Salehmoghaddam Amir Reza, Mazloom Seyed Reza, Sharafkhani Mohammad, Gholami Hassan, Emami Zeydi Amir, Khorashadizadeh Fatemeh, Emadzadeh Ali
Evidence-Based Care Research Center, Departments of Nursing Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Evidence-Based Care Research Center, Departments of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences,Mashhad, Iran.
Int J Community Based Nurs Midwifery. 2017 Apr;5(2):175-187.
Revising the medical education programs to meet the needs of society has become both a necessity and an important priority due to the considerable increase of population, changing patterns of diseases, and new health priorities. While this necessity has been highlighted in Iran's Fifth Development Plan as well as its National 2025 Vision Plan, the determinants of social accountability have not been explained yet. This study aimed to develop determinants of social accountability in the Iranian Nursing and Midwifery Schools.
This classic Delphi study included thirty experts in Nursing and Midwifery Education, Research and Services selected based on purposive sampling and three rounds of Delphi technique and conducted in Nursing and Midwifery School of Mashhad University of Medical Sciences. The primary data were collected using an initial structured questionnaire prepared through extensive review of literature. SPSS 11.5 software was used to analyze the data. The interquartile deviation and percentage of agreement were also used to study the consensus of opinion by experts.
Finding obtained from the rounds of Delphi resulted in selecting 69 determinants out of the initial pool of 128 primary determinants of social accountability. The items were selected based on experts' consensus and categorized under three main activities of Nursing and Midwifery School, namely education, research, and service.
Social accountability determinants were explained by 69 items for Schools of Nursing and Midwifery in Iran. The proposed determinants can be used by managers and authorities of Nursing and Midwifery School, policy makers, and evaluating institutions associated with them to ensure realizing social accountability goals.
由于人口大幅增长、疾病模式变化以及新的卫生重点事项，修订医学教育计划以满足社会需求已成为必要且重要的优先事项。尽管这一必要性在伊朗的第五个发展计划及其2025年国家远景规划中都有强调，但社会问责的决定因素尚未得到解释。本研究旨在确定伊朗护理与助产学校社会问责的决定因素。
这项经典的德尔菲研究纳入了30名护理与助产教育、研究及服务领域的专家，通过目的抽样法选取，并采用三轮德尔菲技术，研究在马什哈德医科大学护理与助产学院开展。主要数据通过一份经过广泛文献综述编制的初始结构化问卷收集。使用SPSS 11.5软件进行数据分析。四分位间距和一致百分比也用于研究专家意见的一致性。
通过德尔菲轮次得出的结果是，从社会问责的128个初始主要决定因素中选出了69个决定因素。这些项目是根据专家共识选定的，并归类在护理与助产学校的三项主要活动之下，即教育、研究和服务。
伊朗护理与助产学校的社会问责决定因素由69个项目解释。所提出的决定因素可供护理与助产学校的管理人员和主管部门、政策制定者以及与之相关的评估机构使用，以确保实现社会问责目标。
