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Reza Safdari, Seyyed Farshad Allameh, Ms Fariba Shabani,
Volume 15, Issue 6 (Feb & Mar 2022)
Abstract

Background and Aim: Many risk factors can cause biliary system diseases. Hence, this category of diseases is amongst the most common ones. Active patient cooperation is very important in disease management, self-care, and clinical outcomes improvement. A mobile phone application has a high potential in supporting the patients’ self-management. Therefore, this study was conducted to recognize and define data elements to develop a self-care application for biliary patients.
Materials and Methods: The current descriptive study was conducted in 2 stages, resource investigation, and data elements’ need assessment. In the first stage, scientific articles available in databases were used for defining required data elements to develop the application for biliary patients, and a checklist of data elements was prepared. In the second stage, a questionnaire was made based on the checklist. Content and face validity were accepted by the research team and the reliability was calculated 87.2%, using the Cronbach’s alpha test. The mentioned questionnaire was given to Gastroenterologists at Imam Khomeini Hospital complex, and the elected data elements were recognized.
Results: In this application, data elements were categorized into seven sections, including demographic and clinical information, data related to the biliary system diseases, postoperative lifestyle information of the biliary patients, reminders, disease management, and informing. Sixty point five percent of the responders gave the highest importance to data elements in the demographic and clinical data section. Data elements related to patients’ education were considered highly important by 54.2% of the responders. Forty three point eight percent gave the highest importance to data elements in interventional applications’ sections, and only 4.2% gave the least importance to this section.
Conclusion: Based on the identified data elements, a self-care application was designed and developed and can be used as a supplement to specialized care for biliary patients.



Ebrahim Jaafaripooyan, Seyed Farshad Allameh, Neda Alizadeh, Tahereh Sharifi,
Volume 19, Issue 4 (11-2025)
Abstract

Background and Aim: Retention of faculty members is one of the fundamental challenges of the country’s health system. Therefore, this study aimed was conducted with the aim of providing strategies for retaining faculty members in the health field.
Materials and Methods: This study was conducted in a combined manner in three stages in 2024. In a field review, related articles were reviewed from the Magiran, SID, PubMed databases and using the Google scholar search engine. Out of 18,977 identified studies, 37 articles were selected and reviewed after several stages of screening. In the second stage, 12 semi-structured interviews were conducted with relevant experts and managers using an inductive approach based on the rules of directional content analysis to identify the factors of retention of faculty members in the health field. Accordingly, the human resource management framework, which includes 5 stages of familiarization with the data, identification of the thematic framework, indexing, display with a diagram, and interpretation of the results, was used for data analysis in this study. MAXQDA-2020 software was used to analyze the research data. Finally, in the third stage, using a prioritization matrix, the solutions were scored and prioritized by 17 experts.
Results: Strategies were identified and classified into 10 areas based on the human resources management cycle, including recruitment, selection and hiring, growth and development, performance evaluation, compensation, organizational culture, improving working conditions, motivation, termination of employment, and external factors. Then, those in each area were prioritized based on their level of efficacy, with the highest priority solutions including improvement of the country’s financial and economic conditions (mean score=4.92 out of 5), an increase in faculty members’ salaries (4.90), removal of the salary cap (4.88), establishment of housing cooperatives (4.82), respect for the dignity and social status of retired professors (4.80), provision of recreational facilities for faculty members (4.79), enhancement of transparency, accountability, and adherence to the rule of law in the country (4.79), and increased faculty participation in decision-making processes (4.47).
Conclusion: Given the results, strategies such as focusing on improving the financial situation, promoting transparency, and increasing the well-being of faculty members can be effective in increasing the motivation and retention of faculty members in the health sector. Therefore, the implementation of these strategies by policymakers and education administrators is expected to improve the retention of faculty members in this sector.


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