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

The supply chain of hospital services is a relatively new and highly challenging field, and it is crucial for relevant officials to possess the necessary skills. The success in this domain relies on the characteristics of managers, their management practices, and their leadership style. This study aims to investigate the requirements of management and leadership in hospital services’ supply chain.

This study employed a two-stage mixed-methods approach carried out from 2018 to 2021. In the first stage, a qualitative study was conducted using purposive sampling and semi-structured in-depth interviews with 15 experts in various leadership positions. The data collected in this stage were analyzed using framework approach. Subsequently, the primary themes that emerged from the analysis were presented to 8 experts  in the form of a questionnaire. The experts' responses were then analyzed to determine the level of agreement on different topics using Delphi method, Kendall's coefficient of agreement, and the mean was compared through SPSS 21.

The experts identified transformationalism, planning capability, crisis management, and creativity as the most crucial factors. Furthermore, there was a high level of agreement regarding the influence of managers (4.62 ± 0.51), maintaining distance from mundane routines (4.50 ± 0.53), and attending to various incidents in hospital services supply chain (4.50 ± 0.53). Considering that Kendall Rank Correlation Coefficient (w) was 0.53 in the first round and 0.72 in the second round and was statistically significant, there was a strong consensus among the expert panel.

According to the results of the present study, it is necessary to pay serious attention to the change in management style and hospital services supply chain, there should be a special focus on the possibility of occurrence or impact of sudden accidents. Also, routine and ineffective actions should be eliminated and the managers and employees should be more creative to improve this chain. Transformational leaders should try to manage the hospital services supply chain by forming specialized teams and using the capabilities of employees with the reasonable use of financial resources and appropriate infrastructures, including information technology.

 In the age of globalization, innovation in education is obvious. Innovation in education means solving a real problem in a new and simple way to promote equitable learning. In this study, by implementing and evaluating the risks arising from the implementation of the strategy of transformation and innovation packages in medical education, the implementation of a national strategy was supported.

 This study is from the perspective of applied orientation, from the perspective of descriptive purpose and qualitative in terms of approach. This research was conducted using grounded theory method and Charms approach. The Statistical population included all educational assistants and heads of transformation and innovation packages in the land use planning. Data were collected (document review, participatory observation and interview) and coded in several stages (initial, centralized, central and theoretical coding). The risk model for qualitative study was also qualitatively assessed in light of the teachings of risk management (Rita Mulcahy).

 The model on demand from the stages of risk identification and evaluation was presented in a model consisting of 5 categories (structural, attitudinal, economic, managerial and operational risks) and 16 sub-categories and 39 concepts. Structural risks had the highest coefficient and operational risks had the lowest risk coefficient at the risk assessment stage. The total risk factor of the package strategy is 54 out of 80 units; this means that the risk of packages in execution is moderate.

 Implementing the strategy of transformation and innovation packages has many inherent risks that have been taken from the stage of strategy development to the stage of strategy implementation. Therefore, rewriting the strategy of packages as the accessible lever for risk control and management is recommended.

The semantic evolution of a word over time is inevitable, indicating a social, political, religious or cultural process. Nurse is one of the words that has a significant presence in Persian literature texts and has been used in many different meanings such as slave, servan, maid, devotee, obedient, patient and preserver. The purpose of this study is to show its semantic evolution by using the views of linguists and reviewing literary texts.

This research is a library study, which has been done by descriptive-analytical method. By referring to some classical texts of Persian language and by studying various articles and books and searching in valid databases, Like Magiran, SID, noormags, civilica, the materials were collected and the information obtained after analysis was presented in a regular format. Search keywords include nurse, Persian literature, meaning.

In this study, the works of poets and writers of Persian literature from the fourth century to the contemporary century (more than 70 works) were examined, based on which it was determined:
Shahnameh is one of the oldest literary texts in which the word nurse can be seen with high frequency. The semantic range of this word expands from the fifth century onwards with the expansion of the field of Persian language and the greater frequency of prose and poetic works. And finds new meanings. It seems that the word nurse was rarely used in the modern sense until today before the eleventh century.

The results of this study indicate a semantic change in the nurse in the classical texts of Persian literature. This semantic change has manifested itself in periods in the form of semantic development and in periods in the form of semantic allocation. Also, based on the findings of this study, it was found that this word has changed from meaning to whole to meaning to part and from general to specific meaning.

The purpose of this study aims to identify and explain the dimensions and components of the optimal implementation of transformation and innovation packages in medical education, which is an exceptional opportunity for educators and university officials.

This qualitative study was the type of content analysis and the statistical population of research and key informants who were selected by the use of targeted sampling with snowball method. And interviews to identify dimensions have continued to ensure theoretical saturation. Data analysis was performed with Max Kuda software (10 Maxqda). Data analysis was in the content analysis quality section for validity of the Delphi technique.

The findings of the study showed that the executive model of transformation and innovation packages in medical education has 9 main factors in the two sections of injuries and actions (Implementation, Structural, Politics, Environment, Management, Motivation, The proportion of abilities and jobs, cultural, leadership and 21 were sub-factors.

The most important factor based on research data is to pay attention to the views and differences of each university and the most important factor for the optimal implementation of the transformation packages in the leadership field, and this shows us that the organization's beneficiaries are involved in formulating the strategy. Failure to achieve those goals will be a suggested approach to improving medical education.

This research, with a new look at the phenomenonof transformation and its search in statesmen, seeks toinvestigate the transformation of the vision and behavior of theofficials of the Islamic Republic of Iran before and aftercoming to power, and also in comparison with the firstgeneration of officials of the Islamic Revolution.

Some researches related to thesubject in the field of the conditions of agents and therequirements of employing statesmen in the religious systemhave been studied before, and some of them have a degree ofcontent affinity with the title of this research. But so far, thestatesmen in the Islamic Republic have not been addressedfrom this angle. Due to the lack of resources and informationand the need to create a theory during the research process, thequalitative research method and foundation data were used,which was operationalized according to Strauss and Corbin'sthree levels of open, central and selective coding. The tool ofdata collection was interviews with knowledgeable persons atthe level of some officials and a group of persons familiar withthe subject. The conceptual framework of the research isdeveloped by borrowing from the theory of neuroticism andthe concept of transformation.

The analysis of the findings indicates that theoccurrence of contextual and insightful developments hastransformed some officials of the Islamic Republic and theiradherence and loyalty to the values of the 1957 revolution hasbeen replaced over time with the pursuit of individual, groupand family interests.

The nervousness at the beginning of therevolution, which was derived from religion and wealth, hasgradually turned into compassion and in the following decadesinto solidarity, duty, and finally, overtaking

The aim of the present study was to investigate the hidden and null curriculum in medical sciences in order to design a practical model according to the packages of the transformation and innovation plan "Case Study of Mashhad University of Medical Sciences".

 This qualitative research was a conducted by Granheim and Landman method in three steps include: 1- Semi-structured individual interviews with faculty, administrative staff in educational affairs and medical students in different basic and clinic courses, 2- two group interviews 3- assessing the content of some parts of all medical students logbook include Experiences, criticisms and suggestions from attending in different wards of the hospital and clinical training. .

 After analyzing individual interviews with professors and educational experts, the results showed that the hidden dimensions in the medical curriculum include 17 floors and 79 main codes and its neglected dimensions, including 9 floors and 43 main codes and from analyzing the lived experiences of students in The format of individual, group interviews and analysis of medical records, hidden and null dimensions of the curriculum, based on the design indicators in Mashhad University of Medical Sciences,11 floors and 80 curricula were obtained, based on which, the design of the curriculum model According to the packages of the transformation and innovation plan. The validity of the model was confirmed by the opinion of the elites.

In this study, we analyzed the hidden and null curriculum in medical sciences in order to design a practical model according to the "transformation and innovation plan" packages, which finally designed and presented the proposed model with 4 general themes and 24 floors.

Health reform plan in dentistry has been implemented systematically in Iran since 2014 in villages and cities with a population lower than 20,000 inhabitants. This study aimed to evaluate the impact of this plan on the utilization of dental services in Isfahan province.

Ten health centers with dentists contracted with the health reform plan were recruited. The frequency of dental services (examination, preventive care, restorative care, and extraction) was assessed. Four centers not in contract with this plan were considered as the control centers. To compare the frequency of provided services, the non-parametric tests of Mann-Whitney and Wilcoxon (α=0.05) were used (SPSS 22).

In the control centers, the cumulative frequency of provided care demonstrated no significant difference between 2014 and 2017. In the centers subject to the reform plan, there were increases in examination (p=0.02), amalgam (p=0.04), and composite restoration (p=0.04) in the age group of 6 years, and examination, extraction, amalgam, and composite restoration (p=0.007) in the age group of 6-12 years. In pregnant women, extraction (p=0.017), composite restoration (p=0.04), and scaling (p=0.012) increased significantly. In the six-year-old group, the means difference of extraction (p=0.036) and amalgam restoration services (p=0.024) and in the age group of 6-12 years, the means of extraction (p=0.014) and amalgam restoration (p=0.008) were significantly increased in the centers subject to the reform plan than in the control group.

After the implementation of the reform plan in health centers, dentists were more willing to provide preventive and restorative care that could be partially due to financial incentives.
 

The present article was conducted with the aim of presenting the model of empowerment of teachers in West Azerbaijan province based on the Iranian-Islamic model of the document of fundamental transformation of education.

In terms of developmental purpose and data type, the research method was part of a series of consecutive exploratory research, which was both qualitative and quantitative, which was done by the foundation data method, and in terms of method, it was a survey description. The statistical population in the qualitative part includes a number of experts and in the quantitative part includes all male and female school principals of West Azerbaijan province who were employed in the academic year 1399, whose number was 37,000. In the qualitative part 12 people were targeted by snowballs and in the quantitative part 380 people were selected according to Krejcie and Morgan table by cluster and random sampling method. The research tool was a researcher-made questionnaire. The apparent validity of the questionnaires was verified by experts and the content validity was verified using CVR forms. The validity of the structure in the form of convergent validity was the values of all factor loads above 0.50 and the reliability was confirmed by a coefficient of 0.868.

The results showed; In the developed model, 6 main factors and 20 components, including transformation, including: (knowledge of the environment, organizational health, responsibility), improvement (skills development, development of participatory management, monitoring and evaluation), providing a learning environment, including (spreading learning culture, providing Educational equipment, financing) Individual organizational factors including (personality, organization, motivation) Transcendence including (strengthening the governance of the educational system, development of organizational communication, belief training, emphasis on scientific orientation) Empowerment including (semantics, effectiveness, self-efficacy, Sense of competence).

Also, the obtained model has a suitable structure.

The present study aimed to identify the factors affecting the realization of the document of fundamental change in education using the Interpretive Structural Model (ISM) ‌ among these factors.

In this study, ISM interpretive structural model was used. The statistical population of this study consists of experts familiar with the document of fundamental change in education. Therefore, in the present study, using purposive sampling method, the sample size was determined to complete the questionnaire of 12 education charities. After identifying the factors affecting the realization of the document of fundamental change in education, the ISM model was used to analyze the status of the levels between these factors.

The findings showed that among the 14 factors extracted from the theoretical foundations, 7 are the main factors in the realization of the document. These 7 factors: diversification of learning environments, content reform, promotion of humanities, increasing the participation of the formal and public education system in the growth and excellence of the country, changing attitudes towards education, increasing the participation of teachers in religious and cultural fields , Social and political, establishing a model of compensation for services and ensuring the welfare of human resources, the expansion of justice in access to quality educational opportunities for individuals needed for education in the country.

The results showed that the factor of development and penetration of the Internet and intranet with the priority of filling the digital gap within the framework of the Islamic standard system and optimizing the payment system are among the influential factors at a higher level.

Background and The main focus of transformation and innovation in medical sciences is the development of infrastructures and decentralization. Therefore, the aim of this study was to identify the dimensions of university autonomy in pursuit of transformation and innovation in Mazandaran Medical Sciences Universities. . This study was applied in terms of purpose with an exploratory mixed approach, and the research strategies were descriptive survey in quantitative section. The statistical population, in qualitative section, was the faculty members of Mazandaran Medical Sciences Universities, among whom 10 persons were selected through targeted sampling method based on theoretical saturation, and was 434 faculty members among whom 204 ones were selected using stratified random sampling method based on academic rank in the quantitative section as a sample. Data were collected using a researcher-made questionnaire containing 75 questions. The face and content validity of the tool was confirmed by the experts, and its reliability and Cronbach's alpha with more than 0.7 were corroborated, too. Exploratory and confirmatory factor analysis tests were used for data analysis. The results showed that the academic autonomy had two dimensions: “structural and content”. The structural dimension had four components of autonomy (organizational, financial, policymaking, national and regional), and the content dimension had three components of autonomy (scientific-educational, research and technology). The structural and content dimensions with factor loading of 0.990 and 0.961 had the most and least dimensional effect, respectively. Considering the findings, it is necessary to pay attention to scientific freedom and autonomy in the universities to maintain the scientific quality and validity.

Transformation(Istihalah) is one of the purifiers that there is a consensus among jurists on it.  The reason is metamorphosing the issue of religious law into another. In this paper, we will define the meaning of the transformation and explain that it has not come from the Shari'ah but from the Convention(o'rf). The definition states: "Transformation means the change of an impure thing into something that has real or apparent purity customarily". Then we will examine concepts such as "metamorphosis" and "sublation" to clarify their differences with transformation. We will also take a look at the cases of doubt in the realization of transformation(Istihalah) and discuss in some examples and Fatwas about the differences between the Rule of Purity and the transformation(Istihalah).

The widespread changes in societies and the diversification of human needs on the
one hand, and the remarkable advances in medical sciences and chemistry, on the other hand, have led to the
use of a large range of people from products whose raw materials have been considered ritually impure in
Islamic jurisprudence, including soaps made including soaps made from pig components.The question now
is whether the changes made to these materials have changed their nature and eliminated their impure?

The present research is based on descriptions and the analysis of the Islamic
jurisprudential propositions and the library method to study the subject under discussion.

In response to this question, the Islamic schools have granted permission to transformation and
therefore permit the use and sale of such soap. On the contrary, others believe that transformation is not
certain or non- transformation is established. So the ritually impure is still left. This group is divided into two
categories, some of which do not allow the use of these types of products, but others, despite the impure of
use of these products, are entitled to use them for the needs of the people and in order to obviate the distress
and constriction. It seems that among the existing narrative, the transformation and, consequently, the use
and sale of products made from pig components, is more powerful than the existing ones.