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Journal of Research and Health، جلد ۱۲، شماره ۲، صفحات ۹-۹
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژههای فارسی مقاله |
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| عنوان انگلیسی |
Soft Systems Methodology for Implementing Clinical Practice Guidelines in A General Hospital: A study protocol |
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| چکیده انگلیسی مقاله |
Background: It is notoriously challenging to implement evidence-based care and to update and improve health care policy. Adhering to evidence-based Clinical Practice Guidelines (CPGs) serves as the driving force behind making decisions based on the best evidence and making efforts for improving the quality of patient care and outcomes. Despite requiring Iranian hospitals to implement CPGs in January 2017, the concept and implementation method of CPGs remained to be clarified. This action research focuses on acquiring an in-depth understanding of how to define and implement CPGs in a selected general hospital in Iran. Methods: Given the inherent roles of technical processes, organizational culture, and personnel perspectives in providing clinical care, implementing CPGs was considered a complex problem situation. Therefore, we will employ Soft Systems Methodology (SSM) to conceptualize the situation. We will conduct semi-structured in-depth interviews and hold group discussions with different stakeholders to define purposeful activity models. Moreover, we will use SSM tools and techniques to identify the main areas of changes, and select necessary measures to facilitate the implementation of CPGs. Flexible qualitative methods of data collection and analysis are utilized throughout the study. Results: Applying SSM in implementing CPGs can generate knowledge through recognizing a hyper-complex situation, adopting an attitude of inquiry, and promoting dynamic changes in diverse worldviews of professionals in the accommodation process. The knowledge can provide a model for successful policy implementation in other public health issues. Conclusion: This article can foster the application of systems approaches, and especially SSM, in addressing complex issues in healthcare settings. |
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| کلیدواژههای انگلیسی مقاله |
Clinical Practice Guideline, Hospital, Implementation, Systems Thinking, Soft Systems Methodology |
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| نویسندگان مقاله |
| Ali Soltani
PhD Candidate, Department of Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran.
| Ali Heyrani
Assistant Professor, Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
| Ali Fakhr-Movahedi
Associate Professor, Nursing care research center, Department of Pediatric and Neonatal Nursing, School of Nursing, Semnan University of Medical Sciences, Semnan, Iran.
| Abdoljavad Khajavi
Assistant Professor, Department of Community Medicine, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
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| نشانی اینترنتی |
http://jrh.gmu.ac.ir/browse.php?a_code=A-10-1933-1&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
ارتقای سلامت |
| نوع مقاله منتشر شده |
مقاله اصیل پژوهشی |
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