伊朗护士在实施医疗改革计划过程中所面临的挑战。
Challenges experienced by nurses in the implementation of a healthcare reform plan in Iran.
作者信息
Salarvand Shahin, Azizimalekabadi Maryam, Jebeli Azadeh Akbari, Nazer Mohamadreza
机构信息
M.Sc. of Nursing, Faculty Member, Social Determinants of Health Research Center, Nursing and Midwifery Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran.
MA in TEFL, Lecturer, English Language Department, Sheikhbahaee University, Isfahan, Iran.
出版信息
Electron Physician. 2017 Apr 25;9(4):4131-4137. doi: 10.19082/4131. eCollection 2017 Apr.
INTRODUCTION
The Healthcare Reform Plan is counted as a plan for improving healthcare services in Iran. Undoubtedly pros and cons can be seen either in plan or implementation. This study was conducted to describe nurses' challenges in implementing healthcare reform in Iran.
METHODS
A qualitative method centered upon conventional content analysis was applied. We used purposive sampling and data saturation was obtained by 30 participants. Data were analyzed using MAXQDA software.
RESULTS
Challenges experienced by nurses in the implementation of this reform include; unsuitable infrastructure, unfavorable vision, a complicated challenge, the necessity of monitoring, control plan outcomes, the impact on nurses, people's misconceptions and solutions.
CONCLUSIONS
The Healthcare Reform Plan in Iran is a solution to establish equality in the health system, however, to eliminate these challenges, revision and appropriate foundation of infrastructures is called for.
引言
医疗改革计划被视为伊朗改善医疗服务的一项计划。毫无疑问，无论是在计划还是实施过程中，都能看到利弊。本研究旨在描述伊朗护士在实施医疗改革过程中所面临的挑战。
方法
采用以传统内容分析为中心的定性方法。我们采用目的抽样法，30名参与者实现了数据饱和。使用MAXQDA软件对数据进行分析。
结果
护士在实施这项改革过程中遇到的挑战包括：基础设施不合适、愿景不佳、挑战复杂、监测的必要性、控制计划结果、对护士的影响、人们的误解及解决办法。
结论
伊朗的医疗改革计划是在卫生系统中建立平等的一种解决方案，然而，为了消除这些挑战，需要对基础设施进行修订并建立适当的基础。
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