Showing 17 results for Dehghan
K Talebi, R Dehghan, A Arabioun,
Volume 5, Issue 2 (20 2011)
Abstract
Background and Aim: The hierarchical and bureaucratic form of governmental administration is changing into a new type of flexible and market-based public management called Enterpreneurial Management Revolution. According to Stevenson, entrepreneurial management comprises a number of opportunity-based management activities for the maintenance of organizations in order to have their contribution in social value creation. This research study aims to study the organizational performance of medical sciences universities of Tehran based on Stevenson Model.
Materials and Methods: This research is a field study in which a structured questionnaire containing 22 main questions on the Likert Scale was distributed among the staff members of medical sciences universities in Tehran. The validity of the questionnaire was confirmed by experts and its reliability was estimated using Test- Retest Method. The Cronbach alpha coefficient was found to be 0.95. The data collection device was given to 379 staff members, of whom 325 filled it out. The data were completely recorded and then analyzed by SPSS software version 18.
Results: The results of the study show that regarding entrepreneurial management approach, medical universities are at an average level.
According to the present research and all related studies, this is the case in all other governmental organizations.
Conclusion: The results of the study indicate that organizational restructuring, decentralization, and continuous improvement in processes are the milestones of entrepreneurial revolution strategies in medical universities and all other public organizations.
Reza Dehghan, Kambeiz Talebi, Abolghasem Arabioun,
Volume 6, Issue 1 (12 2012)
Abstract
Background and Aim: This study aimed to assess the factors affecting organizational innovation and entrepreneurship at medical sciences universities in Iran. Such universities provide a wide range of services and products including prevention (hygiene), treatment (medical care), rehabilitation and palliative care, as well as their important mission, i. e., higher education and research in related fields.
Materials and Methods: In this study, the researchers developed and examined a model for organizational innovation and entrepreneurship, including 16 factors classified into structure, content (behavior) and context (periphery) of the subject.
The data collection instrument was a pre-structured questionnaire containing 58 core questions on the Likert scale. The validity of the questionnaire was computed by elites, and its reliability was estimated using Cronbach's Alpha (94%). Of 389 questionnaires, 325 were collected and their data were analyzed by SPSS software, version 18.
Results: The three factors -- structural (structure), behavioral (content) and peripheral (context) -- which affect innovation and entrepreneurship are not favorable at medical universities.
Conclusion: This study shows that structural, behavioral and peripheral factors are the most important, which affect innovation and organizational entrepreneurship at medical sciences universities.
Hossein Dargahi, Fardin Amiri , Mahsa Akbari, Reza Dehghan,
Volume 7, Issue 4 (11-2013)
Abstract
Background and Aim: Employees suggestion plan (ESP) is designed to encourage and improve employees’ participation in developmental planning. The establishment of this system needs cultural, individual and structural preparedness. This study is aimed to determine organizational preparedness in Tehran University of Medical Sciences (TUMS).
Materials and Methods: This research was a cross-sectional, descriptive and analytical study conducted in TUMS headquarters in Tehran, Iran. The heterogeneous sample of this study consisted of 155 employees. They were asked to fill out a researcher-made questionnaire to assess their attitude towards organizational preparedness for ESP establishment. The validity and reliability of the questionnaire were confirmed. The data were analyzed by SPSS, and descriptive results were presented. The data were also analyzed by Friedman and ANOVA statistical methods.
Results: Most of the employees had a positive attitude towards the existence of individual and cultural preparedness for ESP establishment in TUMS. However, they believed the desired structural preparedness for this process did not exist.
Conclusion : The desired organizational preparedness for ESP establishment exists in TUMS, although structural preparedness is not desirable. Therefore, it is suggested that necessary modifications should be made in TUMS organizational structure for effective ESP implementation.
Zahra Kashani Khatib , Ali Dehghanifard , Saeid Kaviani , Mehrdad Noruzinia , Momeneh Mohammadi , Fatemeh Mohammad Ali , Elham Roshandel , Sahar Mohammadi Fateh , Shaban Alizadeh,
Volume 8, Issue 3 (9-2014)
Abstract
Background and Aim: Understanding the molecular mechanisms involved in the increased levels of HbF inducing drugs should be advised for effective induction. The aim of this study was to investigate the molecular effects of the drugs thalidomide and sodium butyrate considered as HbF inducer agents.
Materials and Methods: In this experimental study, CD133+ cord blood stem cells carrying mutations of heterozygous β-thalassemia were isolated and differentiated into erythroid lineage. In order to evaluate the expression of the erythroid markers, CD71 and CD235a, was analysed. For this purpose, the RNA extracted from erythroid precursors at days 6 and 12 of erythroid differentiation and cDNA synthesized, and then the expression of these genes was performed by quantitative Real-time PCR technique.
Results: The results of this study showed the significant effect of thalidomide on erythroid proliferation as compared to sodium butyrate and control group (P<0.05). Also, thalidomide significantly increased CD71expression and decreased CD235a expression as compared to sodium butyrate and control groups (P<0.05).
Conclusion : Thalidomide may play its role on HbF induction by increasing the proliferation of early erythroid precursors.
Raja Al-Huthaifi, Ali Dehghanifard, Saeid Kaviani, Mehrdad Noruzinia, Samira Rezaei, Mehdi Azad, Maedeh Mashhadikhan, Saeid Solali,
Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: Different regulation processes have an effect on osteoblastic differentiation of mesenchymal stem cells (MSCs), and among them Wnt signaling pathway is particularly desirable. In Wnt signaling pathway, Adenomatous Polyposis Coli (APC) bind to β-catenin and induce its degradation, thereby acting as a negative regulator of canonical Wnt pathway. In this study, gene expression and DNA methylation of APC gene during osteoblastic differentiation were determined.
Materials and Methods: In this experimental study, after the isolation of MSCs, the induction of osteoblastic differentiation was done. To confirm osteoblastic differentiation, alizarin red staining together with the expression of Alkaline Phosphatase (ALP) and osteocalcin as specific osteoblastic markers was performed. APC gene methylation status by MSP (Methylation Specific PCR) and gene expression status of APC gene using Real-Time PCR technique during different times were evaluated.
Results: The results of alizarin red staining and the expression of ALP and osteocalcin confirmed osteoblastic differentiation. In addition, the results showed a significant decrease in the expression of APC gene on the 7th day of osteoblastic differentiation (P<0.05). Also, the results revealed hypermethylation status of APC gene promoter during osteoblastic differentiation.
Conclusion: It seems that the decreased expression APC gene will play an important role in Wnt signaling pathway regulation in different stages during osteoblastic differentiation of bone marrow-derived MSC. Also, according to the results, APC gene promoter methylation will play an important role in controlling gene expression.
Narjes Mirabootalebi, Maryam Ahmadi, Mohammad Dehghani, Shahram Khani, Mohsen Azad,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Electronic Medical Record system collects and stores laboratory data, digital images and electronic versions. It plays a major role in reducing medical errors and duplication and health care providers immediate access to patient medical records. This study aimed to examine the viewpoints of Hormozgan University of Medical Sciences' administrators on the role of electronic Medical records system.
Materials and Methods: The study was a descriptive-analytical research to examine the viewpoints of Hormozgan University of Medical Sciences' administrators and physicians on the role of electronic medical records system. The study population consisted of 61 managers, matrons and health information managers of Hormozgan hospitals and 121 faculty physicians and residents. Data collection tool was a researcher-made questionnaire. The validity was determined and verified by content validity method and experts' views. Cronbach's alpha coefficient was used for assessing reliability, which was 83%. Data collected from the questionnaires was analyzed using SPSS software and descriptive statistics and analytical statistics.
Results: Results indicated that "data management" (N=146) with 77.5%, "job objectives and processes" (N=160) with 87.9%, "communication" (N=163) with 89.6%, "data privacy and security" (N=152) with 83.1% had the most important roles in the health system.
Conclusion: Generally, managers and physicians attitudes about the role of electronic medical records system in the health system was evaluated satisfactorily. According to the advantages of the system and removing major obstacles in its implementation, a new step would be taken in order to promote health.
Asadollah Khahande Karnama , Amer Dehghan Najm Abadi , Mehdi Tajpour,
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: The study of relationship between entrepreneurial orientation and performance leads to the improved competitive performance of organizations. The purpose of the present study is to determine the relationship between entrepreneurial orientation and occupational performance.
Materials and Methods: This study is a descriptive-analytical applied research. As regards the type of collected data, the present study is quantitative with the standard questionnaire of Lumpkin and Dess for the measurement of entrepreneurial orientation and the standard questionnaire of Byrne and Conway for the measurement of occupational performance. One hundred and eight employees at Tehran University of Medical Sciences (TUMS) Student Health Center formed the sample of the study. Data analysis was done by using SPSS and SMART PLS in two parts: part of measurement model and structural part.
Results: The results indicate a positive and meaningful relationship between entrepreneurial orientation and its dimensions (innovation, risk-taking, and proactivity) and the staff members’ occupational performance. Also, the dimensions of entrepreneurial orientation have a high correlation with each other, but they do not have the same effect on occupational performance. Regarding the importance of each entrepreneurial orientation dimension, it is proposed that facility managers define activities that lead to the increase of occupational performance.
Conclusion: Considering the results of this study, taking measures to enhance the staff’s entrepreneurial activities in health centers can lead to the increase of job performance in these centers.
Mohsen Rezaei, Nazanin Zahra Jafari, Hossein Ghaffarian, Masoud Khosravi Farmad3, Iman Zabbah, Parvaneh Dehghan,
Volume 13, Issue 5 (Dec & Jan 2020)
Abstract
Background and Aim: Timely diagnosis and treatment of abnormal thyroid function can reduce the mortality associated with this disease. However, lack of timely diagnosis will have irreversible complications for the patient. Using data mining techniques, the aim of this study is to determine the status of the thyroid gland in terms of normality, hyperthyroidism or hypothyroidism.
Materials and Methods: Using supervised and unsupervised methods after data preprocessing, predictive modeling was performed to classify thyroid disease. This is an analytical study and its dataset contains 215 independent records based on 5 continuous features retrieved from the UCI machine learning data reference.
Results: In supervised method, multilayer perception(MLP), learning vector quantization(LVQ), and fuzzy neural network(FNN) were used; and in unsupervised method, fuzzy clustering was employed. Besides, these precision figures(0.055, 0.274, 0.012 and 1.031) were obtained by root mean square error(RMSE) method, respectively.
Conclusion: Reducing the diagnosis error of thyroid disease was one of the goals of researchers. Using data mining techniques can help reduce this error. In this study, thyroid disease was diagnosed by different pattern recognition methods. The results show that the fuzzy neural network(FNN) has the least error rate and the highest accuracy.
Somaye Dehghanisanij, Ismaeil Mostafavi, Hamidreza Zarghami, Hojat Soleimani,
Volume 14, Issue 5 (Dec & Jan 2021)
Abstract
Background and Aim: The field of medical engineering is the flagship interdisciplinary approach in Iran, which, due to its attention to knowledge-based economy, takes a step towards prosperity and smoothing progress and development. The purpose of this study is to investigate the interactions between university, industry and government of Iran in scientific articles in the field of medical engineering using the triple helix model.
Materials and Methods: This is an applied research with a quantitative approach and uses scientometric techniques. The status of dynamic interactions of the main pillars of Iranian innovation in the field of medical engineering in WoS (Web of Science) database has been calculated using the .exe and the 4.exe softwares in the period of 2010-2019, and the transmission degree of uncertainty index in dual and national dimensions has been determined.
Results: The T-index ranking was assigned to university-government(23.38 mb), university-industry(8.47 mb) and industry-government (1.13 mb), respectively, and finally, national interaction(-12.48 mb) was obtained. The interaction between university and industry had an increasing trend and the strongest dual interaction belonged to the university-government. Over the last ten years, national interaction has always had a negative value, which indicates the existence of dynamics in interactions in the national dimension.
Conclusion: The dual university-industry interaction has been increasing in recent years; however, in the long run, the national interaction of the pillars has been facing a declining trend, according to which some science and technology policies, and research and industrial strategies have been proposed as a necessity to promote the university-industry-government innovation network in the field of medical engineering in Iran.
Reza Dehghan, Hamideh Reshadatjoo, Kambeiz Talebi, Hossein Dargahi,
Volume 14, Issue 6 (Feb & Mar 2021)
Abstract
Background and Aim: Health tourism is one of the most important tourism types in Iran. Iran has many strengths in health tourism. Also, there are challenges such as communication and information inconsistency in the health tourism industry and the outbreak of COVID-19 disease. Due to the unknown issues about COVID-19, it is important to determine effective strategies to control the consequences and reduce the economic and social effects of the virus in all industries, especially the health tourism industry.
Materials and Methods: In this systematic review study, 500 published papers from 2018 to 2020 were evaluated. In the group interview section, we used the views of participated health tourism experts in the scientific events in Iran, Turkey, and Oman. Also, the SWOC Analysis model (strengths, weaknesses, opportunities, and challenges) and MAXQDA software were applied.
Results: The results showed that the selected strategies were defensive and competitive. This research showed that the strengths of the health tourism industry overcome the weaknesses and development opportunities outweigh the challenges. Also, the maintenance strategy is the best strategy to support health tourism in the current situation in Iran.
Conclusion: It is necessary to be following issues for the politicians of Iran's health tourism industry to design a comprehensive document of Iran Health Tourism Diplomacy, preparation of a strategic plan for the development of health tourism, establish an independent organization of Iran Health Tourism, develop electronic health in the health tourism industry, design a health tourism insurance system, and…, with the aim of entrance to the current markets and creating new foreign markets.
Simin Momenzadeh, Atefeh Zarei, Phd Seyed Ali Akbar Famil Rouhany, Leila Dehghani,
Volume 15, Issue 2 (Jun & Jul 2021)
Abstract
Background and Aim: This study aimed to propose a consistent architecture to design integrated and flexible information systems for the Vice-Chancellor for Research and Technology of Ahvaz Jundishapur University of Medical Sciences (AJUMS).
Materials and Methods: This applied research employed an integrated design based on business system planning (BSP) and James Martin's model for the design of information systems. The statistical population of this study included 27 managers and experts of AJUMS Vice-Chancellorship department for Research and Technology. Data collection was carried out using structured interview, observation, and document analysis. A contrast matrix was then used for data analysis.
Results: In total, 53 processes and 60 data classes were identified. Using a multi-layered architectural model (presentation, process, data and infrastructure), the results were presented in the form of a proposed architecture. In the proposed architecture, 12 subsystems and the relationships among them were identified; such subsystems as library, research activities, sabbatical leave, conference, fellowship, publication, innovation and technology, laboratory information, theses, budget and planning, social subsystem and knowledge-management networks. The results also showed that the level of coverage of the processes, data classes, and objectives by existing information systems were 53%, 50%, and 55%, respectively, and increased to full coverage in proposed or optimal modes.
Conclusion: By identifying the required information systems, it is possible to accurately plan and successfully use these systems in this study. The results of the present study can be used to implement the architecture of information systems of Research and Technology Departments of other universities of medical sciences (UMSs) in Iran, which can have a significant effect on saving cost and time.
Afzal Shamsi, Nahid Dehghan Nayeriه,
Volume 15, Issue 5 (Dec 2021 & Jan 2022)
Abstract
Background and Aim: Hypertension is the strongest independent and modifiable factor for heart failure, ischemic heart disease, cerebrovascular accident and chronic kidney disease worldwide, which affects the quality of life of patients. In order to accurately assess the quality of life of patients, it is necessary to design a special questionnaire consisting of different dimensions in order to provide a good view of the quality of life of these patients. The purpose of this study is “Design and psychometrics of quality of life tools for patients with hypertension.”
Materials and Methods: The present study is a methodological research that was conducted in qualitative and quantitative parts. Participants in this study were 260 patients with hypertension referring to medical centers affiliated to Tehran University of Medical Sciences (TUMS). The items were designed based on the qualitative part of the study and review of texts. The validation characteristics of the questionnaire were performed using face validity, content (qualitatively and quantitatively using two indicators CVR and CVI) and structure (with exploratory factor analysis approach). The reliability of the questionnaire was assessed by internal consistency and stability methods.
Results: In the qualitative section, 55 items were extracted, which after calculating the item impact score index with values higher than 1.5, content validity ratio greater than 0.56 and content validity index higher than 0.57, 45 items were selected. Using heuristic factor analysis, 42 items and three factors: 1) disease dominance including two subscales of physical (7 items) and psychosocial (20 items), 2) coping with the disease (12 items) and 3) compliance with Drug therapy (3 items) was found to jointly account for 53.30% of the observed variance. Cronbach’s alpha reported the internal reliability of the questionnaire as excellent, at 91%.
Conclusion: The designed questionnaire has appropriate and approved psychometric properties (validity and reliability) to measure the quality of life of patients with hypertension. Therefore, this tool is recommended for measuring the variables in Iranian patients with hypertension.
Ali Reza Soleimani, Mohammad Sharif Khoeiniha, Mitra Rahimzadeh, Mohammad Hossein Dehghan,
Volume 15, Issue 6 (Feb & Mar 2022)
Abstract
Background and Aim: Proper knowledge, attitude and practice of pregnant women about vaccination during this period will have a significant impact on their and their baby’s health. The aim of this study was to determine the knowledge, attitude and practice of pregnant women toward flu and Td vaccination.
Materials and Methods: This study was a descriptive-analytical and cross-sectional study on 312 pregnant women referred to Imam Ali Hospital in Karaj with an age range of 15 to 40 years. Data were collected using a questionnaire. The method of sampling was convenience sampling. The data was analyzed using SPSS software.
Results: The mean age of the women was 27.6±6.54 years. 198 (63.5%) of the subjects were housewives and 114 (36.5%) were employed. 248 (79.5%) and 282 (90.4%) of the subjects had appropriate attitudes and knowledge about vaccination with Td vaccines and Influenza, respectively. Also 293 (93.9%) and 137 (43.9%) of the subjects had practice well against both Td and Influenza vaccines. In women with higher education and better economic conditions, and in working women, the practice of both vaccines has become more suitable. As women get older, knowledge and practice about Td vaccination decreased.
Also, the most common source of information for pregnant women about the vaccination program were 73.4% of health care workers, 12.5% of the Internet, 10.3% of radio and television, 3.5% of friends and acquaintances, and 0.3% of family members, respectively. In the relationship between knowledge, attitude and practice towards Influenza and Td vaccination, there was a direct and significant relationship between them so that with increasing or decreasing one, the other also increased or decreased. Most of the relationship between awareness and practice items was related to Influenza vaccine (r=0.304) and the lowest relationship between knowledge with practice items was related to Td vaccine (r=0.146).
Conclusion: In this study, it was found that with increasing awareness and attitude, vaccination has increased. Regarding Influenza vaccination, due to the significant relationship between the source of information and vaccination, it is recommended that more serious recommendations to be made by the health care staff to pregnant women regarding Influenza vaccination.
Ashraf Dehghani, Maryam Ghanbari Khoshnood, Somayeh Amini Sarteshnizi, Arezoo Farhadi,
Volume 17, Issue 1 (3-2023)
Abstract
Background and Aim: The emergence and continuity of Corona has forced universities and higher education centers to change their educational strategy to take appropriate and consistent action to improve their educational programs. Due to the importance of e-learning and e-learning in response to these conditions, the present study investigated the experience of students of Hamadan University of Medical Sciences from e-learning in the Covid-19 crisis condition.
Materials and Methods: This was a qualitative research with an interpretive phenomenological approach. The purposeful sampling method was used. Semi-structured interviews were used to collect data. After the thirteenth interview, the theoretical saturation of the data was achieved and the interview process with the sixteenth person was completed. In order to analyze the text of the interviews, the Colaizzi method was used.
Results: From the analysis of the obtained data, three main themes: “Communication and interaction” with five sub-themes (lack of proper interaction between student/professor and student/student, lack of motivation, security and mental health, knowledge sharing and efficiency atmosphere in time and cost), “Management of time and learning style” with six sub-themes (low quality of teaching, stress, access and provision of resources, exam health, gaining experience and skills and opportunity to learn again and innovation in education) and “Infrastructure and technical facilities” were extracted with three sub-themes (weak support, ignoring educational equality and promoting media literacy). Weak interaction between professor and student, increasing level of anxiety and individual responsibility to achieve success in learning and weak technical and management infrastructure were the main challenges obtained from these three themes. Providing a platform for research, self-regulation and self-management in learning, increasing the knowledge and skills of information and communication technology are among the opportunities that are included in these themes.
Conclusion: The results of the current research require attention to the approach of interaction and communication between the learner and the learner, to review the methods of teaching and skill-learning, to improve the quality of electronic learning and to prepare suitable infrastructures for optimal use of electronic learning.
Samaneh Dehghan Abnavi, Afshin Karami Varnamkhasti , Mostafa Roshanzadeh, Fatemeh Kazemi Najafabadi,
Volume 17, Issue 3 (8-2023)
Abstract
Background and Aim: Communication skills are considered as the most important feature required for health care workers and provide the basis for the development of professional ethics. Since working in the operating room requires team effort and establishing communication between team members, the importance of communication skills in operating room nurses is more visible. Therefore, in the present study was performed, with the aim of determining the effect of virtual training on the principles of professional ethics on communication skills of operating room staff of Ayatollah Kashani and Hajar hospitals of Shahrekord University of Medical Sciences.
Materials and Methods: A quasi-experimental study with a single-group plan before and after in 2020 was performed on 35 operating room staff of Kashani and Hajar teaching hospitals in Shahrekord who were selected by random sampling. Demographic information questionnaire and Queen Dam communication skills questionnaire were used to collect the data. Data analysis was performed by SPSS software using independent t test, Analysis of variance, paired t-test and ANOVA statistics.
Results: Paired t-test showed that the mean of communication skills after the intervention was significantly different from before (P<0.001). The mean of communication skills before the intervention was 65.85±24.52 and after the intervention was 139.77±5.70. No significant relationship was reported between communication skills and age, service history and number of working hours (P>.0.05). Also, there was no significant difference in the average of communication skills according to the variables of gender, marital status, field of study and degree (P>0.05).
Conclusion: The present study showed that professional ethics training was able to improve the communication skills of employees. Therefore, it seems necessary to compile virtual professional ethics training for health care providers and other groups providing health services who do not have enough time to participate in face-to-face classes. According to the results obtained, managers of health systems are recommended to use strategies such as holding workshops on the principles of professional ethics to develop communication skills in their employees.
Maryam Bahrami, Somayeh Mohammadi, Mostafa Roshanzadeh, Samaneh Dehghan Abnavi, Ali Taj, Fatemeh Maraki,
Volume 17, Issue 4 (10-2023)
Abstract
Background and Aim: Operating room students have experienced anxiety for various reasons that affect their educational process such as stitching. Due to the effective role of simulation in improving the education of students, this study was conducted with the aim of the effect of animal skin suturing simulation on the skill level and anxiety level of operating room students.
Materials and Methods: In this study, 30 people (75%) of the samples were aged 18-25 and 10 people (25%) of them were 26-35. 10 people (25%) were men and 30 people (75%) were women. Also, in terms of marriage, 7 people (17.5%) were married and 33 people (82.5%) were single. The present quasi-experimental study was performed with a two-group plan before and after with 40 operating room students of Shahrekord University of Medical Sciences (Shahrekord, Broujen) in 2020. The samples were randomly assigned to two test and control groups using the method based on the purpose of selection. Data were collected before and after the intervention by Spielberger Anxiety Tool and Suturing Skills Questionnaire and analyzed by SPSS software and descriptive and analytical statistical tests (Chi-square test, t-test, paired t-test).
Results: The t-test test showed that the mean of obvious anxiety in the intervention group (36.35±10.22) and the control group (41.15±7.92) after the intervention was not significant (P=0.346). Also, the mean hidden anxiety in the intervention group (36.65±10.47) and the control group (38.65±6.13) had no significant difference (P=0.089). The t-test test showed that there was a significant difference in sewing skills after the intervention in the two intervention groups (28.2±58.22) and the control group (23.42±3.12) (P=0.04).
Conclusion: The texture of suture mannequins is very different from human skin in terms of consistency, and it does not convey the same feeling of sutures on natural skin to students. On the other hand, it is easier to enter and exit and move the needle and thread in the sheepskin, and this provides the students with the possibility of stitching more easily. Therefore, it is suggested to buy and prepare sheep skin for training students and teach them stitches on it.
Soraya Sayar, Sara Noruzi, Seyed Mohammad Hossein Javadi, Mohammad Sabzi Khoshnami, Sanaz Dehghani, Maryam Pour Hosein, Mahnaz Zamyadi,
Volume 17, Issue 6 (2-2024)
Abstract
Background and Aim: Considering the role of social workers in the health system, the success and stability of organ transplantation, prevention of re-hospitalization of patients and reduction of imposed costs, this study aims to design a protocol for the specialized interventions of social workers in Iran’s medical centers in the transplant process and to create uniformity in practice. Comprehensive services have been provided to patients and their caregivers.
Materials and Methods: The study was conducted in two phases of resource review and qualitative. In the resource review phase, reliable databases were examined, and in the qualitative phase, in order to collect information from Delphi techniques and focused group discussion with the presence of fifteen officials and social workers working in the country’s hospitals and experts and experts. The areas of health and treatment assistants of the Ministry of Health, university professors, medical staff and experts in the field of transplantation and organ donation were carried out. The protocol was sent to eight experienced experts for final review and evaluation, and they were asked to review the protocol in terms of the goal and scope of interventions, stakeholders, development steps, clarity of presentation, accessibility and non-dependence in writing according to the checklist to evaluate.
Results: In this study, the work process of social workers was drawn in three stages before, during and after transplantation. Also, various roles were considered for social workers in three stages of work, including the role of defender, supporter, case manager, resource mobilizer, trainer, consultant, evaluator and guidance. Interventions such as finding informational support, facilitating the patient hospitalization process, providing psychosocial support to the family with the aim of empowering them for post-transplant care, providing counseling to family members to deal with stress and improving mental health of the patient, providing economic support, Accomodation conditions are provided through hospital companions and communication and interaction with the treatment team, including the doctor, in order to respond to the needs of the family, facilitate treatment and on time discharging.
Conclusion: the protocol of specialized interventions of social workers in the transplantation process created a new step and a different look at psychosocial support in transplantation and coordination teams, so that social workers in the field of organ donation and transplantation and working with caregivers, families and the survivors of the patients arrived.
