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عضویت

جستجوی مقالات مرتبط با کلیدواژه « expectations » در نشریات گروه « پزشکی »

  • سارا کاکلیان، مریم مشایخ*، مهدی دوائی، علی اکبر خسروی بابادی
    مقدمه

    رضایت مندی از ازدواج یکی از اصلی ترین عوامل تعیین کننده کیفیت زندگی هر فرد می باشد و رضایت زناشویی می تواند پیش بینی کننده پایداری و ناپایداری یک رابطه باشد.

    هدف

    این پژوهش با هدف، تدوین مدل رضایت زناشویی بر اساس انتظارات زناشویی، بلوغ عاطفی و ابعاد عشق ورزی با میانجیگری تعارضات زناشویی در زنان متاهل انجام شد.

    روش

    روش گردآوری داده توصیفی از نوع همبستگی بود. جامعه آماری پژوهش حاضر را تمام زنان متاهل مراجعه کننده به سراهای محلات شهر تهران در سال 1401 تشکیل دادند که از میان آن ها، تعداد 550 نفر به روش نمونه گیری دردسترس انتخاب شدند. در این پژوهش از ابزارهای رضایت زناشویی انریچ (1998)، انتظارات از زندگی زناشویی میلر و تدر (2011)، بلوغ عاطفی سینگ و بهارگاوا (1990)، تعارض های زناشویی براتی و ثنایی ذاکر (1375) و مثلث عشق استرنبرگ (1989) استفاده شد. برای تجزیه وتحلیل داده ها از روش مدل یابی معادلات ساختاری و نرم افزار های SPSS و PLS استفاده شد.

    یافته ها

    یافته های پژوهش نشان داد که انتظارات زناشویی و بلوغ عاطفی و ابعاد عشق ورزی بر رضایت زناشویی به صورت مستقیم و غیرمستقیم به واسطه تعارضات زناشویی اثر معناداری دارند (05/0> P).

    نتیجه گیری

    براساس یافته های پژوهش، رضایت زناشویی تحت تاثیر انتظارات زناشویی، بلوغ عاطفی و ابعاد عشق ورزی قرار دارد؛ بررسی انتظارات زناشویی، بلوغ عاطفی و ابعاد عشق ورزی و متعاقب آن تعارضات زناشویی در پیشگیری و طرح ریزی درمان برای زوجین به پژوهشگران و درمانگران پیشنهاد می شود.

    کلید واژگان: انتظارات, بلوغ, تعارض, زناشویی, عشق}
    Sara Kakolian, Maryam Mashayekh*, Mehdi Davaei, Aliakbar Khosravi Babadi
    Introduction

    Marriage satisfaction is one of the main determinants of the quality of life of each person, and marital satisfaction can predict the stability and instability of a relationship.

    Aim

    This research was conducted with the aim of developing a model of marital satisfaction based on marital expectations, emotional maturity and aspects of love by mediating marital conflicts in married women.

    Methods

    The descriptive data collection method was correlational. The current study's statistical population was comprised of all married women who referred to the community centers of Tehran in 1401, and 550 by the available sampling method people were selected from among them. In this research, Enrich's (1998) marital satisfaction tools, Miller and Tedder's (2011) expectations from married life, Singh and Bhargava's (1991) emotional maturity, Barati, and Sanai Zaker's (1375) marital conflicts, and Sternberg's love triangle (1989) were used. Structural equation modeling method and SPSS and PLS software were used for data analysis.

    Results

    The findings of the research showed that marital expectations and emotional maturity and dimensions of love had a significant effect on marital satisfaction directly and indirectly due to marital conflicts (P<0.05).

    Conclusion

    Based on the research findings, marital satisfaction is influenced by marital expectations, emotional maturity, and aspects of lovemaking. It is suggested to researchers and therapists to examine marital expectations, emotional maturity and the dimensions of love and subsequent marital conflicts in preventing and planning treatment for couples.

    Keywords: Conflict, Expectations, Love, Marital, Maturity}
  • مهتاب پورآتشی*، اصغر زمانی
    مقدمه

    امروزه، دانشگاه ها به طور فزاینده ای استراتژی بین المللی شدن را به منظور کسب مزیت رقابتی در بازارهای ملی و بین المللی اتخاذ می کنند و در این راستا، جذب و پذیرش دانشجوی بین المللی بسان گزینه کلیدی بین المللی شدن دانشگاه ها از اهمیت بسیاری برخوردار است. مقاله حاضر با هدف واکاوی انتظارات دانشجویان بین المللی نسبت به دانشگاه و دیدگاه خبرگان آموزش عالی درخصوص بایدها و راهکارها برای جذب دانشجوی بین المللی به رشته تحریر درآمده است.

    روش کار

    پژوهش از لحاظ هدف کاربردی است و با دیدمان کیفی انجام شد. مشارکت کنندگان پژوهش را دو گروه شامل: دانشجویان بین المللی شاغل به تحصیل در دانشگاه های دولتی ایران به تعداد 18 تن و خبرگان آموزش عالی دارای تجربه علمی و اجرایی در حوزه بین المللی شدن آموزش عالی به تعداد 13 تن تشکیل دادند و گردآوری داده ها با روش مصاحبه عمیق و نیمه ساختاریافته صورت گرفت. داده ها و اطلاعات گردآوری شده با استفاده از نرم افزارهای NVivo و SPSS تحلیل شد.

    یافته ها

    یافته ها نشان داد که انتظارات دانشجویان بین المللی از دانشگاه محل تحصیل در سه گروه: (الف) یاددهی-یادگیری، (ب) خدمات اداری و پشتیبانی، و (ج) فرهنگی، راهنمایی و مشاوره دسته بندی می شود و بایدها در جذب دانشجوی بین المللی در دو مقوله اصلی (الف) قوانین و مقررات، سیاست های کلان آموزش عالی و (ب) دانشگاه و موسسات آموزش عالی قابل دسته بندی است.

    نتیجه گیری

    یافته های مقاله دیدگاه ذی نفعان و خبرگان را واکاوی نمود و فرصت ارزشمندی برای بازاندیشی افزایش جذب دانشجوی بین المللی در اختیار گذاشت. براساس یافته های به دست آمده، جمع بندی صورت گرفت و پیشنهادهایی ارائه شد.

    کلید واژگان: دانشجوی بین المللی, جذب دانشجوی بین المللی, انتظارات, دانشگاه, تحلیل محتوا}
    Mahtab Pouratashi *, Asghar Zamani
    Introduction

    Today, universities are increasingly adopting the strategy of internationalization to gain a competitive advantage in national and international markets. Therefore, attracting and enrolling international students is crucial as the primary option for the internationalization of universities. This article aims to analyze the expectations of international students towards the university and the viewpoints of higher education experts regarding the requirements for attracting international students.

    Methodology

    The research was applied in terms of purpose, employing a qualitative method. The participants in the research consisted of: (a) 18 international students studying in public universities and (b) 13 experts in higher education with experience in the field of internationalization of higher education. Data collection was conducted through in-depth and semi-structured interviews. The gathered data and information were analyzed using NVivo and SPSS software.

    Findings

    The findings revealed that the expectations of international students from their university could be categorized into three groups: (a) teaching-learning, (b) administrative and support services, and (c) cultural guidance and counseling. The requirements for attracting international students could be categorized into two groups: (a) laws and regulations, macro policies of higher education, and (b) universities and higher education institutions.

    Conclusion

    The article analyzed the views of stakeholders and experts, providing a valuable opportunity for reconsidering the increase in attracting international students. Based on the findings, recommendations were made.

    Keywords: International student, Attracting International Students, Expectations, university, content analysis}
  • مهدی محمدی*، مجید کوثری، رضا ناصری جهرمی، سولماز خادمی، صدیقه شادی، فائزه روستا
    مقدمه

    هدف اصلی از انجام پژوهش حاضر، واکاوی تجارب پژوهشی دانشجویان پایه کارشناسی بر اساس انتظارات، عملکردها و دستاوردها بوده است.

    روش ها

    این مطالعه یک پژوهش کیفی از نوع پدیدارشناسی بود که بر این اساس با رویکرد نمونه گیری هدفمند و روش معیار نهایتا 34 نفر از دانشجویانی که تمایل به شرکت در پژوهش داشتند با توجه به اتمام دوره نظری پایه کارشناسی دانشگاه شیراز از شهر شیراز در سال 1400 انتخاب و بر اساس اشباع نظری مصاحبه شدند. روش پیاده سازی فایل صوتی مصاحبه ها، تحلیل داده های اکتشافی، شناسایی مولفه ها و مقوله بندی های اولیه و ثانویه و تفسیر یافته های به دست آمده، همگی با نرم افزار Maxqda نسخه 2022 انجام شد.

    یافته ها

    تحلیل مصاحبه ها، با استفاده از الگوی کلایزی و روش تحلیل مضمون انجام شد که پس از استخراج و دسته بندی موضوعی، مولفه ها در 22 مضمون پایه و 3 مضمون اصلی شامل انتظارات، عملکرد و دستاورد دسته بندی شدند. 

    نتیجه گیری 

    بر اساس نتایج، تجارب مثبت حاصل از انجام پژوهش، انگیزه دانشجو را جهت ادامه کار توانمند می کند و سبب بالا بردن تعهد در انجام دقیق و مستمر پژوهش، عملکرد بهتر در فرایند پژوهش و به دست آمدن نتایج واقعی خواهد شد. در همین راستا برای پیشرفت فعالیت های پژوهشی دانشجویان، وجود ارتباطات علمی به صورت سمینار، گردهمایی های علمی، همایش و کنگره های ملی و بین المللی از ضروریات است که بر همین اساس پیشنهاد می شود با توجه به علاقه مندی و پتانسیل موجود برای آموختن مهارت های پژوهشی و انجام پژوهش در دانشجویان، موسسات آموزشی به گونه ای برنامه ریزی کنند که دانشجویان تحت نظارت اساتید علاقه مند به پژوهش، به تقویت مهارت های مورد نیاز جهت انجام یک طرح تحقیقاتی موفق بپردازند.

    کلید واژگان: تجارب, پژوهش, دانشجو, انتظارات, عملکرد, دستاورد}
    Mehdi Mohamadi*, Majid Kowsari, Reza Naseri Jahromi, Solmaz Khademi, Sedigheh Shadi, Faezeh Roosta
    Background

    The main purpose of the current research was to analyze undergraduate students’ research experiences based on their expectations, performances, and achievements.

    Methods

    This research was conducted using the phenomenological method. The data collection tool was a semi-structured interview. Based on this method, with the purposeful sampling approach and standard method,34  undergraduate students were selected and interviewed following theoretical saturation.

    Results

    This research analyzed interviews following the Claizi model and using thematic analysis. After extracting and categorizing the significant items, 22 basic subthemes and 3 main themes (expectations, performance, and achievement) were classified.Results This research analyzed interviews following the Claizi model and using thematic analysis. After extracting and categorizing the significant items, 22 basic subthemes and 3 main themes (expectations, performance, and achievement) were classified.

    Conclusion

    The results showed that positive experiences of doing research will encourage students to continue the work and express enthusiasm and commitment to carry out accurate and continuous research. To develop students’ research activities, it is essential to provide scientific communication through seminars, scientific gatherings, conferences, and national and international congresses and arrange suitable fields for research activities.

    Keywords: Research experiences, Expectations, Performance, Achievement}
  • DAVOOD TAHMASBZADEH SHEIKHLAR *, MEHRDAD AZIMINEJADIAN, TORAN MIRZAEI SANGIN
    Introduction
    Over the past years, the evaluation and accountability of universities and higher education institutions in regard to the realization of their goals and the implementation of the expected performance have turned into a major issue, and those who benefit from or are relevant to the higher education system have placed a special emphasis on the use of evaluationmechanisms. The current study aimed to determine the quality of the medical curriculum approved in 2017 based on the Kano model.
    Methods
    The study used cross-sectional and descriptive survey designs. The statistical population included all students of medicine at Tabriz University of Medical Sciences in the academic year2022/2023. Based on Morgan’s table, 240 students were selected using convenience sampling method. Field data collection and researcher-made questionnaires were used to collect data. Thequestionnaires were presented to interested and available students in person and online through a link. To analyze the data, paired one-sample t test was used with the help of SPSS 16.0 softwareand Kano’s matrix.
    Results
    The findings of the study showed that students’expectations in the elements of Aker were more than their perceptions, and this difference was more in the elements of logic with the Mean±Standard Deviation of (16,09±2,02; 8,53±2,18), content with Mean±SD (19,62±2,46; 9,47±2,00), teaching and learning strategies with Mean±SD of (15,85±2,14; 7,36±1,89),teaching and learning activities with Mean±SD of (23,38±3,10; 11,50±2,68), and time and place of learning with Mean±SD (12,09±1,53; 5,46±1,43). Also, after examining the Kano matrix, it was found that the most felt needs of the students in the classification of the Kano model were among the mandatory needs.
    Conclusion
    Therefore, it can be concluded that the curriculum of medicine in implementation (perception) stage does not accord with the expectations of the students, and it is necessary to pay attention to the needs and expectations of the students.
    Keywords: Curriculum, Qualitative, Evaluation, Perceptions, Expectations}
  • Kobra Noruzi Larki, Tayeb Mohammadi, Masoumeh Zakerimoghadam, Leila Sayadi *
    Background

    Coronary surgery can have various outcomes, such as fear of death, cardiac anxiety, and pain disability. This study aimed to evaluate the effects of interventions based on patient expectations on different outcomes of coronary surgery, including expectations, cardiac anxiety, and pain-induced disability.

    Methods

    This randomized clinical trial evaluated 60 coronary surgery candidates. Patients meeting the inclusion criteria were randomly assigned to control and intervention groups. The patients were contacted 1 to 2 weeks before coronary surgery to complete the Cardiac Surgery Patient Expectations Questionnaire (C-SPEQ). Based on the analysis of expectations, the intervention group underwent interventions to optimize expectations, whereas the control group received only routine care. The Cardiac Anxiety Questionnaire (CAQ) and the Pain Disability Index (PDI) were completed on the day of hospitalization. Three months later, the participants recompleted all 3 questionnaires. The data were analyzed with descriptive and analytical statistics in SPSS 16.0.

    Results

    There were no significant differences between the control and intervention groups in baseline variables, paininduced disability (P=0.353), and cardiac anxiety (P=0.479). After the intervention, no significant differences were observed between the groups concerning expectations (P=0.554) and pain-induced disability (P=0.557) when the confounding variables were adjusted. Nevertheless, cardiac anxiety decreased significantly (P=0.027).

    Conclusion

    Our interventions improved expectations and mitigated anxiety among coronary surgery patients. Actualization and optimization of patient expectations should be considered in the care of coronary surgery candidates.

    Keywords: Expectations, Anxiety, Pain, Disability, Coronary artery bypass surgery}
  • Fatemeh Sadat Sajadi, Elham Farokhgisvar, Shima Khosravi, Sajad Khosravi, Elaheh Asadipour *
    Background
    Due to the complexity of health services, evaluating the aspects of quality in the healthcare sector is very important. Measuring the quality of dentistry school services of Kerman Medical Sciences University (KMU) in 2019–2020 is the main  purpose of the present study.  
    Methods
    This cross-sectional and descriptive-analytical study was carried out on 200 patients at KMU Dentistry School during  the 2019–2020 academic year. The data collection was done by using the SERVQUAL standardized questionnaire, which evaluates the service quality in six dimensions. The data were analyzed by implementing three non-parametric tests, including the  Wilcoxon signed-rank test, the Kruskal–Wallis test, and the Mann-Whitney test using SPSS 26.  
    Results
    the participants’ perceptions and expectations concerning the six-fold dimensions of service quality in the KMU Dentistry  School indicated significant differences (P < 0.001). In other words, the entire dimensions showed a positive gap, meaning the  perceptions exceeded expectations.  
    Conclusion
    The consequences showed a meaningful relationship between the perceived service quality and the satisfaction of  participants which can be enhanced by paying more attention to the service quality so that participants are satisfied and the motivation to continue using the services of such medical centers increases.
    Keywords: Service Quality, Perceptions, Expectations, SERVQUAL model, Dentistry}
  • Mahnaz Atapour, Akram Sadat Sadat Hoseini, Shahrzad Ghiyasvandian *, Zahra Behboodi Moghadam
    Background

    Patients with diabetes-related visual impairment (DRVI) have expectations of the health system and nurses, which can have positive consequences if met.

    Objectives

    This study aimed to investigate the consequences of meeting the health expectations of patients with DRVI.

    Methods

    This qualitative study was conducted using the content analysis approach from November 2020 - May 2021. The participants were ten patients with DRVI, two nurses, and one member of the patient’s family. Data collection was done using semistructured, in-depth, and face-to-face interviews. Purposive sampling was done until data saturation. A total of 23 interviews were conducted with 13 participants. The conventional content analysis proposed by Graneheim andLundmanwas used for data analysis. MicrosoftWord 2016 and MAXQDA 2010 software were used to transcribe the interviews and manage and analyze the data.

    Results

    Data analysis led to the extraction of the main category of "improving access to comprehensive care" and four categories, including "receiving preventive care," "access to home care," "safety promotion," and "increasing health literacy."

    Conclusions

    The results of this studyshowedthat including patients’ views can effectively improve the healthcare process. In order to ensure the satisfaction of patients with DRVI, healthcare professionals, particularly nurses, should examine the expectations of patients with DRVI to provide quality and patient-centered care that is based on their individual needs.

    Keywords: Patient-Centered Care, Health, Expectations, Visual Impairment, Diabetes Mellitus, Qualitative Research}
  • Sareh Balavar, Leila Vali, Seyed Hossein Saberi Anaraki, Yunes Jahani, Rahil Ghorbaninia *
    Background
    More satisfied patients in medical care accelerate the progress of treatments and achieve the foremost goal of treatment, which is to improve patients. The aim of this study was to assess the patients’ expectations and satisfaction with physicians working in public clinics in Kerman.
    Methods
    This is a cross-sectional study conducted in four clinics under the auspices of Kerman University of Medical Sciences. 385 patients were enrolled in the study using simple random sampling. Britten questionnaire was used to collect the data. The collected data were analyzed through SPSS22 using appropriate tests. The validity of the questionnaire was confirmed using the content method. Cronbach’s alpha was calculated for reliability, which was 0.8 for the Reasons of visiting the Doctor Questionnaire and 0.9 for the questionnaire after the examination.
    Results
    The highest expectations of patients (73%) in the reasons for seeing a doctor were related to the diagnosis of the disease, and the lowest expectations were related to the tests and the desire to prescribe (28.6%). Overall satisfaction with the physician was 55.3% among the patients. There was no significant difference between the patients’ expectations of the physician with any of the demographic characteristics. Patients’ expectations before and after seeing a doctor were not significantly different.
    Conclusion
    Understanding the relationship between the treatment team and the patient means that the decisions made for patients are not dependent on the treating physician and patients’ expectations.
    Keywords: patient satisfaction, Drug Prescriptions, Physician patient relation, Outpatients, Outpatient clinic, Expectations}
  • Maryam Azizi, Fazlollah Ahmadi *, Anoshirvan Kazemnejad
    Background

    Surgery is one of the most frequent healthcare events worldwide. Individuals have different expectations of surgery. As most adult patients have a family member beside them and the family presence is important, this study was aimed to explain the expectations of the families of patients undergoing surgery.

    Methods

    This qualitative study was carried out using the conventional content analysis method. A purposive sample of the family members of patients undergoing surgery was recruited with maximum variation from hospitals in Tehran, Iran, in 2019. The sampling method was purposive sampling. The data were collected through semi-structured interviews. Data collection was continued until the categories were saturated. In total, 29 interviews were conducted with 25 family members, 3 nurses, and 1 surgeon.

    Results

    Overall, 29 interviews were conducted. A total of 811 primary codes without overlap, 446 primary codes with overlap, 36 subcategories, and 11 generic categories were extracted. Finally, four main categories were obtained, named endless confusion, giving the family a share in care, exaggerated focus on obvious behaviors, and accepting the existence of the family.

    Conclusions

    Families come apart at the seams. Their expectations and needs might not be met and are usually considered unimportant. They need to be seen, heard, considered, understood, and, most importantly, accepted by healthcare providers, especially nurses.

    Keywords: Expectations, Needs, Family, Surgery, Qualitative Research}
  • عابدین فعله گری، هوشنگ جدیدی*، علی تقوایی نیا، ذکراله مروتی
    زمینه و هدف

    انتظار- ارزش می تواند تاثیرات مثبت و منفی بر انگیزش تحصیلی دانشجویان و دانش آموزان داشته باشد بنابراین  این پژوهش با هدف بررسی رابطه انتظارات با انگیزش تحصیلی به واسطه سود و زیان های روانی صورت پذیرفته است.

    روش کار

    این پژوهش بر اساس معیار هدف در گروه پژوهش های کاربردی، بر اساس معیار زمان گردآوری داده ها در گروه پژوهش های معادلات ساختاری، بر اساس معیار ماهیت داده ها و مبنای پژوهش یک پژوهش کمی می باشد. اصلی ترین ابزار گردآوری اطلاعات در این پژوهش پرسشنامه استاندارد (سود و زیان روانی، انتظارات، انگیزش تحصیلی) می باشد، پایایی ابزار پژوهش نیز بر اساس آزمون آلفای کرونباخ برای متغیر سود و زیان روانی، انتظارات، انگیزش تحصیلی به ترتیب برابر با 75/0، 71/0 و 77/0 به تایید رسیده است. جامعه آماری این پژوهش شامل کلیه دانش آموزان دختر و پسر متوسطه دوم شهرستان قروه سال تحصیلی 1399-1400 بود. حجم نمونه در این پژوهش برابر با 384 نفر و شیوه نمونه گیریدر این پژوهش نمونه گیری خوشه ای چند مرحله ای بود.

    یافته ها

    با توجه به یافته های این پژوهش انتظارات به صورت مثبت بر انگیزش تحصیلی اثر مثبت دارد. انتظارات به صورت مثبت بر بر سود و زیان های روانی اثر دارد. سود و زیان های روانی در رابطه بین انتظارات و انگیزش تحصیلی نقش واسطه ای دارد.

    نتیجه گیری

    به طور کلی می توان بیان داشت که با ایجاد انتظارات در دانش آموزان می توان به افزایش انگیزش تحصیلی کمک کرد. همچنین با توجه به رابطه بین انتظارات با زیان های روانی می توان استنباط کرد که با افزایش انتظارات می توان زیان های روانی در دانش آموزان را افزایش داد.

    کلید واژگان: انتظارات, انگیزش تحصیلی, سود و زیان روانی}
    Aabedin Felegari, Hooshang Jadidi*, Ali Taghvaiinia, Zekrollah Morovati
    Background & Aims

     Motivation is one of the most important elements of learning and progress. Although intelligence and talent are important and determining factors of students' learning, other factors are also important and influential besides these factors. Among these factors, motivational beliefs can be mentioned. Academic motivation generally refers to the motivations, needs, and factors that cause a person to attend educational environments and obtain an educational certificate. Motivation is defined as a process by which goal-oriented activities are stimulated and maintained. In the theoretical and conceptual models of motivation, progress, beliefs, and expectations of people, the most important and main determinants of progress behavior are considered. These models include attribution theory, expectation-value theory, self-determination theory, goal theory, and self-efficacy theory. When learners have the necessary motivation to learn, the process of communication is facilitated, content becomes more fluent, anxiety is reduced, and creativity and learning are manifested. Also, motivated students have positive motivational effects on the teacher and as a result, they make education satisfactory for both the teacher and the students. Also, the study showed that students' motivation affects all classroom activities. The issue of academic motivation is an essential issue for teachers and education custodians of different countries. Increasing the motivation level of students requires a change in the factors that motivate a person, which is divided into two categories, internal and external. Motivational beliefs, the expectation of success, and perceived subjective value act as mediating variables about cognitive processes and progress behaviors. At the most general level, it is assumed that the socio-cultural environment acts as the main source of influence on the mental processes of the individual. This environment includes stereotypes related to gender and culture, behaviors and beliefs of socializers, talents, and previous development of the individual. Considering that the researchers of expectancy-value theory have emphasized the different roles of task value, ability-expectation beliefs, task difficulty understanding, source of control, and previous progress in subsequent progress, it can be said that expectation-value can influence It has positive and negative effects on students' academic motivation, therefore, in this research, we seek to answer the following question. Do psychological and situational gains and losses in the relationship between expectations and values ​​affect academic motivation?

    Methods

    The current research is of the correlation type, which examines the relationships between the variables of the proposed model using the structural equation modeling method. The statistical population of this research includes all secondary school girls and boys of Qorve city in the academic year 2020-2021, and the number of these students is reported to be 10,000 by the Ministry of Education. The sample size in this research was calculated using Cochran's pheromone equal to 384 people. The sampling method in this research is multi-stage cluster sampling. The city has two regions, north and south, and girls' and boys' schools, and one class from each school and each level were selected through virtual and in-person selection (according to the conditions of the corona disease and the strictness of the schools) and a questionnaire was provided to them. The main tool for collecting information in this research is a standard questionnaire (psychological gains and losses, expectations, academic motivation). In order to determine the presence or absence of a relationship or influence between the variables and to estimate and generalize the results obtained from the sample size to the statistical population from the Kolmogorov-Smiranov test, the simple correlation model with the obvious variable, the Pearson correlation coefficient test and the path model (mediator) to evaluate the hypotheses and data The research and the research conceptual model have been used. The tool for analyzing questionnaire data of this research is Spss statistical software and Amos structural equation modeling software.

    Results

    According to the findings of this research, expectations have a positive effect on academic motivation. Expectations have a positive effect on psychological gains and losses. Psychological gains and losses play a mediating role in the relationship between expectations and academic motivation.

    Conclusion

    In general, it can be said that by creating expectations in students, it is possible to help increase academic motivation. Also, according to the relationship between expectations and psychological losses, it can be concluded that by increasing expectations, psychological losses in students can be increased. In the model of expectation and value, these structures are the two main predictors of behavior leading to progress, and it is assumed that expectation and value have a direct effect on progress behavior, and the amount of expectation and value is influenced by the perception of the social environment, cultural context. Therefore, motivation and engagement are powerful processes that can motivate students to learn new skills on the one hand and can lead to a lack of engagement and educational self-destruction on the other hand. (Positive or negative reactions towards the teacher, classmates, university, or school; the feeling of belonging to the individual, conformity with the school or its demands). The review of the research literature shows that the educational involvement of parents is accompanied by the educational involvement of students, especially the concern to do homework at home and a positive attitude towards school. Students' involvement in school activities leads to educational progress, positive expectations about academic ability, improvement of academic performance, and reduction of dropping out. One of the limitations of this study is the inability to generalize to other cities in the country because the results of the study were only for students in Qorve. Also, the unnecessary strictness of the school administrators in distributing the questionnaire among the students can be mentioned, as well as the very poor cooperation of some students in answering the questions of the questionnaire, which we convinced them to cooperate with great difficulty and convincing explanations.

    Keywords: Expectations, Academic Motivation, Psychological Gains, Losses}
  • Ahmad Kalateh Sadati, Zahra Falakodin, Saeed Shahabi, Leila Zarei, Seyyed Taghi Heydari *, Kamran Bagheri Lankarani
    Background

    The psychosocial risks and job stress have been considered as the most important factors affecting the occupational health and safety and, therefore, exerting significant impact on the health conditions of individuals, organizations, and national economy.

    Objectives

    The present study investigated the experiences of the nurses working in COVID-19 wards of specialty hospitals in Shiraz, Iran.

    Methods

    Semi-structured interviews were carried out via telephone. A total of 15 participants (11 nurses and 4 active supervisors of COVID-19 wards) were included in the study. A conventional content analysis was applied.

    Results

    COVID-19 ward nurses had a perception of differentiation because they had experienced difficult conditions and had higher social responsibilities. However, they managed to retain their social responsibilities despite suffering from anxiety and fear, physical and mental pressures, as well as various deficiencies. Four themes including fear and anxiety, burnout, deficiencies, and expectations were explored in this study.

    Conclusions

    Overall, COVID-19 pandemic was found to have posed several challenges for nurses as the front-line staff in Iran. Therefore, it was recommended that necessary measures and strategies should be adopted in order to address these challenges.

    Keywords: Expectations, Burnout, Anxiety, COVID-19 Wards, Nurses}
  • Majid Farahian *, Yusef Rajabi
    Background

    The present study set out to examine English for Specific Purposes (ESP) for nursing instructors’ perceptions of what constitutes quality ESP delivery and their perceptions on the challenges that may inhibit the provision of the quality in ESP education for nursing students.

    Methods

    To obtain data, first, the questionnaire of quality of education in ESP was given to ESP instructors. They were asked to fill in the questionnaire and rank strategies for effective ESP education. Secondly, 13 volunteer instructors were interviewed to delve into the problems of teaching ESP to nursing students.  Thirdly, to examine ESP students’ expectations, 15 students were interviewed.

    Results

    The findings from the first research question showed that the quality of ESP courses was not satisfactory. Comprehension of the texts and communication in the foreign language were among what the students’ prioritized. With particular reference to the strategies for effective ESP education, the instructors pointed to the integration of skills. Moreover, the instructors believed that certified professionals need to be hired to go with ESP specialization as well as the fact that a needs-based curriculum has to be redesigned. The major problems that ESP instructors often cope with were i. e., organizational, learner-related, and teacher-related problems.

    Conclusion

    ESP for the students of nursing seems to be experiencing a deeply-felt demand for reform and this kind of reform depends on a series of remarkable changes. Hence, the present study has important implications for ESP educational policymakers, and curriculum designers.

    Keywords: Quality of ESP courses, Nursing students, Expectations, Challenges to ESP course}
  • مجید فیروزی، محسن گل پرور*، اصغر آقایی
    مقدمه

    کژکاری جنسی در بسیاری مواقع با عدم تعادل عاطفی و انتظارات ناکارآمد در آمیخته است. این پژوهش با هدف مقایسه اثربخشی زوج درمانی هیجان مدار، زوج درمانی شناختی-رفتاری و زوج درمانی سیستمی-شناختی گاتمن بر تعادل عاطفی و انتظارات ناکارآمد در زنان دارای علایم کژکاری جنسی اجرا شد.

    روش کار

    پژوهش از نوع نیمه آزمایشی در سه مرحله پیش آزمون، پس آزمون و پیگیری (دو ماهه) با گروه شاهد بود. جامعه آماری زنان مبتلا به کژکاری جنسی همراه با همسران خود در تابستان و پاییز 1400 بودند، که از میان آن ها 72 زوج به صورت هدفمند انتخاب و در چهار گروه (هر گروه 18 زوج) گمارده شدند. پرسشنامه تعادل عاطفی داینر و همکاران  و پرسشنامه انتظارات از ازدواج جونز و نلسون برای سنجش متغیرهای وابسته در سه مرحله استفاده شد. سه گروه درمانی، هر یک طی 8 جلسه 90 دقیقه ای تحت درمان قرار گرفتند و گروه شاهد هیچگونه درمانی دریافت ننمود. داده ها با استفاده از تحلیل واریانس اندازه های تکرار شده و آزمون تعقیبی بونفرونی تحلیل گردید.

    یافته ها

    نتایج نشان داد در تعادل عاطفی در پس آزمون و پیگیری بین درمان هیجان مدار (05/6- و 83/5-)، درمان شناختی-رفتاری (89/6- و 67/6-) و درمان سیستمی-شناختی (28/6- و 05/6-) با گروه شاهد (83/9- و 83/9-) و در انتظارات از ازدواج نیز بین سه درمان در پس آزمون (هیجان مدار 38/34، 30 و 44/13، شناختی و رفتاری 83/32، 61/30 و 83/14 و شناختی-سیستمی 72/33، 30 و 39/13) و پیگیری (هیجان مدار 44/34، 83/29 و 33/13، شناختی و رفتاری 05/33، 33/30 و 78/14 و شناختی-سیستمی 89/33، 94/29 و 39/13) با گروه شاهد تفاوت معناداری وجود دارد (01/0>p). بین سه درمان با یکدیگر در اثربخشی بر تعادل عاطفی و انتظارات از ازدواج تفاوت معناداری به دست نیامد (05/0<p).

    نتیجه گیری

    بر اساس نتایج پژوهش، زوج درمانی هیجان مدار، شناختی-رفتاری و سیستمی-شناختی در افزایش تعادل عاطفی و انتظارات واقع بینانه و کاهش انتظارات ایده آل گرایانه و بدبینانه در زنان دارای کژکاری جنسی اثربخش هستند. پیشنهاد می شود در مراکز درمانی این سه درمان برای زنان مبتلا به کژکاری جنسی استفاده شوند.

    کلید واژگان: انتظارات, عاطفه, درمان هیجان مدار, درمان شناختی-رفتاری, درمان سیستمی, کژکاری جنسی}
    Majid Firozi, Mohsen Golparvar*, Asghar Aghaei
    Introduction

    Sexual dysfunction is often associated with affect imbalance and inefficient expectations. The aim of this study was to compare the effectiveness of emotionally focused couple’s therapy, cognitive-behavioral couple’s therapy and Gottman systemic-cognitive couple’s therapy on affect balance and marriage expectations of woman with sexual dysfunction.

    Methods

    This research was a semi-experimental study with a pretest, posttest and two months follow up design with a control group. The statistical population included all woman with sexual dysfunction and their spouses in fall 2021. From them, 72 couples were selected by purposive sampling method and randomly assigned to three experimental groups and a control group (18 couples for each group). affect balance scale of Diener et al and marriage expectations scale of Jones and Nelson was used to assess dependent variable in three stages. The three treatment groups were each treated for 8 sessions of 90 minutes and the control group did not receive any treatment. The data were analyzed by repeated measure analysis of variance and post-hoc Bonferroni test by version 26 of SPSS software.

    Results

    The results showed that, in the post-test and follow up phases, in affect balance, there is a significant difference between emotionally focused therapy (-6.05 & 5.83), cognitive-behavioral therapy (-6.89 & -6.67) and systemic-cognitive therapy (-6.28 & -6.05) with the control group (-9.83 & -9.83), and also in marriage expectations there is significant difference between three treatment in posttest (emotionally focused therapy 34.38, 30 & 13.44, cognitive-behavioral therapy 32.83, 30.61 & 14.83, and systemic-cognitive therapy 33.72, 30 & 13.39) and follow up (emotionally focused therapy 34.44, 29.83 & 13.33, cognitive-behavioral therapy 33.05, 30.33 & 14.78, and systemic-cognitive therapy 33.89, 29.94 & 13.39) and the control group (p <0.01). There was no significant difference between three treatments with each other in affect balance and inefficient expectations (p>0.05).

    Conclusion

    According to the research results, emotionally focused, cognitive-behavioral and systemic-cognitive couple’s therapy are effective in increasing affect balance and realistic expectations, and in reducing idealistic and optimistic expectations in women with sexual dysfunction. It is recommended that these three treatments be used for women with sexual dysfunction in therapeutic centers.

    Keywords: Expectations, Affect, Emotionally Focused Therapy, Cognitive-Behavioral Therapy, Systemic Therapy, Sexual Dysfunction}
  • سوما بهمنی*، روناک شاهویی، خالد رحمانی
    پیش زمینه و هدف

    مراقبت های دوران بارداری باهدف حفظ حاملگی سالم ازنظر سلامت جسمی و پیامدهای مطلوب روحی برای مادر، نوزاد و خانواده انجام می شود. با توجه به اینکه سلامت و پیشرفت هر جامعه تا حدود زیادی بر سلامت زنان استوار است، این مطالعه باهدف تعیین کیفیت مراقبت های دوران بارداری از دیدگاه گیرندگان خدمات با استفاده از الگوی سروکوال در زمان پاندمی کووید-19 در مراکز جامع سلامت شهر سنندج انجام شد.

    مواد و روش کار

    در این مطالعه توصیفی-تحلیلی 400 نفر از زنان مراجعه کننده به 10 مرکز جامع سلامت شهر سنندج جهت دریافت مراقبت های دوران بارداری موردمطالعه قرار گرفتند. روش نمونه گیری به صورت نمونه گیری به صورت خوشه ای (خوشه 10 تایی) بود. از هرکدام از مراکز 4 خوشه (40 زن باردار) انتخاب شد. برای گردآوری داده ها از پرسشنامه سروکوال استفاده شد. داده ها با استفاده از نرم افزار Stata نسخه 14 و آمار توصیفی، آزمون t مستقل، آنالیز واریانس یک طرفه (یا معادل ناپارامتریک آن ها به ترتیب من ویتنی و کروسکال والیس) همچنین آزمون کای اسکویر و تست دقیق فیشر تجزیه وتحلیل شدند.

    یافته ها:

     در همه ابعاد پنجگانه کیفیت خدمات، شکاف منفی کیفیت وجود داشت. شکاف کلی کیفیت در این مطالعه 0.66- بود. بیشترین میانگین این شکاف در بعد ملموسات (44/1-) و کمترین میانگین در بعد همدلی (02/0-) بود. همچنین میان ادراکات و انتظارات مراجعه کنندگان در ابعاد ملموسات، اطمینان و تضمین تفاوت آماری معناداری دیده شد (P0.05).

    بحث و نتیجه گیری:

     بر اساس نتایج، میان سطح انتظارات و ادراکات دریافت کنندگان مراقبت های دوران بارداری در زمان پاندمی کووید-19 فاصله وجود داشت. انتظارات گیرندگان خدمات فراتر از ادراکات آن ها از وضعیت موجود بوده و هنوز فضای زیادی برای اصلاح به منظور نیل به رضایت گیرندگان خدمات و ارایه خدمات بهداشتی درمانی مطلوب وجود دارد.

    کلید واژگان: ادراکات, انتظارات, شکاف کیفیت, مراقبت های دوران بارداری, الگوی SERVQUAL, کووید-19}
    Soma Bahmani*, Roonak Shahoie, Khaled Rahmani
    Background & Aims

    prenatal care is performed with the aim of maintaining a healthy pregnancy in terms of physical health and favorable mental outcomes for the mother, baby, and family. Considering that the health and progress of any society is largely based on the health of women, this study was conducted with the aim of determining the quality of prenatal care from the perspective of the service recipients using the SERVQUAL pattern during the Covid-19 pandemic in sanandaj comprehensive health centers.

    Materials & Methods

    In this descriptive-analytic study, 400 women referring to 10 comprehensive health centers in Sanandaj city to receive prenatal care were studied. The sampling method was cluster sampling (10 people in each cluster). 4 clusters (40 pregnant women) were selected from each center. SERVQUAL questionnaire was used to collect the data. Data were analyzed using Stata version 14 software and descriptive statistics i.e. independent t-test, one-way analysis of variance (or their non-parametric equivalent i.e. Mann-Whitney and Kruskal-Wallis, respectively), as well as chi-square test and Fisher;#39s test.

    Results

    There was a negative quality gap in all five dimensions of service quality. The overall quality gap in this study was -0.66. The highest mean of this gap was in the concrete dimension (-1.44), and the lowest mean was in the empathy dimension (-0.02). Also, a statistically significant difference was seen between the perceptions and expectations of the clients in terms of tangibles, assurance, and guarantee (P0.05).

    Conclusion

    Based on the results, there was a gap between the level of expectations and perceptions of prenatal care recipients during the Covid-19 pandemic. The expectations of the service recipients was beyond their perceptions of the existing situation, and there is still large gap for improvement in order to achieve the satisfaction of the service recipients and provide the desired health care services.

    Keywords: Perceptions, Expectations, Quality Gap, Prenatal Care, SERVQUAL Pattern, Covid-19}
  • معصومه عبدی تالارپشتی، قهرمان محمودی عالمی*، محمدعلی جهانی
    زمینه و هدف

    یکی از د لایل نارضایتی مراجعه کنند گان از سازمان های بهد اشتی این است که این سازمان ها توقعاتی ایجاد می کنند که قاد ر به ارایه آنها با توجه به انتظارات مرد م نیستند. پژوهش حاضر با هد ف ارایه مد ل برند سازی خد مات بهد اشتی با رویکرد مراجعه کنند گان انجام گرد ید. 

    روش بررسی

    این مطالعه ی ترکیبی کمی-کیفی د ر سال 1399 انجام گرد ید. جامعه آماری پژوهش برای قسمت کیفی شامل خبرگان د انشگاهی و سازمانی به روش تکنیک د لفی 20 نفر بود. برای قسمت کمی مراجعه کنند گان به مراکز بهد اشتی830 نفر، انتخاب شد ند. روایی پرسش نامه از طریق روایی صوری، محتوا، سازه ای و پایایی آن با آلفای کرونباخ 0/96 تایید گرد ید. د اد ه های کمی توسط نرم افزار سیستم معاد لات ساختاری (EQS) Equations Structural System  ورژن 6/1 با تحلیل عاملی تایید و با استفاد ه از معاد لات ساختاری ارایه گرد ید. 

    یافته ها:

     با توجه به یافته های ساختار عاملی د ر برند سازی خد مات بهد اشتی شش محور اصلی جایگاه رقابتی، ارزش ویژه، قابلیت د سترسی، تثبیت برند د ر ذهن مراجعان و بازار، استراتژی های برند سازی، ارتباط برند با مراجعان و بازار د ر برند سازی خد مات بهد اشتی با 19 حیطه ی فرعی، انتظارات مراجعه کنند گان (RMSEA=0/09, SRMR=0/9 ,TLI=0/9, CFI=0/9) نشان د اد ه شد ه را  تایید کرد و از برازش خوبی برخورد ار است. هم سانی د رونی آیتم ها سطوح معنی د اری داشتند (05/P<0).

    نتیجه گیری

    نتایج این مطالعه نشان می د هد که 19 حیطه ی فرعی، ساختار شش عاملی برند سازی خد مات بهد اشتی را تایید می کنند که جزو محورهای تاثیر گذار د ر برند سازی از د ید گاه مراجعه کنند گان بود. ازآنجایی که برند سازی خد مات بهد اشتی موجب ارتقای کمیت و کیفیت خد مات ارایه شد ه د ر نظام سلامت می باشد، پیشنهاد می گرد د با ایجاد نوآوری د ر کمیت و کیفیت خد مات ارایه شد ه، قابلیت د سترسی به خد مات سلامت، ایجاد مزیت رقابتی و توانمند نمود ن کارکنان و ارتقای مهارت های ارتباطی بتوان د ر برنامه ریزی برند سازی خد مات بهد اشتی گام موثر برد اشت.

    کلید واژگان: خدمات بهداشتی, انتظارات, بیماران, مراکز بهداشتی, برندسازی}
    Masoomeh Abdi Talarposhti, Ghahraman Mahmoudi Alemi*, MohammadAli Jahani
    Background and Aim

    One of the reasons that caused healths clients are feeling dissatisfaction with health organizations is expectations that they are creating and not able to meet according to their expectations. Therefore, the present study was conducted with the aim of production a branding model for health services with the of clients’ expectations approach.

    Materials and Methods

    This compound study was performed in 2021. The statistical population of this study in qualitative phase included 20 academic and institutional experts using snowball sampling and the Delphi technique. For the quantitative phase, 830 people referred to health centers were selected as service recipients. The validity of the questionnaire was confirmed by face, content, and structural validity, and its reliability was confirmed by Cronbach’s alpha of 0.96 Quantitative data were presented by EQS software version 6.1 with confirmatory factor analysis and using structural equations.

    Results

    The results of factor structure in healthcare branding based on six main themes of competitive position, brand equity, brand accessibility, brand consolidation in the minds of clients and the market, branding strategies, and consumer-brand relationship with 19 sub-themes based on the perspective of health services clients (CFI=0/9, TLI=0/9, SRMR=0/049, RMSEA=0/09) had a good fit and the internal consistency of the items had significant levels (P<0/05).

    Conclusion

    The results of this study show that 19 sub-main themes confirm the six-factor structure of health services branding and were one of the effective themes in branding from the perspective of clients. Since the branding of health services improves the quantity and quality of services provided in the health system, therefore, it is suggested that by creating innovation in the quantity and quality of services provided, access to health services, creating a competitive advantage and empowering employees and improving communication skills, an effective step can be taken in health services branding planning.

    Keywords: Health Services, Expectations, Patients, Health Centers, Marketing Sciences}
  • یوسف رجبی*، مجید فرهیان

    هدف پژوهش حاضر بررسی انتظارات اساتید از آموزش درس زبان تخصصی و کاوش در نظر آنها در خصوص این دوره درسی بود. روش پژوهش حاضر پیمایشی و جامعه آماری این مطالعه شامل 57 نفر از اساتیدی بود که در دانشگاه علوم پزشکی کرمانشاه، کردستان و ایلام زبان تخصصی را تدریس می کردند. جهت گردآوری داده ها از پرسشنامه محقق ساخته استفاده شد. مقدار پایایی پرسشنامه محقق ساخته 0/74 بود. یافته ها نشان داد که اساتید انتظار داشتند درک متون تخصصی مهمترین هدف دوره زبان تخصصی باشد و فراگیری دستور زبان مورد توجه کمتری قرار گیرد. همچنین نظرات اساتید  که از طریق پرسشنامه گردآوری گردید حاکی از آن بود که در دوره های فعلی توجهی به مهارت های ارتباطی نمی شود. افزون بر این، اساتید معتقد بودند که کلاس های این دوره درسی شلوغ بوده و وضعیت آموزش به شکل فعلی قابل قبول نیست. در ضمن با توجه به گزارش شرکت کنندگان، از نرم افزارهاو آزمایشگاه های زبان بهره گرفته نمی شود. نتایج پژوهش حاکی از اهمیت بالای توجه به مهارت های ارتباطی علاوه بر درک مطلب و فراگیری معنای لغات و اصطلاحات برای دانشجویان پرستاری می باشد. با این رویکرد، ضروری است که دوره های درسی زبان تخصصی مورد بازنگری جدی قرار گرفته و مبانی نظری روزآمد مورد توجه قرار گیرند.

    کلید واژگان: نتظارات, دوره درسی, زبان تخصصی, دانشجویان پرستاری, کرمانشاه}
    Yosef Rajabi *, Majid Farahian

    The present study aimed at investigating English for specific purposes (ESP) instructors' expectations and attitudes towards teaching ESP to students of nursing in medical universities. As a survey study, the participants were 57 ESP instructors teaching at medical universities of Kermanshah, Kurdistan, and Ilam. A researcher-made questionnaire was used to gather the data. The reliability coefficient of the researcher-made questionnaire equaled 0.74. The findings of the study revealed that the participating instructors expected the comprehension of reading passages to be the main goal of ESP courses at medical universities and that learning English grammar to be of the least degree of importance. Moreover, the participants' pointed to the dearth of attention to communicative skills in such courses. Additionally, the instructors argued that crowded ESP classes do not guarantee accountability in teaching. Furthermore, the instructors complained about the lack of facilities like language labs and language learning softwares in ESP courses. To conclude, paying due attention to communicative and interactive skills besides a concern for reading comprehension and vocabulary building, is of utmost priority in ESP courses. Hence, it seems incumbent upon ESP curriculum developers and course designers to evaluate ESP courses profoundly and take advantage of new theories in the realm of ESP.

    Keywords: Expectations, Curriculum, English for Specific Purposes (ESP), Students of Nursing, Kermanshah}
  • مهسا معمار، احمد ترکفر*، لیلا جمشیدیان، سید محمدعلی میرحسینی
    زمینه و هدف

    یکی از عوامل موثر در موفقیت و بقاء هر سازمان از جمله آموزش عالی، توجه به کیفیت خدمات است. مطالعه حاضر با هدف انتظارات و ادراکات دانشجویان دانشگاه آزاد از کیفیت خدمات آموزشی در دوران کرونا جهت پیشبرد سلامتی با استفاده از مدل سروکوال انجام گرفت.

    روش کار

    در این پژوهش توصیفی-پیمایشی، از بین دانشجویان رشته تربیت بدنی دانشگاه های آزاد اسلامی جنوب کشور (فارس، بوشهر، هرمزگان و کهکیلویه و بویر احمد) به روش طبقه ای نسبتی، 371 نفر گزینش شدند. با استفاده از پرسشنامه ی استاندارد ابعاد پنجگانه مدل سروکوال رسول آبادی و همکاران (2013)، داده های لازم در دو زمینه ادراک و انتظارات گردآوری شد. داده های جمع آوری شده به روش ویلکاکسون با استفاده از نرم افزار SPSS-20 مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    نتایج نشان داد در تمامی ابعاد کیفیت خدمات آموزشی، شکاف منفی وجود داشت. این شکاف دارای میزان ملموسات (71/1-)، شایستگی اساتید (44/1-)، پاسخگویی (21/1-)، محتوای درسی (30/1-)، نحوه آموزش (22/1-) و اعتبار (35/1-) بود.

    نتیجه گیری

    به طو کلی نتایج مطالعه حاضر نشان داد که دانشجویان از کیفیت خدمات آموزشی دانشگاه های آزاد اسلامی جنوب کشور راضی نیستند و خدمات آموزشی ارایه شده انتظارات دانشجویان را جهت پیشبرد عوامل اموزشی و سلامتی برآورده نمی کند.

    کلید واژگان: انتظارات, ادراکات, کیفیت خدمات, سلامتی, کرونا}
    Mahsa Memar, Ahmad Torkfar*, Leyla Jamshidian, Seyd MohammadAli Mirhosseini
    Background & Aims

    Gaps in expectations and perceptions of service delivery in an organization are inevitable; But what is important is the degree of gap in the field of inter-organizational competition. Now that the expansion of universities in Iran is moving from a quantitative to a qualitative stage, the need for such research to help improve the quality of education and further the health of students is felt more than ever. In this regard, the present study was conducted with the aim of expectations and perceptions of Azad University students about the quality of educational services during the corona to promote health using the Servqual model. One of the effective factors in the success and survival of any organization, including higher education, is to pay attention to the quality of services. The current study was to examine the expectations and perceptions of Azad University students about the quality of educational services during the corona to promote health using the Servqual model.

    Methods

    The present study is applied in terms of the type of research and according to the method of data collection is a descriptive and survey type of research and considering that the statistical population of this research is students of physical education in Islamic Azad universities in the south of the country (Fars , Bushehr, Hormozgan and Kohkiluyeh and Boyer Ahmad) in the academic year 1399-99, this research has been cross-sectional. Sampling was done in several steps, first the sample of all universities was calculated and then the sample of each university was obtained as a relative class and in a simple random sample in each university. Final sampling was performed. The required number of samples was determined using Morgan table 384 people, of which a total of 371 questionnaires were collected and analyzed statistically. Out of 371 people, 212 are men and 159 are women. Also, from the total number of participants, 154 people from Fars Islamic Azad University, 74 people from Bushehr Islamic Azad University, 62 people from Hormozgan Islamic Azad University and 81 people from Kohkiluyeh and Boyer Ahmad Islamic Azad University were selected. In this descriptive-survey study, 371 physical education students of Islamic Azad universities in the south of the country (Fars, Bushehr, Hormozgan and Kohkilouyeh and Boyer Ahmad) were selected by proportional stratified method. Using the standard questionnaire of five dimensions of Servqual model of Rasoulabadi et al. (2013), the necessary data were collected in two areas of perception and expectations. The collected data were analyzed by Wilcoxon method using SPSS-20 software.

    Results

    The average perception in each of the dimensions of the quality of educational services to promote health is lower than the level of expectations, which has led to a negative gap. The values of this gap according to each component include tangible (-1.71), professorschr('39') competence (-1.44), accountability (-21.21), course content (-1.30), teaching method (-1.22)  and valid (-1/35); Therefore, prioritizing the dimensions of the quality of educational services of the free universities of the south of the country based on the students chr('39')point of view is as follows: tangibles, professorschr('39') competence, credibility, course content, teaching method and accountability.

    Conclusion

    In general, the results of the current study indicate that students are not satisfied with the quality of educational services of Islamic Azad universities in the south of the country and the educational services provided do not meet the expectations of students to promote educational and health factors. The gaps observed in all components and in the five dimensions of service quality can be used as a guide for proper planning and resource allocation. Therefore, it is recommended to improve and enhance the quality of services; Workshops should be held for faculty members, faculty members, and staff to enhance their technical and communication skills, and studentschr('39') views should be used in educational programs to promote health with a student-centered perspective. Providing appropriate educational spaces and optimizing existing spaces can also be effective in increasing student satisfaction and health. The last point is that due to differences in courses and educational levels, equipment facilities, staff and faculty members in universities, as well as cultural, social, etc. characteristics in different societies, the views of service recipients on the quality of services, perceptions and Their expectations are different. Therefore, to improve the quality of educational services in the country, such research is recommended to other universities. But the present study has some limitations. This study was conducted among physical education students of Islamic Azad universities in the south of the country (Fars, Bushehr, Hormozgan, Kohkluyeh and Boyer-Ahmad). He was careful. Also, due to some characteristics of the statistical population used, such as different educational levels of the subjects and the small size of the research sample, the generalization of the research findings to other organizations should be done with caution.

    Keywords: Expectations, Perceptions, Service Quality, Health, Coronavirus}
  • الهه دقیق بین*، یزدان عبدالمحمدی
    مقدمه

    در حال حاضر برآورده کردن نیازها و انتظارات بیماران از اهداف اصلی سازمان های ارایه کننده ی خدمات سلامت بشمار می آید. با توجه به این که آگاهی از ادراکات و انتظارات بیماران نقش مهمی در ارایه ی بهتر و با کیفیت تر خدمات بهداشتی درمانی می شود، این پژوهش با هدف مقایسه انتظارات بیماران با ادراکات آنها از کیفیت خدمات بهداشتی درمانی در بیمارستان های آموزشی شهرستان نیشابور با استفاده از مدل سروکوال انجام شد.

    مواد و روش ها

    این مطالعه یک پژوهش مقطعی است که در سال 97-96 برروی 271 نفر از بیماران بستری در بیمارستان های حکیم و 22 بهمن نیشابور انجام شد. روش نمونه گیری طبقه ای تصادفی و ابزار جمع آوری داده ها با پرسشنامه ی 22 سوالی سروکوال بود. تجزیه و تحلیل داده ها بهکمک نرم افزار آماری SPSS نسخه 17و با استفاده از آمار توصیفی واستنباطی (تی مستقل، تی زوجی و ضریب همبستگی پیرسون و آنالیز واریانس یک طرفه) انجام شد.

    یافته ها

    نتایج نشان داد که در تمام ابعاد پنجگانه ی کیفیت خدمات ارایه شده، بین انتظار و ادراک بیماران تفاوت معنادار آماری وجود داشته (0/05<p) و میانگین نمرات بیماران در ابعاد مربوط به انتظار بیشتر از ادراک است. بیشترین تفاوت ادراک و انتظار مربوط به ابعاد قابلیت اطمینان (57/6-) و پاسخگویی (27/5-) و کمترین تفاوت مربوط به بعد همدلی (94/2-) بود. 

    نتیجه گیری

    تحلیل کیفیت خدمات سبب آگاهی مسیولین از حوزه های نارضایتی بیماران و بکار بستن اقدامات لازم شده و فاصله بین انتظارات و ادراکات بیماران را کاهش می دهد.

    کلید واژگان: کیفیت خدمات بیمارستانی, مدل سروکوال, بیمار, انتظارات, ادراکات}
    Elahe Daghighbin*, Yazdan Abdolmohammadi
    Introduction

    It is currently fulfilling the needs and expectations of patients and providing their satisfaction from the main goals of the organization of health services. Because awareness of patients chr('39') perceptions and expectations plays an important role in providing better and more quality health care services, this study aimed to compare expectations of patients with their perceptions of health care quality among educational hospitals in Neyshabur city using the servqual model.

    Materials and Methods

    A recent cross-sectional study was conducted on 271 patients admitted to Hakim hospitals and 22 Bahman Neyshabur hospitals from 2017 to 2018. A Systematic random sampling method and 22-Question SERVQUAL Questionnaire was used to collect data. Data were analyzed by SPSS software ver 17 and using descriptive and inferential statistics (Independent t, Paired t, Pearson correlation, one-way ANOVA).

    Results

    The results showed that there is a significant difference between the quality of services provided and the expectations and perceptions of patients in all aspects of the five dimensions (p<0.05). The difference between expectation and perception was related to the dimensions of reliability (-6.57) and responsiveness (-5.27) and the lowest gap was related to the dimension of empathy (-2.94).

    Conclusion

    The quality analysis of services has led to the awareness of authorities in the areas of patient dissatisfaction and the use of procedures and reduces the distance between expectations and perceptions of patients.

    Keywords: Hospital service quality, servqual model, patient, expectations, perceptionsrceptions}
  • اکرم شاهرخی، مهدی رنجبران، سمیه زارعی*
    زمینه

     شناسایی درست انتظارات اعضای خانواده بیماران بستری در بخش آی سی یو یک ضرورت برای پرستاران است. 

    هدف

     این مطالعه با هدف تعیین و مقایسه انتظارات خانواده بیماران بستری در بخش های آی سی یو، از نظر اعضای خانواده و پرستاران شاغل در این بخش ها انجام شد. 
    مواد و روش ها: در این مطالعه توصیفی تحلیلی 147 خانواده بیمار و 137 پرستار بخش های آی سی یو بزرگسالان بیمارستان های  آموزشی قزوین در سال 1397 با روش نمونه گیری سرشماری مورد مطالعه قرار گرفتند. داده ها با استفاده از پرسش نامه مولتر جمع آوری شد و با آزمون های آماری تی مستقل، ضریب همبستگی پیرسون، آنالیز واریانس یک طرفه و مجذور کای مورد تجزیه و تحلیل قرار گرفت.

    یافته ها: 

    نتایج نشان داد که نمره کلی انتظارات و همه زیرمقیاس های آن در اعضای خانواده به طور معنی داری بیشتر از پرستاران است (0/001>P). همچنین نتایج نشان داد که درجه اهمیت و اولویت بندی انتظارات خانواده بیماران از نظر پرستاران و خانواده بیماران بسیار متفاوت است. دلیل بستری بیمار با نمره کل انتظارات و تمام خرده مقیاس ها، همچنین سابقه بستری عضو خانواده با خرده مقیاس های  اطلاعات و نزدیکی رابطه معنی دار نشان داد (0/05>P). در پرستاران، سن و سابقه خدمت آنان نیز با نمره خرده مقیاس های دست یابی به اطلاعات، اطمینان و راحتی رابطه معنی دار را نشان داد (0/05>P).

    نتیجه گیری:

     این مطالعه نشان داد نظرات خانواده بیماران و پرستاران در خصوص انتظارات خانواده بیماران بر هم منطبق نیست؛ بنابراین لازم است پرستاران انتظارات اعضای خانواده را نیز مدنظر قرار دهند.

    کلید واژگان: انتظارات, خانواده بیماران, بخش مراقبت ویژه, پرستاران}
    Akram Shahrokhi, Mahdi Ranjbaran, Somayeh Zarei*
    Background

     Properly identifying the expectations of family members of patients admitted to Intensive Care Units (ICUs) is a necessity for nurses. 
    Objective The present study aimed to determine and compare the expectations of ICU patients’ families according to the perceptions of ICU nurses and family members.

    Methods

     In this descriptive-analytical study, 147 families of ICU patients and 137 ICU nurses of hospitals in Qazvin were selected as study samples through a census method. Data were collected using Molter’s Critical Care Family Needs Inventory (CCFNI), and data analysis was performed using the Pearson correlation test, one-way ANOVA and chi-square at a significant level of P<0.05.

    Findings

     The overall score of CCFNI and its subscales for the family members were significantly higher than in the nurses (P<0.001). The degree of importance and prioritization of family expectations were different between patients’ families and nurses. The reason for patient hospitalization had a significant association with the overall score of CCFNI and its subscales. Moreover, the family history of hospitalization showed a significant correlation with the CCFNI subscales of information and proximity (P<0.05). The age and work experience of nurses had a significant association with the CCFNI subscales of information, assurance, and comfort (P<0.05).

    Conclusion

     Family members of ICU patients and nurses have different perceptions of the expectations of patients’ families. Nurses need to consider the expectations of patients’ family members.

    Keywords: Expectations, Patient’s family, Intensive care unit (ICU), Nurses}
  • Haniyeh Nazem, Hadi Raeis Abdollahi, Abasat Mirzaei*
    Background

    Health care services are costly and complex and provide facilities that significantly affect the economy and quality of life of individuals. In this study, we determined the gap between patients’ expectations and perceptions of hospital service quality to provide reference data for creating strategies to improve health care quality.

    Methods

    In this descriptive cross-sectional study, five private hospitals in Tehran were selected. Using a simple random sampling method, 110 patients were recruited and voluntarily responded to the standard service quality (SERVQUAL) model questionnaire. Data were analyzed by the K-S test, t-test, and paired t-test using SPSS V. 23.

    Results

    The results showed that among the quality of health care components, the highest mean was related to the responsiveness (M=3.89) and the least was related to the tangible dimension (M=3.11). The lowest average quality gap (perceived service and expected service) was seen in the responsiveness dimension (2.96 and 3.28) and followed by reliability (2.66 and 3.90), tangible (2.53 and 3.91), empathy (1.36, 3.19), and assurance dimensions (2.39 and 4.75).

    Conclusion

    The findings revealed a significant difference between the patients’ perceived and expected services, which indicates that the quality of services as perceived by patients was lower than their expectations. According to the findings, the assurance dimension had the greatest gap. To reduce or eliminate the existing gap, it is suggested that hospitals consider strategic and operational planning to improve hospitalization experience‏, quality of medical services, and hospital resources.

    Keywords: Quality of service, Perceptions, Expectations}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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