Challenges of implementing the accreditation model in military and university hospitals in Iran: A qualitative study

Background: The aim of this study was to present challenges of implementing the accreditation model in university and military hospitals in Iran. Methods: In this qualitative study, purposive sampling was used to select hospital managers and implementers of the model working in 3 hospitals affiliated to Kerman University of Medical Sciences and in 3 military hospitals in Kerman, Iran. A total of 39 participants were interviewed, and semi-structured questionnaires and thematic analysis were used for data collection and analysis, respectively. Results: In this study, 5 major codes and 17 subcodes were identified: (1) perspectives on accreditation model with 5 subcodes: a difficult and time-consuming model, less attention to the patient, accreditation as a way of money acquisition, not being cost-effective, and accreditation means incorrect documentation; (2) absence of appropriate executive policy, with 3 subcodes: lack of financial funds and personnel, disregarding local conditions in implementation and evaluation, and absence of the principle of unity of command; (3) training problems of the accreditation model, with 2 subcodes: absence of proper training and incoordination of training and evaluation; (4) human resources problems, with 3 subcodes: no profit for nonphysician personnel, heavy workload of the personnel, and physicians' nonparticipation; (5) evaluation problems, with 4 subcodes: no precise and comprehensive evaluation, inconformity of authorities' perspectives on evaluation, considerable change in evaluation criteria, and excessive reliance on certificates. Conclusions: This study provided useful data on the challenges of implementing hospitals' accreditation, which can be used by health policymakers to revise and modify accreditation procedures in Iran and other countries with similar conditions. The accreditation model is comprehensive and has been implemented to improve the quality of services and patients' safety. The basic philosophy of hospital accreditation did not fully comply with the underlying conditions of the hospitals. The hospital staff considered accreditation as the ultimate goal rather than a means for achieving quality of service. The Ministry of Health and Medical Education performed accreditation hastily for all Iranian hospitals, while the hospitals were not prepared and equipped to implement the accreditation model. © 2020 The Author(s)

Evaluating Motivational Barriers of Talented Students & Providing Motivational Strategies in Kerman University of Medical Sciences in 2013

Introduction : Human capital is regarded as an important tool for development. In fact, human talents involve one of the important human resources in Iran sporadically in higher education and research institutions. Within the measures taken in this regard in Iran, establishing the Office of Gifted and Talented can be mentioned aiming to identify the top talents. Therefore, the role of university as an organization, in which scholars are engaged in scientific activities, is taken significantly in to account. The present study aims to investigate the barriers and factors motivating the students are in Kerman University of Medical Sciences. Method : This qualitative cross-sectional study was conducted in 2013. The study Sample was via convenience sampling method and the study data was gleaned by a semi-structured interview with 30 persons. Moreover, the study data was analyzed by framework analysis. Results : The findings of this study involve the two original codes of motivational barriers as well as motivational factors. In the first section motivational barriers with three codes including structural problems, poor communication, performance problems as well as 8 minor codes were proposed. Moreover, in The second secti o n of this study, motivational strategies were mentioned intended to ameliorate the functioning of the Office in terms of the individuals, attitude participating in this study. Conclusion : The Talented Office necessitates to be reformed identify the top talents and to alter such talents into elite talents

The concept of virginity from the perspective of Iranian adolescents: A qualitative study

Background: Premarital sex can increase the risk of sexually transmitted diseases (STDs) in adolescents, and lack of premarital sex can be considered as a reliable policy for STD prevention, which is used by some countries such as Iran. Since the success of this policy is related to the concept of virginity, the present study was conducted to determine the concept of virginity from the perspective of Iranian adolescents. Methods: In this qualitative study with phenomenological approach, the research team visited public places, including parks and coffee shops, and interviewed a number of 15-19-year-old adolescents. The data were collected using in-depth interviews with semi-structured questions and analysed using thematic analysis method. Results: Several themes, including virginity as the lack of emotional relationship with the opposite sex, lack of physical contact, nonpenetrative relationship, virginity as a myth, virginity as a commitment, having an intact hymen, and not knowing the meaning of virginity, were extracted from the data. Conclusion: The most reliable policy on STD prevention is the lack of premarital sex. The success of this policy is related to the concept of virginity. The findings of this study showed that the participants did not consider physical contact as the breach of virginity. This may indicate that the policy of not having sex before marriage or lack of premarital sex is not enough and Iranian adolescents are at risk of STDs. Therefore, policymakers must take steps towards modifying the concept of virginity in the adolescents' value system and provide and implement educational programs on sexual health for adolescents. © 2020 The Author(s)