Solutions of clinical guideline implementation in Iran: A qualitative study.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_1648_23
Mina Azizzadeh, Javad Babaie, Ali Janati, Sakineh Hajebrahimi
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引用次数: 0

Abstract

Background: Despite all of the positive effects that are considered for clinical guidelines, according to studies, it has been determined that there is a gap between the development of clinical guidelines and their implementation. This study was conducted to explore the practical solutions to smooth the way of implementing clinical guidelines in this country through interviews with experts.

Materials and methods: This descriptive qualitative study was conducted between January 2023 and October 2023. Data were collected through focused group discussions (FGDs) and semi-structured interviews. A purposive sampling method was used. The participants included specialist doctors, faculty members, employees, policymakers, and managers. Data collection continued until data saturation. The data of this study were analyzed by the qualitative content analysis method. Four criteria of validity, verifiability, trustworthiness, stability, and transferability were used for the reliability.

Results: The implementation solutions were classified into five main strategy categories, including providing necessary infrastructures, improving the development process of clinical guidelines, reforming the educational system of doctors and paramedics, providing a suitable implementation context, and creating a mechanism to follow up the implementation of guidelines.

Conclusion: The implementation of clinical guidelines in Iran should be paid attention to the form of a continuous process. Therefore, policymakers must have a process perspective. It is important to note that in addition to the need to provide the necessary infrastructure; this process begins with the development of clinical guidelines and continues with steps, such as the need for a proper educational system, proper implementation, and appropriate supervision.

伊朗临床指南实施的解决方案:一项定性研究。
背景:尽管临床指南被认为具有所有的积极作用,但根据研究,已经确定在临床指南的制定和实施之间存在差距。本研究通过对专家的访谈,探讨在我国顺利实施临床指南的可行方案。材料和方法:本描述性定性研究于2023年1月至2023年10月进行。通过重点小组讨论(fgd)和半结构化访谈收集数据。采用有目的的抽样方法。参与者包括专科医生、教员、雇员、政策制定者和管理人员。继续收集数据,直到数据饱和。本研究资料采用定性含量分析法进行分析。可靠性采用有效性、可验证性、可信度、稳定性和可转移性四个标准。结果:将实施方案分为提供必要的基础设施、完善临床指南的制定流程、改革医生和护理人员的教育体制、提供合适的实施环境、建立指南实施的跟踪机制等五大策略类。结论:伊朗临床指南的实施应注意形成一个连续的过程。因此,政策制定者必须有一个过程视角。重要的是要指出,除了需要提供必要的基础设施之外;这一过程从临床指南的制定开始,并继续采取步骤,例如需要适当的教育系统、适当的实施和适当的监督。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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