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، جلد ۱۲، شماره ۲، صفحات ۱۳۱-۱۳۶
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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 |
Use of Soft Systems Methodology for Implementing Clinical Practice Guidelines in a General Hospital |
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| چکیده انگلیسی مقاله |
Background: It is challenging to implement evidence-based care and update and improve health care policy. Adhering to evidence-based Clinical Practice Guidelines (CPGs) serves as a guide for making decisions based on the best evidence and making an attempt to improve the quality of patient care and outcomes. Despite the need for implementing CPGs in Iranian hospitals, the concept and implementation method of CPGs are not clear yet. This action research aims to propose the soft systems methodology (SSM) to facilitate the implementation of CPGs in a general hospital in Iran. Methods: We employed the SSM to conceptualize the situation for the implementation of CPGs. Semi-structured in-depth interviews and group discussions with different stakeholders were used to define the purposeful activity model. The SSM tools and techniques were used to identify the main areas of change and select necessary measures to facilitate the implementation of CPGs. Flexible qualitative methods for data collection and analysis were utilized throughout the study. Results: Applying SSM for implementing CPGs could generate knowledge by recognizing hyper-complexity in healthcare setting, adopting an attitude of inquiry, and fostering dynamic changes in diverse and numerous worldviews of professionals in the accommodation process. This knowledge can provide a model for the successful implementation of CPGs at a macro-system level and facilitate the persuasion process for its implementation at the mesosystem level. More importantly, adopting SSM can create iterative learning loops over time and, thus, help the clinical microsystems face future healthcare complexities. Conclusion: The application of systems thinking approaches, especially SSM is recommended for implementing CPGs and addressing complex issues in healthcare settings and other system levels. |
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| کلیدواژه‌های انگلیسی مقاله |
Clinical Practice Guideline, Systems Thinking, Soft Systems Methodology |
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| نویسندگان مقاله |
| Ali Soltani
Department of Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran.
| Ali Heyrani
Social Determinants in Health Promotion Research Center, Faculty of Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
| Ali Fakhr-Movahedi
Department of Pediatric and Neonatal Nursing, School of Nursing, Semnan University of Medical Sciences, Semnan, Iran.
| Abdoljavad Khajavi
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 |
● Psychosocial Health |
| نوع مقاله منتشر شده |
مقاله اصیل پژوهشی |
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