Journal of Education and Health Promotion最新文献

{"title":"The effect of peer-assisted learning on medication error occurrence among undergraduate nursing students: A randomized controlled trial.","authors":"Somayeh Azarmi, Amir H Pishgooie, Faeze Baniyaghoobi, Fatemeh Ghavidel, Farzaneh Taghaee","doi":"10.4103/jehp.jehp_653_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_653_25","url":null,"abstract":"<p><strong>Background: </strong>Medication administration is one of the most sensitive duties of nurses and an essential part of the treatment and care process. Nursing students are more likely to make medication errors because of their inexperience and lack of ability. The importance of clinical education using modern approaches is undeniable. This study was conducted to investigate the effect of peer-assisted learning on medication error occurrence among undergraduate nursing students.</p><p><strong>Materials and methods: </strong>This study is a randomized controlled trial, conducted in 2023-24, involving 50 fourth-semester undergraduate nursing students at a nursing school in Tehran, Iran. Students were chosen through a census method, and randomly divided into intervention and control groups. The intervention group was taught pharmacotherapy via peer teaching, and data were collected using the Medication Error Occurrence Questionnaire (MEOQ). The data analysis was performed using SPSS software, and descriptive statistical tests such as mean, SD, frequency, and percentage were employed. Several other statistical tests were utilized, including Fisher's exact test, Chi-squared test, independent <i>t</i>-test, and paired <i>t</i>-test.</p><p><strong>Results: </strong>Before the intervention, there were no significant differences in medication error occurrence between the intervention and control groups (<i>P</i> > 0.05). Upon utilizing peer teaching, the intervention group exhibited significant reductions in medication error occurrence, from 65.76 ± 9.75 to 56.76 ± 13.69 (<i>P</i> = 0.001). In contrast, the control group experienced a slight reduce in medication error occurrence level, from 68.32 ± 12.41 to 66.28 ± 18.94 (<i>P</i> = 0.276).</p><p><strong>Conclusion: </strong>Peer teaching significantly reduced nursing students' medication error occurrence, recommending its adoption as an innovative educational method. It is recommended that the peer method be used to improve the clinical education of nursing students.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"341"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and implementation of a pediatric failure to thrive registry system in Iran.","authors":"Sahar Khademi, Mostafa Langarizadeh, Abbas Sheikhtaheri","doi":"10.4103/jehp.jehp_852_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_852_25","url":null,"abstract":"<p><strong>Background: </strong>Failure to thrive (FTT) refers to inadequate growth caused by an inability to acquire or use enough calories for growth. It refers to a failure to develop over time, which can lead to more serious problems in adulthood if left untreated. FTT is a significant global health concern, particularly in developing countries like Iran. Effective FTT management necessitates timely, inclusive, and precise data on children's FTT status. A pediatric FTT registry system is a useful tool for gathering and managing data on children with FTT. This study proposes a pediatric FTT registry system for Iran.</p><p><strong>Materials and methods: </strong>A developmental-applied study was conducted in three phases during 2024. The first phase involved defining the features of a pediatric FTT registry system through interviews with experts. The second phase entailed expert validation using the Delphi method. In the third phase, the software was designed based on a conceptual model using the Hypertext Preprocessor programming language and the Laravel framework. PostgreSQL was employed as the database management system. Moreover, Nielsen's Ten Usability Heuristics was used to evaluate the software's usability from the users' perspectives.</p><p><strong>Results: </strong>Experts validated the features of the pediatric FTT registry system, resulting in a framework that included eight headings, 24 sub-headings, and 117 data elements. The usability assessment of the software revealed that the highest number of issues concerned the \"error prevention\" indicator, whereas the \"aesthetic and minimalist design\" indicator presented the fewest problems and was assumed flawless.</p><p><strong>Conclusion: </strong>A pediatric FFT registry system contributes significantly to service planning, management, disease surveillance, and research. Accordingly, future research is recommended to investigate the feasibility of implementing the pediatric FFT registry system in Iran.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"366"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and validation of a multisensory game-based tooth brushing education tool for children with visual and hearing impairment.","authors":"H Esther Nalini, Preetha Elizabeth Chaly, Sharath Asokan, Uma Sudhakar, Kalpana Balakrishnan, Kathirselvam Muthusamy","doi":"10.4103/jehp.jehp_346_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_346_26","url":null,"abstract":"<p><strong>Background: </strong>Children with sensory disabilities exhibit a poor oral hygiene and a high prevalence of gingivitis and dental caries. Tailored multisensory oral health education interventions may improve tooth brushing skills and oral health. To develop and validate a multisensory game-based educational intervention to teach tooth brushing to children with visual and hearing impairments.</p><p><strong>Materials and methods: </strong>A developmental research design was used. A prototype was developed after literature review and expert interviews. This was validated by dentists and special educators and field tested among 15 children with visual impairment and 15 with hearing impairment with 7 play sessions over 4 weeks. Comprehensibility and acceptability were assessed through structured feedback, and effectiveness was measured by evaluating tooth brushing skills.</p><p><strong>Results: </strong>Experts agreed with the relevance, sequential accuracy of the brushing technique, and clarity of the game (Item-level Content Validity Index (I-CVI) and k* =1.00), confirming excellent content validity. Dentists suggested minor modifications regarding sequencing flexibility and a special educator suggested audio/light cues. Children with visual impairment rated the game and the tooth brushing technique as easy to understand and the components easy to handle (I-CVI = 1.00), enjoyable (I-CVI = 0.93), and some suggested larger models. Children with hearing impairment showed perfect agreement across all aspects of the game. The children showed improvements in their tooth brushing skills (W = 0.00, <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The developed game-based educational intervention demonstrates strong validity and acceptability for oral hygiene education among children with sensory impairments. These findings support further evaluation of long-term effectiveness and application in oral health promotion.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"354"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Localizing the main components of competencies in high-level managers based on health system evaluation indicators: Content analysis approach.","authors":"Shiva Hosseini Foladi, Masoud Ferdousi, Mozhdeh Taheri Afshar, Parvin Sepehr, Parvaneh Dehghan, Ali Safdarian, Vahideh Karimi","doi":"10.4103/jehp.jehp_1137_24","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1137_24","url":null,"abstract":"<p><strong>Background: </strong>Managers play a key role in organizations. Competence of managers has become an important issue for organizations. This issue is very important for high-level managers in health-oriented organizations. Therefore, the purpose of this study is to identify and determine the components and analyze the core competencies of high-level managers in the field of health in medical sciences universities of the country, with the approach of content analysis.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted using the content analysis method in 2023-2024. Data collection included retrieving documents from relevant databases. The studied population was high-level managers in the field of health promotion (presidents, vice presidents, university professors, and experienced human resource managers). For this purpose, semi-structured interviews were conducted with managers. The purposeful sampling method was chosen, and finally, the sampling was continued until the saturation time. The interview text was analyzed and the opinions of experts were included to extract key concepts and categorize them into main topics using 12 MAXQDA software. Finally, the Delphi technique was used to determine the components of the main competencies of high-level managers of Iranian medical sciences universities.</p><p><strong>Findings: </strong>In this study, after analyzing the content of the interviews, 5 dimensions of the main components, including managerial competencies, perceptual competencies, personality (individual) competencies, communication competencies, and moral competencies were determined. Also, the results of MAXQDA software identified 30 components for 5 dimensions.</p><p><strong>Conclusion: </strong>Considering the key role of universities in the development of various ecosystems, it is considered very important to pay attention to the competencies of managers who are at the top of decision-making in medical sciences universities. Identifying, localizing, and determining the main and core components of competencies in high-level managers can be used as a tool to select health system managers based on these competencies. This choice can take steps towards improving the level of health and health education and adopting appropriate health policies in this field, the efficiency of the health system and the quality effectiveness of the management of medical sciences universities.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"337"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the storm: A qualitative research on contributing factors to diabetes burnout in young adults with type 1 diabetes.","authors":"Samereh Abdoli, Leila Rafiee-Vardanjani, Kobra Noorian, Mehri Doosti-Irani","doi":"10.4103/jehp.jehp_963_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_963_25","url":null,"abstract":"<p><strong>Background: </strong>Diabetes burnout is a serious and often overlooked condition marked by emotional exhaustion, detachment, and a sense of helplessness in managing diabetes. This qualitative content analysis study seeks to uncover the underlying factors that contribute to the onset and persistence of diabetes burnout. Understanding these factors is essential for informing targeted interventions and supportive policies to improve the well-being of individuals living with Type 1 diabetes.</p><p><strong>Materials and methods: </strong>Eleven adults with T1D in Shahrekord, Iran, were recruited using purposive sampling to ensure diverse perspectives. Fourteen semi-structured interviews (50-60 minutes each) were conducted in Persian, with two participants completing follow-up sessions. Interviews were recorded, transcribed verbatim, and analyzed using Elo and Kyngäs's three-step process: open coding, categorization, and abstraction. Trustworthiness was ensured through prolonged engagement, peer debriefing, member checking, and application of Lincoln and Guba's criteria.</p><p><strong>Results: </strong>Qualitative analysis revealed four interrelated themes contributing to burnout: (1) disruptions in self-management routines (e.g., sleep, exercise, diet); (2) external stressors and resource limitations (e.g., economic instability, healthcare access, medication shortages); (3) fluctuations in physical and emotional well-being; and (4) the role of interpersonal and social support. Many of these challenges were exacerbated by the COVID-19 pandemic, which disrupted healthcare routines and increased psychosocial stress. Participants likened their experience to navigating a suspension bridge-requiring constant adaptation amid instability. These findings highlight the need for holistic diabetes care that addresses both medical and social dimensions, especially during times of crisis.</p><p><strong>Conclusion: </strong>This study reveals diabetes burnout as a critical but often overlooked barrier to effective diabetes management. Disruptions in daily routines, compounded by crises, heighten burnout risks. Aligning with global health policy benchmarks, our findings support the need for integrated care that addresses both medical and psychosocial aspects of diabetes. Health systems should prioritize mental health support, routine stability, and access to essential resources to improve long-term outcomes for people with type 1 diabetes.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"372"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of students' perspectives regarding the effectiveness of clinical training: A research endeavor congruent with social responsibility.","authors":"Zahra Mehri, Azam Jahangirimehr, Mohammad Nikzadian, Zohreh Nematollahzadeh, Sima Hashemi, Seyed Ali Musavi, Mohsen Monjezi","doi":"10.4103/jehp.jehp_353_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_353_25","url":null,"abstract":"<p><strong>Background: </strong>Clinical education is a fundamental component of medical training. This study examines the experiences of clinical students across various health professions to provide valuable insights for educational planners involved in designing effective and socially relevant clinical training curricula.</p><p><strong>Materials and methods: </strong>This descriptive-analytical study employed a stratified random sampling method to select clinical students from the disciplines of nursing, midwifery, operating room technology, and pre-hospital emergency medicine at educational institutions in Shoushtar. Data were gathered using a standardized questionnaire designed to evaluate factors affecting the quality of clinical education. The data were analyzed using Pearson correlation, Chi-square tests, independent t-tests, and analysis of variance (ANOVA).</p><p><strong>Results: </strong>A total of 190 students participated in the study, including 60 males and 130 females, with ages ranging from 18 to 39 years. Participants were enrolled in nursing (<i>n</i> = 105), operating room technology (<i>n</i> = 30), midwifery (<i>n</i> = 40), and emergency medicine (<i>n</i> = 15) programs. Male students reported significantly lower scores in areas related to student-teacher interactions, the learning environment, and evaluation criteria. Notably, overall clinical education scores demonstrated a decreasing trend with increasing age. Emergency medicine students achieved the highest scores, while those in nursing and operating room programs recorded the lowest.</p><p><strong>Conclusions: </strong>The mean scores related to educational objectives, instructor quality, student-teacher interactions, and the learning environment were lower among male students, older participants, and those enrolled in nursing and operating room programs. These findings highlight the need for targeted educational interventions to improve clinical training objectives, enhance the involvement of qualified instructors, and foster more supportive learning environments.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"351"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of digital health interventions in strengthening human resources for primary healthcare systems in India: A systematic review.","authors":"Sanjana Agrawal, Silka S Biswal, Girish Bommakanti, Krishna Reddy, Shweta Singh","doi":"10.4103/jehp.jehp_341_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_341_26","url":null,"abstract":"<p><p>Inlow- and middle-income countries (LMICs) like India, Human Resources for Health (HRH) constitute the backbone of a health system, providing critical services to ensure equitable, accessible, and high-quality healthcare for all. However, they are often overburdened, which hinders their performance and impact. The digital health interventions can appear as a boon to assist and enhance the performance of HRH, thereby delivering better healthcare services. To evaluate the impact and the effectiveness of digital health interventions on healthcare workforce capacity building in primary health care settings in India. A systematic review of published research was conducted as per the PRISMA guidelines. Online databases (PubMed and Google Scholar) were explored to identify studies written in English from January 2015 to March 2025 that discuss digital health interventions within Primary Healthcare settings or involve human resources in those settings in the Indian context. The review included all forms of messaging, voice calls, and interactive voice responses as interventions. A total of 22 studies were included (cRCTs: 6; RCTs: 5; interventional: 4; Quasi-experimental: 3; pre-post: 3; pseudo-RCT: 1). In terms of health conditions, the most studied area was Maternal and Child Health, addressed in 9 studies. The studies reported positive outcomes resulting from mobile health interventions. The digital health interventions were found to strengthen adherence to clinical protocols, improve maternal education, and enhance treatment outcomes, reinforcing their potential role in shaping future public health strategies.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"379"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinant factors of sexual and reproductive health literacy among adolescents in Indonesia: A national population-based study.","authors":"Wildan Satrio Darmawan, Sigit Ari Saputro, Sukarno Sono, Antonius Yansen Suryadarma, Monita Destiwi, Philip Etabee Bassey","doi":"10.4103/jehp.jehp_92_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_92_26","url":null,"abstract":"<p><strong>Background: </strong>Sexual and reproductive health literacy (SRHL) among adolescents is a global public health concern. Almost half of all new cases of sexually transmitted infections have been associated with health literacy among youth. Limited SRHL has led to negative behaviours and their impact on health-related outcomes. Therefore, the purpose of this study was to identify the determinants of SRHL among adolescents in Indonesia.</p><p><strong>Materials and methods: </strong>This study drew on the most recent nationwide, population-based cross-sectional study and applied Nutbeam's functional health literacy framework. SRHL was determined as a composite index and classified into three levels: limited, inadequate, and adequate. Pearson's Chi-square test was used to determine the different proportions of SRHL. Binary logistic regression with a complex survey design was used to evaluate the factors associated with SRHL. The crude and adjusted odds ratios (AOR) along with 95% confidence intervals (CI) were reported.</p><p><strong>Results: </strong>The magnitude of adequate literacy was 32.69% (95% CI, 31.92%-33.45%). Adolescents with advanced understanding and awareness of family function (AOR: 3.98; 3.36-4.72), female (AOR: 3.41; 2.90-4.02), internet usage (AOR: 3.07; 2.49-3.79), higher education (AOR: 2.96; 2.20-3.98), and dating experience (AOR: 2.52; 1.81-3.50) were associated with adequate SRHL in Indonesia. Moreover, parental knowledge (AOR: 2.03; 1.63-2.53), optimal information access (AOR: 2.35; 2.01-2.75), and liberal attitude toward early marriage (AOR: 2.16; 1.86-2.50) were more likely to have adequate literacy.</p><p><strong>Conclusion: </strong>Comprehensive public health strategies, including integrating reproductive health education, strengthening parental communication, and leveraging digital media were suggested to improve adolescent's health literacy.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"386"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing first-aid self-efficacy: A randomized trial comparing three interactive educational ınterventions.","authors":"Fatma Avsar, Birgul Vural, Ayla Korkmaz","doi":"10.4103/jehp.jehp_125_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_125_26","url":null,"abstract":"<p><strong>Background: </strong>Effective first-aid education is a critical public health strategy to reduce the burden on emergency services. This study aimed to evaluate and compare the effectiveness of three interactive first-aid training modalities (case-, video-, and drama-based) on university students' first-aid self-efficacy.</p><p><strong>Materials and methods: </strong>A three-arm randomized controlled trial with a pretest-post-test design was conducted. The study included 93 university students, randomly assigned to three intervention groups (<i>n</i> = 31 each). The intervention groups received six core first-aid topics delivered through case-, video-, or drama-based methods, while the control group received unstructured education. Data were collected using the \"First Aid Self-Efficacy Scale.\" Statistical analysis was performed using analysis of covariance to compare post-test scores while controlling for baseline differences.</p><p><strong>Results: </strong>More than 95% of the participants were unmarried, and more than 50% in each study group were female. Post-test mean scale scores were highest in the case-based group (194.16 ± 25.17), followed by the video-based (190.61 ± 24.08), drama-based (168.22 ± 54.37), and unstructured groups (162.29 ± 45.19). Baseline sociodemographic assessments revealed a statistically significant difference in gender distribution across groups (<i>p</i> = 0.008). However, after adjusting for these baseline scores, the study results showed no statistically significant differences between the three interactive training groups in total first-aid self-efficacy or its subdimensions at post-test (<i>p</i> > 0.050). While all groups demonstrated a longitudinal improvement in self-efficacy scores from preintervention to postintervention, no single interactive method demonstrated statistical superiority over the others.</p><p><strong>Conclusıon: </strong>Interactive first-aid training, regardless of the specific modality, is effective in enhancing students' self-efficacy. These findings suggest that educators can flexibly employ a range of interactive strategies to achieve comparable outcomes in prehospital emergency care training. Interactive first-aid training meets essential health policy benchmarks for emergency preparedness, offering educators flexible, effective, and interchangeable modalities to enhance public self-efficacy.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"376"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a model for conflict management in intensive care units: A grounded theory study.","authors":"Soheila Rabie Siahkali, Seyede Fatemeh Gheiasi, Mahin Roohani","doi":"10.4103/jehp.jehp_349_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_349_25","url":null,"abstract":"<p><strong>Background: </strong>Conflict is a very common phenomenon in the intensive care unit (ICU). Nonetheless, the aim of conflict-related strategies is not to eliminate conflicts but to effectively manage them. The aim of this study was to develop a model for conflict management (CM) in the ICU.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted in 2024 by using Corbin and Strauss's grounded theory design. Data were collected via 32 semi-structured interviews with 18 ICU nurses, observational notes, field notes, and memo writing. Participants were purposefully selected from hospitals affiliated to Zanjan University of Medical Sciences, Zanjan, Iran. Corbin and Strauss's method was used to analyze the data. Then, Walker and Avant's method was used to develop a prescriptive CM model.</p><p><strong>Results: </strong>Participants' main concern was a vicious relational cycle, and their strategy for its management was striving to build CM-based relational bridges. The outcome of this strategy was doubtfulness over compromise or silence. The compromise-based relationship model for CM was developed with three main components, namely the management of the situation, awareness of CM strategies, and development of communication skills.</p><p><strong>Conclusion: </strong>The CM process depends on the sociocultural characteristics of nurses and healthcare organizations. The establishment of appropriate relationships is the key prerequisite to CM and depends on the development of nurses' professional skills and strong organizational support. Therefore, health policymakers should consider developing communication and CM skills in nurses.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"357"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}