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In the Iranian Accreditation System, leadership and management standards have been almost ignored and not paid enough and necessary attention to the structural components and the infrastructures standards in management and leadership sections.
Governing body, medical staff, chief executive officer CEOand nursing management standards are inadequate and lack accountability.
These standards could lead to reform and finally provide the context for accomplishment of an appropriate accreditation program. This is a descriptive, comparative, and qualitative study.
It was done in two phases. The first phase included literature review of the standards of the selected countries followed by comparison of the standards of the board of trustees, medical staff, CEOs, and nursing management standards to develop the primary framework for Iranian hospitals.
In phase two, the primary framework was validated true three rounds of Delphi technique. It was found that the management and leadership standards were classify as governing body, medical staff, CEOs, and nursing management standards. The result of this study provides a framework for improvement of the Iranian national accreditation program.
In regarded to the importance of the leadership and management standards in reform and change and promotion of the health services quality, efficiency, and effectiveness, the results of this study showed that the present standards of the Iranian accreditation assessment system and guidelines lack the necessary infrastructures for implementing a successful national accreditation program.
This study was designed and implemented with the purpose of identify and analyze the stakeholders in Iran's Health Insurance System HInS. This study was a mixed method study.
The study setting was in the field and consists of all organizations in the HInS. The study steps designed according to the Kammi Schmeer stakeholder analysis model.
The information was collected through semi-structured and structured interviews with 16 stakeholder representatives.
The data collection tool was checklist and matrixes that determined the characteristics of the stakeholders. Analysis of data was done by Maxqda10and Mactor software.
A total of 34 stakeholders were identified that were involved in nine main activities of HInS. Major stakeholders have governmental nature. The Government, the Planning and Budget Organization, the Ministry of Health, the Welfare Ministry, the Higher Health Insurance Council, and the Medical Council were stakeholders who have high financial, decision-making, and political power simultaneously.
The Parliament and the Health Commission, the Government, the Planning and Budget Organization, and the Ministry of Health were stakeholders that had the most influence on other stakeholders. Most of stakeholders have same position to the objectives of the HInS.
The insurer organizations had opposed position with the objective of integrity of the funds. Stakeholders of Iran's HInS are multiple and involved in various activities that sometimes they are overlapping and parallel.
Regarding the same position of the majority of stakeholders to the objectives, reforms are possible, provided that influential stakeholders participate in policies making. Hypertension is an important treatable public health problem both globally and in India with an increasing prevalence significantly in both urban and rural population.
It is one of the leading causes of adult mortality and morbidity, but poorly controlled hypertension remains a major health problem. The objective of this study was to find out awareness, treatment, and control of hypertension among study population and association of hypertension awareness with sociodemographic factors, if any.
This study was conducted from May to April in the rural community of Singur block, West Bengal. Data were collected with respect to sociodemographic characteristics as well as records related to hypertension such as awareness, treatment, and control of hypertension.
Blood pressure BP measurement of individuals aged 20 years and above of both sexes was done. Pearson's Chi-square test was performed to find out the association between the categorical variables.
A statistically significant association was found between age, education, and socioeconomic status per capita income with awareness of hypertension.
Lack of awareness of the disease and very low rate of control of hypertension among those who were treated became the major issues. These findings emphasize the need for dissemination of knowledge about the disease and counseling of the patients during treatment continuation. Many of the problems caused by aging can be delayed and the health of the elderly maintained by improving and applying a healthy lifestyle during old age.
The first test group was subjected to group motivational interviewing during five sessions.
The second test group was subjected to distant multimedia training. No training was given to the third group as the control group.
After 3 months, the lifestyle questionnaire was completed in three groups.Therapeutic Nursing: Improving Patient Care through Self-Awareness and Reflection. Dawn Freshwater.
SAGE, practitioner, lecturer and researcher' - Accident and Emergency Nursing. Gaining self-awareness is a vital aspect of professional development for all who work in the caring professions.
In nursing especially, the ability to evaluate. Aug 06, · I failed the Nursing Program. 5 years of so much effort and sacrifice and I have nothing to show for it now.
I'm in my 40s and this was a career change for me. Self Reflection And Social Life - Although many people do not see it, depression is everywhere.
Depression is a mental condition characterized by feelings of severe despondency and dejection, typically also with feelings of inadequacy and guilt, often accompanied by lack of energy and disturbance of appetite and sleep. Reflection in Practice.
Self-awareness is not only the fundamental skill underpinning reflective practice. It also is crucial for understanding and developing good interpersonal skills and building therapeutic relationships with patients / clients and their families (Bulman & Schutz ).
The debrief is facilitated by a person(s) competent in the process of debriefing. 2. The debrief is conducted in an environment that is conducive to learning and supports confidentiality, trust, open communication, self-analysis, feedback, and reflection.
Aug 06, · I failed the Nursing Program. 5 years of so much effort and sacrifice and I have nothing to show for it now. I'm in my 40s and this was a career change for me.