Showing 7 results for Assessment
Sedigheh Ebrahimi , Nasrin Alinejad,
Volume 10, Issue 0 (3-2017)
Abstract
Today, due to the highlighted the importance of respect for the human dignity, and increasing awareness of patients, traditional methods of ethics training cannot meet the educational needs. In this cross-sectional study, the effect of medical ethics workshops on knowledge and attitudes of 40 fourth years medical students was studied. A pre-post questionnaire on the measurement of the importance of the medical ethics components, the self-assessment of ethical knowledge, behavior and professional ethics was presented. There was a significant difference between the mean score of the importance of the medical ethics components (questionnaire number 1) before and after the workshop (p = 0.002); but in the case of self-assessment of moral behavior (P = 0.64) and self-assessment of professional ethics compliance (p = 0.48), there was no significant difference between the mean score of students before and after the workshop. The analysis of log-books indicated that students understand, topics of confidentiality, informed consent, and breaking bad news; but issues such as empathy, respect for the patient's emotional state, interaction with a patient suffering from AIDS, informing the patient about the disease and the course of the treatment, accepting a mistake from the doctor, and apologizing to the patient were inadequately addressed by the students. Ethics training is not sufficient just at the beginning of the clinical course; it must also be trained actively in the hospital and on the patient's bedside.
Afrooz Hosein, Farideh Elahimanesh, Nammam Ali Azadi,
Volume 11, Issue 0 (3-2018)
Abstract
Patients’ satisfaction of treatment centers is one of the most important indicators for the quality of care and treatment services. Taking care of patients’ satisfaction has essential role in managing programs of health services. The aim of study was to evaluate patients' satisfaction with the quality of services provided in Shahid Beheshti Hospital in Qorveh in 2015. The research method was cross-sectional and descriptive-analytic. The statistical population of the study consisted of 384 patients selected in one stage cluster sampling from different parts of hospital. Patient satisfaction was evaluated by means of questionnaire that its validity and reliability was confirmed. Information was analyzed by statistical software SPSS 20 and t-test. The results showed that most of satisfaction was related to the emergency department and the lowest levels of satisfaction was related to ICU. Overall satisfaction from health services of Shahid Beheshti hospital was 72%. In this study, the satisfaction and habitat of patient had meaningful relationship, but other factors had not significant relationship with patient statisfaction. In recent years, patient satisfaction had an acceptable level due to dramatic improvements in health system. Nevertheless, the problems and weaknesses in the health care field also should be concerned and resolved and we have to improve the quality of services.
Marjan Ghandi, Reza Dehnavieh, Reza Goudarzi, Mostafa Almasi Doughaee , Malahat Akbarfahimi,
Volume 13, Issue 0 (3-2020)
Abstract
Dementia is a major health problem due to the high costs of treatment, high prevalence in the elderly, severe consequences, and the imposition of physical and psychological stresses on families of the patients. Occupational therapy is one of the most important approaches among many technologies employed for helping the patient and reducing the burden of healthcare for patients. This applied study aimed to investigate the ethical and legal aspects of occupational therapy technology in the elderly with dementia using qualitative methods. The study population consisted of 12 specialists and practitioners in the field of dementia and elderly services in the country. Data collection was carried out by interviewing the expert subjects. The results of this study showed that beneficence/non- maleficence, autonomy/informed consent, maintaining dignity/respect for persons, concern for equality and justice in accessing services, legal support for technology use, need for the principle of discretion, and patient confidentiality, and proper technology utilization are seven major ethical and legal challenges in occupational therapy technology in the country. According to the results, lack of insurance coverage for occupational therapy technology and the lack of access to this service for the elderly are major barriers to its application and the Ministry of Health must provide the initiatives for its implementation across the country and place it in the elderly service package.
Sajjad Nemati, Dariush Rokh Afrooz, Nasrin Elahi, Mohammad Hossein Haghighizadeh,
Volume 13, Issue 0 (3-2020)
Abstract
Evaluating clinical performance of nursing students as a resource to determine educational needs and decision-making is essential to change the educational environment and improve the quality of education. The aim of this study was to evaluate the professional behavior of nursing students in the clinical environment with the Small Scale Professional Assessment Tool (P-MEX). This descriptive cross-sectional study was conducted with the participation of 86 nursing interns of Ahvaz University of Medical Sciences in 2019. Data collection tools were demographic information questionnaire and P-MEX Cruess evaluation form. The validity and reliability of this instrument was evaluated by observers and was determined with Cronbach's alpha coefficient of 76%. Data were analyzed using SPSS software version 20 and descriptive statistics, independent t-test, analysis of variance, and post hoc test. In professional skills, most participants in the first stage were 51.2% at the average and expected level and 48.8% above the expected level, and in the second stage, most were 84.9% at the average and expected level and 15.1% higher than they were as expected. In this study, based on the evaluation scores in two stages, although the average total clinical skills scores of most students were within the expected range of the 4-point Likert scale, the skill scores were lower in the special wards. Therefore, for the full development of professional skills, it is necessary to develop appropriate methods of planning and training in the field of professional behaviors.
Mahshad Noroozi, Ehsan Shamsi Gooshki, Saeedeh Saeedi Tehrani, Fatemeh Bahmani, Mina Forouzandeh, Saeed Biroudian, Nazila Nikravan Fard, Mahshad Goharimehr, Akram Hashemi,
Volume 16, Issue 1 (3-2023)
Abstract
The research activities of developing countries have increased over the last two decades. The expansion and decentralization of ethics committees necessitates appropriate performance evaluation. In 2023, a cross-sectional study was carried out on the Iranian research ethics Committees using the checklist called "Research Ethics Committee Self-Assessment Tool". The checklist was translated into Persian and revised based on the opinions of research ethics experts and the approved “regulation of establishment, grading, and description of duties for research ethics committees”. The electronic checklist was sent to the senior members of 269 research ethics committees. After gathering the data, it was analyzed using SPSS software. The response rate was 83%. The average overall score was 152.11 ± 25.173, or 69.14% of the maximum. The two sections (including continuing review (monitoring) and committee resources received less than 50% of the average score. The 138 research ethics committee scores were excellent and 85 committees were in the good range. The findings revealed that average scores are influenced by activity years, the number of monthly meetings, the presence of an approved annual budget, an approved quality improvement program, and having specific administrative staff. Completing the self-evaluation tool can raise the National Committee authorities' awareness about the adherence of the research ethics committees to the imperative standards. It can also lead to each committee's awareness of its strengths and challenges. Revision of national regulations governing the establishment, grading, and description of committee duties and then future self-evaluation can facilitate upgrading and improving the performance of ethics committees.
Reza Khadivi,
Volume 17, Issue 0 (12-2024)
Abstract
Over the past few decades, various models have been employed to assess health needs and allocate resources within the health sector. These models include economic approaches based on cost-effectiveness, epidemiological methods using indicators such as disease burden or disparities in health outcomes between socioeconomic groups, and comparative studies between societies or countries. Efficiency and equity are often seen as competing goals in the resource allocation process, making it challenging for health systems to achieve both simultaneously. Traditional approaches primarily focus on deficiencies and adopt an individualistic perspective. When individuals experience limitations due to disease or disability, the relationship between their health status and social functioning is not always directly linear. Disease and disability inherently tend to widen the gap between individuals and their ability to fulfill normal roles, responsibilities, primary social dependencies, and desired capabilities. The capability approach advocates for respecting the life contexts of individuals and collaborating with them to enhance their skills, assets, and capabilities. Instead of focusing solely on deficiencies and addressing them through resource redistribution, this approach emphasizes empowering individuals to manage their lives with minimal external interference. These capabilities encompass skills that allow individuals to navigate their social, economic, and personal environments effectively. They include:
- Interpersonal skills for fostering meaningful relationships.
- Technical skills for managing routine aspects of life.
- Emotional and psychological resilience to cope with challenges.
- Purpose-building abilities to find meaning and direction in life.
Such capabilities equip individuals to manage both the normal struggles of everyday life and significant life events. As capabilities are enhanced, individuals gain greater control over their life circumstances, thereby becoming more resilient. The ability to control one’s life world is a fundamental capability. The unequal distribution of this ability forms the foundation of health inequities, as not everyone has the same capacity to exercise such control. Health needs assessments based on the capabilities theory align more closely with the goals of achieving and sustaining equity in healthcare. By focusing on empowering individuals and addressing their life contexts, this approach provides a more holistic and equitable framework for health resource allocation.
Hakimeh Mostafavi, Efat Mohamadi, Amirhossein Takian, Pr Alireza Olyaeemanesh,
Volume 17, Issue 1 (3-2024)
Abstract
Health inequalities in different populations continue to be the main challenge of health systems; Therefore, it is necessary to address health equity in the developed policies. The study aims to review the studies related to tools and models for assessing the impact of policies on equity in health. This study was conducted as a systematic review to identify the tools and models of assessing the impact of policies on equity in health and the process of assessing health outcomes from 2005 to 09/30/2022 in English and Farsi. National and international databases such as Scopus, PubMed/Medline, and Google Scholar were searched. First, 16901 studies were obtained. After the initial screening, 243 articles entered the abstract review phase. Then, 99 studies entered the phase of studying the text. Finally, 53 studies entered the final phase of analysis. Screening steps, identification of decision-making assessment scope, evaluation, and follow-up were the four dominant steps in most of the developed tools. The study showed that to choose the appropriate tool to assess the impact of policies on equity in health, it is necessary to pay attention to various factors such as assessment time, policy level, available resources, and the population affected by the desired policy.
