مجله تعالی بالینی
سال دوازدهم شماره 1 (پیاپی 35، تابستان 1401)

Currently, innovation management in advancing organizational goals is an indisputable necessity in the health system. The survival of organizations, including universities, depends on innovation and a learning culture. Innovation management is significantly affected by the learning culture. Innovation management affects the inter-sectoral processes of important units of medical universities. Innovation management is the cornerstone of the knowledge-based economy in the higher education field. Therefore, the present study aimed at reviewing the innovation management with the mediating role of learning culture in medical sciences education. The present study was a systematic review in which the keywords were determined based on MESH and then searched in databases like SID, Iran Medex, Pubmed, Google scholar, Cochrane, Scopus, Web of Science Uptodate and Magiran. The search results led to the discovery of 98 articles that were studied by the authors through basic thematic analysis. At the end, 14 articles were obtained. Finally, 11 articles on thematic and content criteria with the aim of studying intercourse were included in the systematic review study. Various studies showed that the characteristics of innovation management with the mediating role of learning culture in the direction and future of higher health education system and factors such as education management style, human resources, organizational incentives, organizational culture, absorption capacity, structure Organization, teaching methods, resources and facilities can be identified as one of the most important aspects of innovation management. The results of the present study showed that innovation management criteria with the mediating role of learning culture in higher health education with emphasis on the country's priorities is an important principle that is effective in compiling a foresight document and roadmap for achieving authority in medical education. This could be a beacon for the National Center for Strategic Research in Medical Education.

Pneumonia is an infection of the lung parenchyma caused by a bacterial, viral, or fungal infection. In some cases of bacterial pneumonia, the infection progresses and causes necrosis and destruction of the lungs, and finally parapneumonic effusion occurs. This effusion arise from the spread of pleural inflammation and infection, or infection in other areas adjacent to the pleura, such as the retropharynx, vertebrae, abdomen, and retroperitoneal spaces. In the beginning, parapneumonic effusion, the pleura becomes inflamed, and then, due to inflammation and damage to the vascular endothelium, proteins, fluids, and leukocytes leak into the pleural space, and the fluid inside the chest gradually increases. At the time of formation, the effusion is usually sterile with a low leukocyte count .Over time, bacteria invade the fluid and lead to empyema. The presence of severe purulent fluid in the pleural cavity is called empyema .The aim of this study is etiology, diagnosis and treatment of empyema in children.

Education of health and medical sciences in this era needs treatment because therapeutic education alone cannot have an effect on high health goals. The body of education should also be repaired. Therefore, the present study aims to analyze the strategy of medical science education with a therapeutic approach along the treatment of education. The present study is a review study by searching the databases of ISI Web of Knowledge, PubMed, Medline, Scopus and Google Scholar with the keywords of medical science education, therapist education, treatment, prevention, preventive education during the years 1995 until now. Based on the few studies that have been carried out in the field of education and treatment strategies or their interactions, and the targeted search and analysis of the results have shown that the goals of health and medical science education cannot be pushed to the training of successful therapists. Rather, it should be revised and rewritten in order for graduate therapists to modify the body of treatment with an educational approach and apply treatment with the aim of preventive education. Maybe this strategy is time-consuming and expensive, but in the long run, therapists will achieve prevention from the approach of treating patients. In addition, changing health behaviors in the short and long term is a major health investment and will greatly affect health policies. In the pandemic crisis of the world and during the emergence and reappearance of new diseases, it is important to review the community-oriented medical science education program, and this will be realized when the treatment is based on the basic principles of health and treatment and is on the right path to health.

Respecting for ethics principles in nursing care of elderly is important; but the degree of compliance varies in clinical settings. This narrative review study aimed to review components of clinical professional ethics in nursing care of elderly. The search was conducted in a purpose-based method based on appropriate syntax from valid and available international databases and sources including Scopus, Web of Science, Pubmed, ProQuest and Persian databases or local sources including Irandoc, idml.research, Magiran, SID   between 2000 and 2020. The key words covered Professional Ethics, Clinical Professional Ethics, Medical Ethics, Clinical Ethics, Professional Ethics and Elderly Care, Clinical Aging Care, Aging Nursing Care. After searching databases and information sources, 269 articles were found. Of these, 33 articles were selected as most relevant to our objectives and were examined. By extracting the results of the studies, two main categories and 9 subcategories were extracted, which include attitude (demographic factors, social factors, physiological factors of the patient, legal factors and moral attention) and performance (privacy, integrity, autonomy and education). The results showed a moderate to positive attitude towards professional ethics in providing nursing care for the elderly and also most of the nurses studied had moderate moral performance. Providing nursing services with respect and attention to the elderly is achieved if the providers of these services have a proper attitude and ethical performance to their clients. Therefore, clear ethical guidelines, continuing education to improve ethical knowledge and behaviors, and a nursing support system or program must be established.

The mission of management and the main goal of managers of any organization is the effective and efficient use of various resources and facilities of the organization such as labor, capital, energy materials and information. On the other hand, when organizations create and develop innovation activities, Face more uncertainty and variability in the innovation process and need creative staff That Be flexible, risk-averse, and tolerant of uncertainty and ambiguity; therefore, organizations should be involved in hiring Emphasize these features more.  The recent twenty years articles were used in the Persian and English journals from databases in the Google Scholar, ProQuest, Elsevier, Pubmed, ISI (Web of Science), SID, Iran Medex and Scopus. The search for articles from the mentioned databases was mainly done using keywords; talent management, innovation and sport organization and health-oriented organizations. The process of selecting articles was based on this strategy: In the initial search, 94 articles were obtained, and after studying the titles and abstracts, 54 articles were selected. Following the research process, 34 articles were selected by reviewing the content and full text of the article, of which 26 articles had the necessary characteristics and were in accordance with the indicators and objectives of the study. The review analysis along with qualitative approach was used. The findings showed that Most studies have shown the relationship and positive effect of talent management and innovation on organizational approach and consequently the performance of sports organizations. Also, the course of the studied models is developmental. Considering the dimensions and elements of each model and their combination with each other, the key variables of these models can be placed in health-oriented organizations such as the Tehran Municipality Sports organization.