen environmental management and professional health and safety management system (Chinern, 2013). It is necessary to solve such problem and reach achievements. One of such solutions is to increase healthy factors affecting the health and satisfaction of human source as well as to settle contradictory environmental factors through establishment of professional health and safety management and environmental management systems (Elmholt, 2013). The present research aims to evaluate the position of health and safety system in management.

Method
This is a correlational-surveying research. Statistical population includes all staffs in Shiraz University of medical science (900 individuals). To specify sample size, Morgan table was used, thus 269 individuals were chosen by simply random sampling. To prevent drop out, 320 questionnaires were distributed and collected. As a result, 308 questionnaires were collected. Two researcher-conducted questionnaires of the position of safety system as well as the position of health system were used. Face validity of the questionnaire was evaluated by 5 professors and their opinions were applied. In addition, the reliability of the questionnaire of safety system position was 0.90 as well as health system position was 0.83 using Cronbach alpha. Results were expressed by descriptive and inferential statistics as well as SPSS.

Results
To evaluate normality of data distribution, Kolmogorov-Smirnov test was used as shown in table 1.