جستجوی مقالات مرتبط با کلیدواژه "mixed method study" در نشریات گروه "پزشکی"

The reciprocal interactions of reproductive processes and heart disease can lead to health complications in women. It is the duty of the health team to promote their reproductive health. The aim of this study was to develop a program to promote the reproductive health of women with heart disease.

In this Sequential exploratory mixed method study (July 2020 - July 2021, Isfahan), after a qualitative study and literature review, a reproductive health promotion program for women with heart disease was designed and validated in three Delphi rounds by 18 specialists and Health managers (targeted selection). We reported the results of the Delphi rounds in this study. The research environment was hospitals and faculties of Isfahan University of Medical Sciences and the study tools were checklists of demographic characteristics, strategies and program content. After analyzing the opinions, the structure of the joint reproductive health and heart disease clinic was developed.

Based on the findings of this study,the reproductive health promotion program for women with heart disease was presented in the structure of a joint reproductive health and heart disease clinic. In this clinic, the dimensions of reproductive health services (pre- and during-marriage counseling, pre-pregnancy care, etc.) are provided by a team of cardiologists, obstetricians in the form of a combination of health and treatment services.

This joint reproductive health and heart disease clinic was presented comprehensively in all aspects of reproductive health with the view of integrating health and treatment services as well as combining heart and reproductive services. The implementation of this program can be one step towards ensuring the reproductive health of these women.

One of the most important tasks of medical science universities is the training of qualified and specialized human resources to acquire the necessary skills and efficiency to meet the needs of society. Apprenticeship training is considered a serious issue in education; therefore, examining the current situation, identifying the problems in the trainee training and taking measures to rectify and correct them will lead to the achievement of learning objectives and the improvement of the quality of health services. The aim of the present study was to investigate the status of the clinical clerkship from the perspective of Esfarayen medical students.

This quantitative-qualitative study was conducted with 163 public health, nursing and emergency medicine students. In the quantitative phase, a standard questionnaire was used to assess check the status of the students' internships. The qualitative phase was also conducted with the aim of determining identifying the challenges in internships from the students' perspective through individual interviews and targeted group discussions.

The educational level of the internship was rated as relatively good with a standard average of 3.47. Although the academic situation of the students' internship was relatively good during the COVID-19 epidemic, there were always challenges in the course of the internship. In the individual interviews and group discussions, the challenges were identified in the form of 6 main codes (challenges related to the instructor, the students, the internship environment, the staff, the training programsand the clients) and 20 sub-codes.

Despite the relatively good condition of the clinical clerkship in a quantitative evaluation, these courses showed problems in a qualitative evaluation, such as insufficient experience and motivation of some professors and instructors, psychological problems of students, lack of educational facilities, weak interaction and participation of some staff, insufficient transparency of the training program, and lack of trust of patients in students. It is suggested to solve the challenges identified in this study to improve the quality and quantity of internship courses.

In the social accountability of the curriculum, all medical education activities are aimed at training doctors who are able to meet the health needs of society. In Iran's medical education system, there is a weakness in responding to the needs of society, and the connection between students and society has gradually weakened. The purpose of this study was to design and validate a clinical education curriculum model based on social accountability for general medicine students.

A sequential exploratory mixed-method approach was used to conduct this study at Tabriz University of Medical Sciences, combining qualitative and quantitative methods. The model was designed using the inductive content analysis method in the qualitative stage and validated through the descriptive-survey method in the quantitative stage. In order to collect data in the qualitative part, the method of studying previous documents, scientific texts and semi-structured interviews with experts and specialists was used, and in the quantitative part, a questionnaire prepared by the researcher was used. The model was developed using the views of 14 professors and 5 general practitioners, selected through purposive and sequential sampling until information saturation was reached.  The model was validated by obtaining opinions from 15 experts using a purposeful and criteria-based method. The content validity ratio (CVR) was estimated using the Lawshe's formula.

In the qualitative phase, this study identified the characteristics of an ideal clinical education curriculum for a general medicine course based on a social responsibility approach. The characteristics identified were based on the four elements of Tyler's model. Based on the findings of this part of the research, the extracted codes in 114 subcategories and 13 main categories include goals: knowledge, attitude, and skills; Content: clinical sciences and skills, health sciences, behavioral sciences, social and professional ethics, communication and leadership skills, and content organization; Teaching-learning methods educational strategies, and teaching-learning methods; Assessment methods performance assessment in vivo, performance assessment in vitro, and essay assignments. In the quantitative phase, the designed model's components and elements underwent validation through expert agreement and received approval with a content validity ratio of CVR=0.81.

In the proposed pattern, the clinical competencies required by general practitioners were the main focus of designing, explaining and describing curriculum elements. Also, this model is designed in such a way that it can meet the needs of society and medical students. It is suggested that medical school officials and curriculum planners use the proposed model in designing the curriculum of general medicine courses to enable medical students to respond to the needs of society.

Nurses played an effective role in the fight against COVID-19. The difficult physical and mental conditions that the nurses faced increased the stress in their work and family life. This study was conducted with the aim of developing and validating of stress management training package based on the lived experiences of nurses working in the COVID-19 ward in 2020.

The study was based on an exploratory sequential mixed method design. The first stage was done qualitatively and based on descriptive phenomenological strategy. Based on targeted sampling, 20 nurses were selected from the COVID-19 ward of Shahid Sadoughi Hospital in Yazd. The semi-structured interview was conducted, recorded, and written. In the quantitative stage for the validation of the package, while using the face validity and content validity, a panel of 12 experts was used for evaluation .

After extracting 9 main categories, the training package was developed according to the findings. Content validity index (CVI) and content validity ratio (CVR) were used to validate it. The coefficients in all items for the CVI were higher than 0.79 and for the CVR were higher than 0.56.

Empowering nurses in stress management is one of the effective ways to deal with this disease. Also, the training package has good face and content validity and has the necessary validity for educational and research applications.

Objective (s): 

The basic health services package is the minimum set of essential health services that all people should have access to it, but there is no consensus on the services included in a package or the services to be included. The aim of this study was to identify the dimensions and components for designing a basic package in Iran.

This was a mixed method study. In qualitative phase 25 in-depth individual interviews were conducted with experts from the Ministry of Health, incurrence organization and the Planning and Budget Organization, and the data were analyzed using content analysis method. In the quantitative phase 285 managers and faculty members were selected from the Ministry of Health, insurance organizations, and 12 universities of medical sciences. Data were collected using a two-part questionnaire, including demographic characteristics and evaluation of 58 criteria, and analyzed using SPSS.23 and Smart-pls.3.2.8 software for exploratory and confirmatory factor analyses.

8 Dimensions of community health priority, structure and potential capacity of service delivery system, peoplechr('39')s demands, cost effectiveness, benefits, funding, social acceptance of service, and governance obligations and requirements for designing a basic health services package were identified, of which 57 components were classified under these eight factors. According to the goodness of fit index in factor analysis, the overall performance of the model was strong (GOF = 0.8).

It is important to design a basic health service package. The basic health services package needs to be comprehensive and accessible so that all individuals are willing and satisfied to use the services.