M Zagheri Tafreshi, M Rassouli, M Pazargadi, F Yaghmaie, Ah Barbaz,
Volume 11, Issue 3 (20 2012)
Abstract
Background: The first step of developing a proper model for delivering nursing care in hospitals will be identifying relevant components to apply a model. The aim of this study was identify relevant components to apply nursing care models in Shahid Beheshti University of Medical Sciences training hospitals.
Materials & Methods: This study was a qualitative research which was conducted by using content analysis approach. Participants were 6 faculty members and nurse managers of Shahid Beheshti University of Medical Sciences selected by purposeful sampling frame. Data gathered via semi-structured interviews and analyzed by thematic analysis.
Results: In this study, extracted themes included caring based on client satisfaction, nurses' knowledge and skills, importance of cooperative care, quantity and expertise of nurses, efficient supervision on nurses' performance, and strategies of health system in higher level. These themes were categorized in three dimensions including structure, process and outcome.
Conclusion: Findings of this study would be used for developing a nursing care models in Shahid Beheshti University of Medical Sciences hospitals in future research.
Dr Abbas Ziari, Dr Kambiz Abachizade, Dr Maryam Rassouli, Dr Mohamad Ali Haidarnia, Dr Mariam Mohseny,
Volume 13, Issue 4 (3-2015)
Abstract
Background:
Different approaches have been suggested to improve the quality of health care and the clinical governance is one of the main models. In the country, Clinical governance is initiated as a national model in 2009 and hospitals were forced to implement it. Only two hospitals of Shahid Beheshti University of Medical Sciences were approved according to evaluation of clinical governance implementation. This study aimed to describe and explain the barriers of clinical governance implementing in educational hospitals of Shahid Beheshti University of Medical Sciences.
Materials and methods:
In this qualitative study, conventional content analysis has been done. Twenty five participants involved in implementing clinical governance, including nurses, physicians, managers and the experts of hospitals and Ministry of Health, have been selected through purposive sampling method and interviewed in a semi-structural way till data saturation. Data were collected and analyzed simultaneously. Member check and peer check have done for data rigor.
Result:
Nine themes include human resource challenges, financing resource shortage, incomplete records and documentation systems, inappropriate organizational culture, lack of awareness of managers and employees, incomplete documented policies and procedures, inappropriate monitoring and evaluation, lack of inter-sector coordination and weak leadership were obtained and were placed in two domains input and process.
Conclusion:
The findings of this study indicate that there are several barriers for implementing clinical governance in hospitals that there is need to prioritize needs and to provide them appropriate solutions.
