نشریه مدیریت ارتقای سلامت
سال یازدهم شماره 5 (پیاپی 57، مهر و آبان 1401)

Today, sustainable innovation is recognized as a way to gain a competitive advantage and solve social and environmental problems. The aim of this study was to developing a model of sustainable innovation in public hospitals in Tehran using Grounded Theory in public hospitals in Tehran. 

The present study is a qualitative study that was performed by Grounded Theory method. Experts of public hospitals in Tehran (physicians, hospital managers, deputy director of development and support and administrative assistants) were considered as the population of this study. A combination of targeted method and snowball was used to select the sample. The method of data collection was semi-structured interviews with 11 experts familiar with the topic of sustainability innovation. The validity of the instruments was determined by external audits and the reliability was determined by Holsti Test and the data were analyzed through open, axial and selective coding.

The model of sustainable innovation in hospitals was developed in 6 components, 25 subcomponents and 84 concepts. Subcomponents include: causal conditions such as political stability, economic stability, stability of laws and cultural stability, background conditions include internal environment dynamics, staff dynamics, vision and awareness dynamics, and infrastructure dynamics, intervention conditions include macro environment conditions, organizational conditions and capabilities, and infrastructure conditions, axial phenomena include environmental monitoring and management, social monitoring and management, economic monitoring and management, strategies include health-oriented, quality and up-to-date services, keeping pace with the Fourth Industrial Revolution, attention to design and architecture, crisis preparedness, bio-imitation and pollution management, outcomes were categorized into tangible community outcomes, intangible community outcomes, tangible hospital outcomes, and intangible hospital outcomes. 

The final model indicates that the 6 components, 25 subcomponents, can provide sustainable innovation in public hospitals. It is suggested that hospital officials, considering the model developed, provide a suitable platform for the development of sustainable innovation in hospitals.

Ruminant responses are one of the most important cognitive feature in people with depression and cause disruption of thinking, problem solving and social relationships. The aim of this study was to compare the effectiveness of "Solution-Focused Brief Therapy" and "Compassion-Focused Therapy" on ruminant responses of couples with depression. 

The method of the present study was quasi-experimental with a pretest-posttest design with a control group. The statistical included all couples with depression who referred to the Mehregan Javan Comprehensive Health Center of Mashhad, Saadabad ward in 2019, the number of which was 150 couples. According to the inclusion criteria, 45 couples were selected as the sample. The sampling method was targeted and convenience. After selecting the available sample populations by simple random sampling method, the sample individuals were selected. The samples included the first intervention group "Solution-Focused Brief Therapy" (15 couples), the second intervention group "Compassion-Focused Therapy" (15 couples) and control group (15 couples). Data collection instruments included a demographic questionnaire, the "Ruminative Responses Scale". Content validity was measured by qualitative method, face validity and reliability by internal consistency method by calculating Cronbach's alpha coefficient. For the first intervention group 6 sessions, each session was held between 1.30 to 2 hours and for the second intervention group 8 sessions 1.30 to 2 hours. Data were analyzed in SPSS. 24. 

The results showed that "Solution-Focused Brief Therapy" reduced the expression of thoughts (P<0.001, F=91.51), thinking (P<0.001, F= 62.70), depression (P<0.001, F=104.19) and ruminant responses (P=0.001, P=0.001) have a significant effect on post-test and follow-up. In addition, the findings showed that "Compassion-Focused Therapy" reduced the expression of thoughts (P<0.001, F=22.21), thinking (P<0.001, F=50.39), Depression (P<0.001, F=93.93) and ruminant responses (P<0.001, F= 54.51) have a significant effect on post-test and follow-up. The results of post hoc test comparing the two groups showed that in the post-test phase, there was a significant difference between the two groups in reducing the variable in the thought of immersion (P>0.003). Also, there is no significant difference between the two treatment groups in reducing the score of thought expression variables, depression and rumination responses in the post-test and follow-up stages. 

"Short-Term Solution-Oriented Therapy" and "Compassion-Focused Therapy" are effective in expressing thoughts, thinking and depression, as well as the overall score of the ruminant responses of couples with depression. It is recommended that the above treatment methods be used to reduce or eliminate the ruminant responses of couples with depression.

Women with breast cancer have problems tolerating anxiety and sexual function. Therefore, the aim of this study was to determine the effectiveness of "Progressive Relaxation Training” on anxiety tolerance and sexual function in women with a history of mastectomy.

The present study was a quasi-experimental pretest, posttest with a control and one-month follow-up group. The statistical population of this study included all women with breast cancer with a history of mastectomy in Babol in 2021. The samples were selected from a highly specialized radio-oncology clinic in Babol city in the number of 36 people using the purposeful sampling method and convenience method. The samples were assigned to the "Progressive Relaxation Training (18 people) and the control group (18 people) using a simple random lottery method. Data collection instruments included demographic questionnaire, the “Distress Tolerance Scale”, and the “Female Sexual Function Index”. The validity of the instruments was not measured and was limited to previous research; but reliability was measured by internal consistency method by calculating Cronbach's alpha coefficient. "Progressive RelaxationTraining” was performed in 10 sessions of 90 minutes (over 1.5 months) for the intervention group. Data were analyzed in SPSS. 22.

"Progressive RelaxationTraining"was effective on sexual function and tolerance of psychological distress in women with a history of mastectomy (P<0.01). 

"Progressive RelaxationTraining" was effective on sexual function and distress tolerance in women with a history of mastectomy. Therefore, using the training of the above method can be recommended to reduce the psychological problems of women with a history of mastectomy.

Job experiences are one of the characteristics and various capabilities of human resources of organizations that have a great impact on the overall performance of the organization and the achievement of organizational goals. The purpose of this study is to translate and psychometrics the "Job Experience Questionnaire" in sports organizations.

The method of the present study is methodology. The statistical population of the study consisted of employees and managers of the Ministry of Sports and Youth. 380 people entered the study in a non-random and convenience method. The research instruments are demographic questionnaire and "Work Experience Questionnaires". First, the original version of the "Job Experience Questionnaire" was translated into Persian. The final version translated from Persian to English was reviewed, corrected and summarized. Face validity was performed by 30 teachers of sports management in Islamic Azad University, South Tehran Branch, Islamic Azad University, Shiraz Branch and Islamic Azad University, Isfahan Branch, as well as managers of public handball, basketball and volleyball federations. The construct validity was performed by 384 employees and managers of the Ministry of Sports and Youth through exploratory and confirmatory factor analysis. Reliability was measured by two methods of internal consistency by calculating the Cronbach's coefficient and combined reliability with the above sample. Data were analyzed using SPSS. 24 and LISREL. 8.5.

The face validity of all items of the final version of the questionnaire had an effect of more than 1.5 in the opinion of experts and was confirmed. The results of construct validity by exploratory and confirmatory factor analysis showed the existence of 10 components. The results showed that the factor loads for each 10 factors were greater than 0.40, which explains 73.953% of the total variance, which indicates the predictive power of the model. The results of Cronbach's alpha coefficients and composite reliability were more than 0.80 and 0.96, respectively.

"Job Experience Questionnaire" has validity and reliability in Iranian society. It is suggested that researchers in the field of human resources as well as physical education use this questionnaire as a valid and reliable instrument.

The parent-child relationship pattern is one of the essential components of children's development and is often related to their most important achievements such as social and cognitive abilities. The aim of the present study is to predict the self-concept of adolescent girls based on the pattern of parent-child communication and their parents' integrativee self-knowledge.

The present research method is descriptive-correlation method. The statistical population included all female students of the first secondary level in Tehran in the academic year of 2019-2020, of which 460 adolescent girls and their parents as a sample unit using the multistage random sampling method and according to the inclusion and exclusion criteria were selected. Data collection instruments include demographic questionnaire, "Self-Concept Questionnaire", "Parent Child Communication Pattern Questionnaire" and "Integrative Self-Knowledge Scale". The validity of the instruments was measured using content validity by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. The research data were collected online through the link designed to answer the questionnaires. Structural Equation Model, SPSS. 24 and AMOS .24 software and maximum likelihood estimation method were used for data analysis.

Parent-child communication patterns predict adolescent girls' self-concept negatively (β= -0/141, P<0/05). Parents integrativee self-knowledge predicts adolescent girls' self-concept positively (β=0/548, P<0/01). Parent-child communication patterns negatively predicted adolescent girls' self-concept through parents' cohesive self-knowledge (β=0/052, P<0/05).

Adolescent girls 'self-concept is predicted based on the parent-child communication pattern and their parents' cohesive self-knowledge. it is recommended to hold educational workshops for families to improve the pattern of parent-child relationship and self- integrative of parents.

Health management in patients with type 2 diabetic patients is related to basic psychological needs and health hardiness. This study aims to determine the effectiveness of “Dialectical Behavior Therapy” on basic psychological needs and health hardiness in type 2 diabetic patients. 

The present study was conducted with a semi-experimental method with a pre-test, post-test and 4-month follow-up design with an intervention group and a control group. The statistical population of this study included patients with type 2 diabetes of Neyriz Shohada hospital in 1400. A number of 40 patients with type 2 diabetes were selected purposively and then by simple random method of lottery type  selected in 2 groups of 20 intervention and control groups. Data were collected using a demographic questionnaire, the “Basic Psychological Needs Scale” and the “Revised Health Hardiness Inventory”. Content validity was measured by qualitative and reliability was measured by internal consistency method by calculating Cronbach's alpha coefficient. The intervention group went under 12 sessions of 90 minutes of “Dialectical Behavior Therapy”, while the control group was put on the waiting list for intervention. The instruments were completed by two groups in three rounds of pre-test, post-test and follow-ups. Data were analyzed in SPSS. 23. 

There are no significant differences between the groups in terms of age, gender, education, occupation and marital status as the (P> 0.05). It also shows that the “Dialectical Behavior Therapy” leads to permanent increase of basic psychological needs and health hardiness in type 2 diabetic patients as the (P< 0.05). “Dialectical Behavior Therapy” 28% of the score differences in basic psychological needs and 56% of the health hardiness.

“Dialectical Behavior Therapy” leads to the increase of basic psychological and health hardiness needs. Using this therapy improves the physical and psychological health of patients with type 2 diabetes. It is suggested that this intervention be used to empower patients with type 2 diabetes.

The development of health systems leads to the improvement of functions, productivity, efficiency, effectiveness and access to health services in communities, and underdevelopment will lead to weakness in the functions of health systems. The aim of this study was to develop The Model of Health System Development in Iran with Grounded Theory Approach.

The present qualitative research was conducted by the method of Grounded Theory. The research community included senior managers of the Ministry of Health and Medical Education, lecturers from medical universities, and prominent consultants in the field of health management. The number of samples using the theoretical saturation principle was 11 peoples, which were selected by snowball method using purposive sampling method. Data collection was performed through unstructured interviews. To assess the validity of the four criteria, including credibility, generalizability, reliability and verifiability. To assess the reliability of the interviews, the reliability method of retesting and the method of intra-subject agreement were used. Data analysis was performed by open, axial and selective triple coding method.

6 selective codes were identified under the title of components (causal conditions, contextual conditions, intervening conditions, central phenomena, strategies and consequences) and 14 central codes and 40 open codes.

The causal conditions component includes 4 central codes, the contextual conditions component includes 2 central codes, the intervening conditions component includes 2 central codes, the central phenomenon component includes 1central codes, the strategies component includes 2 central codes and the consequences component includes 3central codes. The managers of the health system are suggested to formulate a strategic and coherent plan for development, including the formulation of goals and strategies in line with the four-year national development plans of the country.

Health-threatening behaviors, including opioid use, are one of the most important psychosocial health challenges. One of the psychological therapies that is considered today is “Positive Psychotherapy”. The aim of this study was to determine the effectiveness of "Positive Psychotherapy" on the Potential to use opiates and the difficulties in emotion regulation of patients with opiates.

The present study was a quasi-experimental with pre-test, post-test and two-month follow-up with the control group. The study population included all people with drug abuse who referred to addiction treatment centers in Rasht in 1400. 30 participants were selected by cluster random sampling and divided into two groups of intervention and control (15 people in each group). Data were collected using a demographic questionnaire, "Addiction Potential Scale" and "Difficulties in Emotion Regulation Scale". The validity of the instruments was measured by content validity by qualitative method and the reliability by internal consistency method was calculated by calculating the Cronbach's coefficient. The "Positive Psychotherapy" intervention was performed on the intervention group for 8 sessions of 90 minutes once a week. The collected data were analyzed in SPSS.23.

The results of repeated measures analysis of variance showed that between the intervention and control groups in the variables of substance use tendency (P= 0.001, F=25.32) and difficulties in emotion regulation (P=0. 001, F=32/157). There was a significant difference and the intervention was effective. Overall, “Positive Psychotherapy” explains 40.5% of the score changes in substance use Potential and 54.5% of the score changes in difficulties in emotion regulation.

“Positive Psychotherapy” is effective on the Potential to use opiates and difficulties in emotion regulation of patients with opioids. It is suggested that addiction therapists use the above method as a practical and effective treatment method to improve addictive behaviors and prevent relapse of patients with drugs.