scholarly journals Experts Opinions of Tabriz University of Medical Sciences about Outsourcing of Hospitals at Iran: A Qualitative Study

2016 ◽  
Keyword(s):  
Qualitative Study ◽  
Medical Sciences

scholarly journals Marginalization of Professionalism in Clinical Settings; A qualitative study at Tehran University of Medical Sciences

2020 ◽  
Author(s):  
Fateme Alipour ◽  
Zahra Shahvari
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Faculty Members ◽  
Professional Behavior ◽  
Clinical Settings ◽  
Medical Sciences ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Management Level ◽  
Management Issues

Background: Management-level challenges are among the factors that undermine the individuals' adherence to professional behavior in clinical settings. This study investigated glitches of the management system in clinical settings from the perspective of staff, faculty members, and medical students/residents in hospitals affiliated to Tehran University of Medical Sciences. Methods: This qualitative study was conducted in 2 parts by exploring the viewpoints of personnel and physicians. In this regard, 8 focus group discussions were performed with 85 faculty members, clinical residents, and interns. Furthermore, 15 focus group discussions were held with 165 staffs. Available sampling method was applied to collect the participants and the data were analyzed using the content analysis method. Results: A total of 22 focus-group discussions were conducted with 250 participants; Participants' age ranged from 24 to 65 years. Participants' education levels varied from diploma to postgraduate for the staff and from medical student to sub-specialist for the physicians. Finally, management-level barriers, which undermine the staffs' ability to adhere to professional behavior in clinical settings were explained with 315 codes, 12 subcategories, and 2 main categories of "macro management issues " and "hospital management issues". Conclusion: Managers are required to consider providing a proper context for enforcing the professional behavior law, selecting middle managers based on their empowerment in performing the professional behaviors, prioritizing the professional behavior in policy making, and promoting the professional behavior in an administrative system consistent with the health system. In selecting the hospital managers, authorities are recommended to consider the managers' professional behavior and power in implementing the professionalism leadership. Moreover, the possibility of conducting professional behavior should be considered in making the policies.

scholarly journals Knowledge Translation Improvement Strategies in Universities of Medical Sciences in Iran: A Qualitative Study

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Sogand Tourani ◽  
Narges Rafiei ◽  
Shahnaz Rimaz ◽  
Seyed Kazem Malakouti ◽  
Alireza Heidari
Keyword(s):  
Qualitative Study ◽  
Knowledge Translation ◽  
Knowledge Production ◽  
Data Organization ◽  
Health Plans ◽  
Medical Sciences ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Improvement Strategies

BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for research contributing to policy-making. Therefore, it is crucial to develop activities in the field of knowledge Translation (KT). This study aimed to propose KT improvement strategies in universities of medical sciences in Iran.METHODS: In this qualitative study, 18 semi-structured interviews were conducted with key informants from the medical universities in Iran during January-July 2018. The transcribed documents were analyzed using the Gale framework analysis approach. Data organization was carried out using MAXQDA version 10 software.RESULTS: According to framework analysis, six KT improvement strategies were identified including improving the abilities and skills of researchers, improving the processes and quality of knowledge production, revising policies and laws, mproving the prerequisites, culture-building, and promoting the, use of evidence.CONCLUSION: Given the challenges and strategies outlined in this study, it seems that the mechanism of KT and its effects on improving health plans for policymakers and researchers has not been elucidated yet. Therefore, considerable changes in prerequisites, knowledge production processes, academic procedures, policies and laws are necessary for implementing KT in universities of medical sciences in Iran. 

scholarly journals Exploring the features of mobile phone application of anatomy in basic medical sciences: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mahmoud Mansouri ◽  
Shoaleh Bigdeli ◽  
Afsaneh Dehnad ◽  
Zohreh Sohrabi ◽  
Somayeh Alizadeh ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Mobile Phone ◽  
Medical Sciences ◽  
Mobile Phone Application ◽  
Basic Medical

Factors affecting nursing error communication in intensive care units: A qualitative study

2020 ◽  
pp. 096973302095210
Author(s):  
Tahereh Najafi Ghezeljeh ◽  
Mansoureh Ashghali Farahani ◽  
Fatemeh Kafami Ladani
Keyword(s):  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Organizational Factors ◽  
Public Hospitals ◽  
Ethical Challenges ◽  
Ethical Practice ◽  
Medical Sciences ◽  
Factors Affecting ◽  
Professional Characteristics

Background: Error communication includes both reporting errors to superiors and disclosing their consequences to patients and their families. It significantly contributes to error prevention and safety improvement. Yet, some errors in intensive care units are not communicated. Objectives: The aim of the present study was to explore factors affecting error communication in intensive care units. Design and participants: This qualitative study was conducted in 2019. Participants were 17 critical care nurses purposively recruited from the intensive care units of 2 public hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional content analysis method proposed by Graneheim and Lundman. Ethical considerations: The Ethics Committee of Iran University of Medical Sciences, Tehran, Iran approved the study (code: IR.IUMS. REC.1397.792). Participants were informed about the study aim and methods and were ensured of data confidentiality. They were free to withdraw from the study at will. Written informed consent was obtained from all of them. Findings: Factors affecting error communication in intensive care units fell into four main categories, namely the culture of error communication (subcategories were error communication organizational atmosphere, clarity of processes and guidelines, managerial support for nurses, and learning organization), the consequences of errors for nurses and nursing (subcategories were fear over being stigmatized as incompetent, fear over punishment, and fear over negative judgments about nursing), the consequences of errors for patients (subcategories were monitoring the effects of errors on patients and predicting the effects of errors on patients), and ethical and professional characteristics (subcategories were ethical characteristics and inter-professional relationships). Discussion: The results of this study show many factors affect error communication, some facilitate and some prohibit it. Organizational factors such as the culture of error communication and the consequences of error communication for the nurse and the patient, as well as individual and professional characteristics, including ethical characteristics and interprofessional relationship, influence this process. Conclusion: Errors confront nurses with ethical challenges and make them assess error consequences and then, communicate or hide them based on the results of their assessments. Health authorities can promote nurses’ error communication through creating a supportive environment for them, developing clear error communication processes and guidelines, and providing them with education about the principles of ethical practice.

scholarly journals The role of working environment in nurses’ career advancement from nursing mangers’ perspectives: A qualitative study

2016 ◽  
Vol 5 (4) ◽  
pp. 49 ◽  
Author(s):  
Mohammad Reza Sheikhi ◽  
Masoud Fallahi Khoshknab ◽  
Farahnaz Mohammadi ◽  
Fatemeh Oskouie
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Career Advancement ◽  
Working Environment ◽  
Medical Sciences ◽  
Nursing Managers ◽  
Content Analysis Method ◽  
Data Saturation ◽  
Purposive Sample

Background: Nurses’ career advancement is a dynamic and unique concept which is explained in the context of working environment.Objective: This study aimed to explore the role of working environment in nurses’ career advancement from Nursing Mangers’ Perspectives.Methods: This qualitative study was conducted using content analysis method. Eighteen nursing managers from hospitals affiliated to Qazvin, Tehran, Iran and Shahid Beheshti Medical Sciences Universities participated in the study. A purposive sample of nursing mangers with rich experiences and maximum variations were selected and continued to reaching data saturation. The data were analyzed using content analysis method.Results: Participants believed that working environment have two major roles in nurses’ career advancement including motivating and restricting roles. According to nursing mangers, motivating working environment had facilitating role, while restricting working environment had blocking role in Iranian nurses’ career advancement.Conclusions: It seems that recognizing characteristics of working environment could assist nurses and nursing managers to develop conditions of working environment facilitating career advancement for nurses and decrease restrictive factors.

scholarly journals Exploring the Features of Mobile Application of Anatomy in Basic Medical Sciences: a qualitative study

2020 ◽  
Author(s):  
Mahmoud Mansouri ◽  
Shoaleh Bigdeli ◽  
Afsaneh Dehnad ◽  
Zohreh Sohrabi ◽  
Somayeh Alizadeh ◽  
...  
Keyword(s):  
Medical Students ◽  
Qualitative Study ◽  
Mobile Applications ◽  
Mobile Application ◽  
Health Professions ◽  
Health Professions Education ◽  
Medical Sciences ◽  
Structured Interviews ◽  
User Friendliness ◽  
Basic Medical

Abstract Background The importance of mobile phones has become one of the new research topics in health professions education due to the ease of access and flexibility. Although novel approaches to health professions education recommend the use of educational technologies such as mobile applications, a limited number of studies have been conducted with regard to teaching anatomy through mobile applications. Considering the increasing needs of medical students for mobile technology to meet their educational needs, wants and desires, we decided to explore the features of an anatomy mobile application. Methods This qualitative study was conducted in two stages of holding focus groups and an expert panel session. Students of basic Medical sciences, and faculty members of anatomy at Iran University of Medical Sciences formed the research participants. Semi-structured interviews and note-taking were used to collect the data. Brown and Clark methods were used for thematic analysis and feature extraction. Finally, four criteria presented by Lincoln and Guba for qualitative studies were used to ensure the credibility, confirmability, trustworthiness and transferability of the data. Results Based on the data analysis, 37 codes that could be used to design anatomy mobile content for medical students were extracted. These features were categorized into the main themes of “visual richness”, “scientific comprehensiveness”, “audio richness”, “affordability”, “user-friendliness”, “self-assessment”, “interactive content” and “user support”. Conclusion This study explored the features of an anatomy application that can be used by educational app developers. Anatomy departments of universities of medical sciences, policymakers, and planners in the field of medical education can also adopt the findings of the present study.

scholarly journals Explaining Resident Medical Students’ Experiences of Performance During COVID-19: A Qualitative Study

2022 ◽  
Vol 20 (4) ◽  
Author(s):  
Sara Esmaelzadeh ◽  
Fatemeh Aghamahdi ◽  
Roghayeh Mirmajidi ◽  
Soraya Parvari ◽  
Keshvad Hedayatian ◽  
...  
Keyword(s):  
Medical Students ◽  
Qualitative Study ◽  
Negative Impact ◽  
Medical Sciences ◽  
Community Members ◽  
Resident Students ◽  
Planning Methods ◽  
Need For Support ◽  
Conventional Content Analysis ◽  
Fear And Anxiety

Background: The COVID-19 crisis has created many problems, including a negative impact on student education. Objectives: The study aimed to understand the resident medical students' performance experiences during the COVID-19 pandemic, which is essential for future planning. Methods: The present qualitative study was performed on 15 resident medical students in Alborz University of Medical Sciences, Iran, from September to November 2020. Data were analyzed using conventional content analysis. Results: Analysis of the meaning units of interviews showed four categories describing the resident students' experiences of performance during COVID-19 as follows: Fear and anxiety, the need for support, the sense of responsibility, and the lack of educational facilities. Conclusions: The present study showed that the COVID-19 pandemic had posed incredible new challenges for resident students. Assessing the mental health of residents, providing adequate protective equipment, and support from authorities and community members can create empathy, reduce the feeling of fear, and increase their accompaniment with pandemic managing programs. Due to the problems created in the training of residents during the pandemic, it seems necessary to propose rehabilitation courses to improve the training program for residents in various fields.

scholarly journals The Factors Affecting the Physical Activity of the Health Care Workers of Iran University of Medical Sciences: A Qualitative Study

2021 ◽  
Author(s):  
Soodabeh Hoveidamanesh ◽  
Batool Tayefi ◽  
Zahra Rampisheh ◽  
Narjes Khalili ◽  
Mozhdeh Ramezani
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Policy Making ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structural Factors ◽  
Personal Factors ◽  
Medical Sciences ◽  
Factors Affecting

Abstract Background: The low physical activity is a challenge in adults. A majority of adults spend many hours each week at work, so the workplace is a suitable site for health promotion and implementation of physical activity programs. This qualitative study was implemented to identify worksite physical activity barriers and facilitators from the perspective of the employees of the Iran University of Medical Science. Methods: In the present qualitative content analysis, five focus group discussions were held with the participation of 68 personnel of Iran University of Medical Sciences. Purposive sampling with maximum diversity was carried out for the study. Results: The analysis of the data led to the identification of three general themes, including challenges and barriers, strategies, and incentives (facilitators). The four main categories of challenges and barriers included policy-making and legislation, organizational factors, structural factors, and personal factors. Most barriers identified by the participants were placed in the personal factors and organizational factors categories. The strategies for increasing physical activity were identified in the following three categories: Policy-making and legislation, organizational factors, and environmental factors. The majority of the strategies proposed were placed in the organizational factors and policy-making and legislation categories.Conclusions: Increasing physical activity in the workplace as a strategy for the general promotion of physical activity in people requires interventions in different areas, especially with regard to organizational factors and policy-making and legislation.

scholarly journals Independence of Centers of Excellence for Medical Sciences: A Qualitative Study

2020 ◽  
Author(s):  
Siamak Kazemi Asl ◽  
Azita Jaberi ◽  
Ali Reza Safarpour ◽  
Majid Reza Reza Farrokhi ◽  
Ladan Zarshenas ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Critical Role ◽  
Medical Sciences ◽  
Structured Interviews ◽  
Centers Of Excellence ◽  
Policy Makers ◽  
Financial Benefits ◽  
Data Saturation ◽  
Specialized Equipment ◽  
Set Up

Background: Centers of Excellence are organizations which have prominent works in a specific field, and are capable of delivering quality services using specialized equipment, innovative techniques and modern technologies and brings financial benefits and cost recovery to their organization. Promoting the independence of these organizations plays a critical role in terms of maintaining sustainable competition in their future efforts. The purpose of this study was to develop goals and challenges of independence for centers of excellence. Methods: This was a qualitative study, content analysis, involving semi-structured interviews with 7 individuals from centers of excellence for medical sciences. Sampling was continued until data saturation. Interview transcripts were analyzed through coding and classifying concepts into categories and subcategories, and then MaxQDA 2007 10, software was used for further analysis. Results: According to the participants, a number of prerequisites (such as: goals and strategies) are required to secure independence and authority for Iranian centers of excellence, and also this independence has some distinct dimensions (such as: financial and human resources). Furthermore, the participants identified the possible obstacles and challenges (such as: bureaucratic processes and failure to delegate authority) to the independence of the centers, and proposed solutions to tackle them (such as: internal and external evaluations and accreditation). Conclusion: In the end, the results were used to set up independence regulations for policy makers of centers of excellence to support them during the process of independence.

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