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探索伊朗医务人员对将医院转变为健康促进医院的看法:一项定性研究

Exploring the views of medical staff in transforming a hospital into a health promoting hospital in Iran: a qualitative research.

作者信息

Hazavehei Seyed Mohammad Mahdi, Hamidi Yadollah, Kharghani Moghadam Seyedeh Melika, Karimi-Shahanjarini Akram

机构信息

Department of public health, School of public health, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of health management, School of public health, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Hosp Pract (1995). 2019 Dec;47(5):241-248. doi: 10.1080/21548331.2019.1688501. Epub 2019 Nov 12.

Abstract

: One of the current concerns of hospitals is how to become a health promoting hospital (HPH). This qualitative research aimed at exploring the views of members of the medical staff in two Iran hospitals about the defined standards to transform the hospitals into a health promoting one.: The research reported in this paper was a content analysis qualitative study. The license numbered (IR.UMSHA.REC.1395.388) was obtained from the ethics committee of Hamadan Medical Science University. Sampling was carried out through the snowballing method. Also, 55 interviews were conducted with the members of the medical staff. To collect data, the semi-structured interview guide was used based on the standards of HPHs. The framework analysis method was used to analyze the data qualitatively.: From three central questions on the basis of the main study question, nine themes were earned. Policies governing the hospitals were in the direction of converting them to health promoting organizations including the creation of a health promoting work environment, empowering personnel and health promoting corporate culture. Also, suggestions to create a HPH included improving management, paying attention to patients and their satisfaction, as well as increasing effective interpersonal relationships in the hospital.: The findings showed that it can be a key strategy in this field to use staff's solutions for the existing problems and their opinions on the challenges against establishing the standards for HPHs. People usually accept more comfortable and easy changes in decision-making and implementing processes of which they are involved.

摘要

当前医院关注的问题之一是如何成为促进健康医院(HPH)。这项定性研究旨在探讨伊朗两家医院的医务人员对将医院转变为促进健康医院的既定标准的看法。

本文报道的研究是一项内容分析定性研究。研究获得了哈马丹医科大学伦理委员会的许可编号(IR.UMSHA.REC.1395.388)。采用滚雪球抽样法。此外,还对医务人员进行了55次访谈。为收集数据,基于促进健康医院的标准使用了半结构化访谈指南。采用框架分析法对数据进行定性分析。

基于主要研究问题的三个核心问题,得出了九个主题。医院的政策朝着将其转变为促进健康组织的方向发展,包括营造促进健康的工作环境、增强员工能力和促进健康的企业文化。此外,创建促进健康医院的建议包括改善管理、关注患者及其满意度,以及加强医院内有效的人际关系。

研究结果表明,采用员工针对现有问题的解决方案及其对建立促进健康医院标准所面临挑战的看法,可能是该领域的一项关键策略。人们通常更愿意接受他们参与其中的决策和实施过程中更舒适、更容易的变革。

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