nadia oroomiei

The present study was designed and implemented to explain the experiences of students and graduates during internship courses in the field of healthcare service management.

The present research adopted a qualitative approach to gain a more comprehensive understanding of the challenges and opportunities in educational and healthcare settings.

This qualitative study employed content analysis and purposive sampling on students and graduates in the field of healthcare service management at Bam University of Medical Sciences. Data were collected through semi-structured interviews and analyzed using Braun and Clarke’s thematic analysis.

The findings were categorized into two main categories: Curriculum planning curriculum planning opportunities and challenges. Curriculum planning opportunities consisted of “curriculum planning, communication with professors, and evaluation,” while curriculum planning challenges consisted of “internship field staff, professors, logbooks, welfare facilities, and lesson plan.”

The curriculum planning for internship courses has strengths that help enhance the quality of education and students’ professional skills. However, several challenges were identified that could hinder the achievement of educational objectives. In order to mitigate these challenges, taking various measures seems necessary, including training courses for staff, providing ongoing feedback, reviewing logbooks, clarifying learning objectives, and fostering interdepartmental collaboration at a higher organizational level.

The first 1000 days of life last from the beginning of pregnancy to the age of two, a unique step that shapes the basis for a person’s health over their lifetime. Numerous studies have indicated the relationship between one’s first 1000 days of life and the consequent adverse outcomes in adulthood. However, to the extent that we have reviewed it, not a single study has shown the relationship between various aspects of an individual’s first 1000 days of life and the probability of drug consumption in adult life. Hence, the primary purpose of this narrative review was to understand the role of the first 1000 days of life on vulnerability to drug abuse later in life.

This article is a narrative review that has identified the role of the first 1000 days of life on susceptibility to substance abuse later in life. The articles were extracted from valid databases, including PubMed, Scopus, Science Direct, Web of Science, and Embase.

Various significant research has pointed to the mother’s distress and anxiety during pregnancy through embryonic planning, influencing the planning of the hypothalamic-pituitary-adrenal (HPA) axis and epigenetic changes. The intestinal microbiota is a part of a complex link named the microbiota-gut-brain axis that can affect drug abuse through the variety and number of intestinal microbiota. On the other hand, a mother’s drug consumption during pregnancy can function as chronic stress by affecting the enteric nervous system (ENS), which activates the concurrent axis of HPA and dopamine pathways by changing the reward circuit and the subsequent increase in drug abuse. The results indicated that various factors, such as exposure to adverse childhood experiences (ACEs), parental separation, and attachment insecurity, increase the probability of drug abuse in adulthood. Nevertheless, the quality of nurturing care during the first 1000 days of life and the mother’s warm relationship with children may hinder the increase in addiction in society.

The first 1000 days of one’s life are a crucial and delicate stage. If these days are tainted with unpleasant events, the various mechanisms can reduce a person’s resilience to drug abuse in later life. How the first 1000 days of an infant’s life and the quality of this period, such as prenatal stress, substance use during pregnancy, ACEs, maternal-infant bonding, maternal separation (MS), and intestinal microbiota, can affect drug abuse in the future. As a result, focusing on the first 1000 days of life is critical to adapting prevention strategies. Health policymakers can design suitable entries during pregnancy and early childhood to reduce the probability of drug abuse.

According to census 2011, general fertility rate in Iran was 1.6 children. The United Nations published a low population growth scenario for Iran in 2010, and if Iran continues to experience population replacement and does not have a plan to balance it, it will experience a population of 31 million, with a high percentage of elderly people in the next 80 years. This study was conducted to identify the causes of a decrease in population growth rate.

This was a secondary study conducted by reviewing the scientific texts, papers, and upstream documents. The upstream documents contain all national documents related to population decline in Iran. Causal layered analysis (CLA) was used for data analysis.

The 9 most important identified causes for a decrease in population were litany (child mortality, maternal mortality, diseases burden, fertility rate, marriage squeeze, abortion, marriage age, high-risk behaviors, and badly supervised and neglected children. Also, 5 causes in structural layer were urbanization, education rate, economic participation rate and unemployment rate, new structures, a change in family structure, and intergenerational gap. Moreover, three causes in discourse layer included welfare, materialism, individualism, and 2 causes in metaphor layer were changing the perception of life and family formation, and women as workforce.

It seems that the decrease in population growth in Iranian society is less the result of social planning and population control and more the result of the value and structural changes that have been occurred due to modernization in the society. It is recommended that policymakers primarily address the discourse and metaphor layers to solve the problems.

Workforce reaches the plateau in its career after which job promotion is less probable.The present study aimed to study the relationship between career plateau and job burnout among employees of teaching hospitals affiliated to Kerman University of Medical Sciences.
The present research was a cross-sectional study carried out in 2012. The statistical population was the financial and administrative workers of teaching hospitals affiliated to Kerman University of Medical Sciences. Sampling was done through the stratified appraoch. Data collection was done through questionnaires on career plateau and job burnout that their validity and relieability had already been confirmed. Data analysis was carried out using descriptive and inferential statistics (Pearson correlation, ANOVA, t-test) through SPSS19.
Career plateau rate was relatively high, while the rate of job burnout and its components were moderate. There was a significant correlation (r= 0.408) between career plateau and job burnout (P Regarding the high rate of career plateau in this study, hospital administrators should recruit basic strategies such as education, structural flexibility, identification of competent staff, job enrichment and motivation to maximize the efficiency and effectiveness of their human resources.

Knowledge is regarded as a major resource of organizations and as an asset. Transmission, creation and applying knowledge require an organizational culture which encourages this process. Universities as knowledge-producing organizations should benefit from this. The purpose of this study was to determine the relationship between organizational culture and knowledge management at Kerman University of Medical Science. Present analytical study was done with cross sectional in Kerman University of Medical Sciences in 2012. Statistical population consisted of all staff working at deputies of Kerman University of Medical sciences (844) of which a sample of 200 was selected using quota sampling. In order to collect data, questionnaires on organizational culture and knowledge management were used whose validity was confirmed in previous studies and their reliability was calculated. Descriptive and inferential statistical methods (Pearson correlation, ANOVA and linear regression) were used for data analysis through spss18. Organizational culture was evaluated good by the majority of the studied subjects. Highest and lowest scores was obtained by adaptability (2/9) and participatory (2/6) dimensions respectively. Knowledge management status was evaluated at moderate and good level by studied subjects. Finally, there was a significant relationship between organizational culture and knowledge management (P-value=0/000). Organizational culture and knowledge management were in good condition in this study. Organization must first consider the organizational culture in order to improve the knowledge system and to spread it throughout organization effectively. The more strong the organizational culture is, the more successful the implementation of knowledge management would be.

According to resource constraints and unlimited needs, health care has important role in the public health. The allocation of limited resources to unlimited needs in critical areas of health is important. Therefore, the purpose of this study is to evaluate the process of priority setting based on accountability framework for the rationality in Kerman university of Medical Science. This research is a qualitative study. 18 people from health experts about resource allocation in Kerman University of Medical Science interviewed. In this study Daniels and Sabin framework was used. Data analysis techniques were based on the analysis framework. Tools of data gathering were Semi-structured interviews. Heterogeneous sample of the people involved in the division of the department's budget is used to transfer capability. In order to credibility and confirm ability text transcribed and analysis of the resulting professors participating in this study were presented and corrective recommendations their comments were applied. The study includes four main codes: transparency, rationality, control and monitoring, overview and 9 sub-codes contains: Predictability, ambiguity, rationality, no sensible distributor, bilateral, unilateral, Proportionality between the mechanism and resources, revision, no mechanism, The status indicates the process of priority settings in Kerman University of Medical Science according to the Daniels and Sabin has little logic. No specific decision procedures, measuring the costs and benefits of different interventions so, making decisions based on the results of these studies won’t lead to optimal use of scarce resources.

Waiting time indicates the feasibility of access to medical services and can be measured as a performance indicator. Long waiting times prohibit the provision of good services, waste patients’ time, and jeopardise patient satisfaction. Therefore, patient's satisfaction from waiting time plays a significant role in quality assurance and management.

In this qualitative study, 12 secretaries and 12 physicians were selected purposefully. Data was collected through focus groups and analyzed by qualitative methods.

Cultural weakness, lack of integrated appointment systems, public unawareness, and difficulties in access were among the problems listed for private practice in Kerman, Iran. Physicians’ delay and people’s wrong beliefs were other barrieres. The best method of appointment fixing in Kerman seems to be a combination of both the Internet and the interactive voice response.

Developing an appropriate appointment fixing method, informing patients, and obliging all offices to use this method can alleviate the problems related to appointment times in Kerman.