Clinical Governance in Iran: Theory to Practice

Ravaghi, Hamid; Mohseni, Maryam; Rafiei, Sima; Zadeh, Nasrin Shaarbafchi; Mostofian, Farnaz; Heidarpoor, Peigham

doi:10.1016/j.sbspro.2013.12.607

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…Clinical governance is a framework that considers each service providing organization responsible for making persistent improvement in the quality of its services. Patient involvement is one of the seven pillars of clinical governance ( Hooshmand, Tourani, Ravaghi, & Ebrahimipour, 2014 ; Ravaghi et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Patient Involvement in Safe Delivery: A Qualitative Study

Olfati¹,

Asefzadeh²,

Changizi³

et al. 2015

GJHS

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Introduction:Patient involvement in safe delivery planning is considered important yet not widely practiced. The present study aimed at identifythe factors that affect patient involvementin safe delivery, as recommended by parturient women.Methods:This study was part of a qualitative research conducted by content analysis method and purposive sampling in 2013. The data were collected through 63 semi-structured interviews in4 hospitalsand analyzed using thematic content analysis. The participants in this research were women before discharge and after delivery. Findings were analyzed using Colaizzi’s method.Results:Four categories of factors that could affect patient involvement in safe delivery emerged from our analysis: patient-related (true and false beliefs, literacy, privacy, respect for patient), illness-related (pain, type of delivery, patient safety incidents), health care professional-relatedand task-related factors (behavior, monitoring &training), health care setting-related (financial aspects, facilities).ConclusionMore research is needed to explore the factors affecting the participation of mothers. It is therefore, recommended to: 1) take notice of mother education, their husbands, midwives and specialists; 2) provide pregnant women with insurance coverage from the outset of pregnancy, especially during prenatal period; 3) form a labor pain committee consisting of midwives, obstetricians, and anesthesiologists in order to identify the preferred painless labor methods based on the existing facilities and conditions, 4) carry out research on observing patients’ privacy and dignity; 5) pay more attention on the factors affecting cesarean.

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Section: Introductionmentioning

confidence: 99%

Patient Involvement in Safe Delivery: A Qualitative Study

Olfati¹,

Asefzadeh²,

Changizi³

et al. 2015

GJHS

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“…The World Health Organization recommends its member states to implement CG ( Rashidian, 2012 ). Iran ministry of health has promoted CG as a model to improve quality of care in all hospitals since 2009 ( Ravaghi et al, 2014 ), consisting of seven inter-locking components, namely the seven Pillars model ( Nicholls et al, 2000 ). The components are clinical effectiveness, clinical audit, risk management, patient and public involvement, education and training, staff management and use of information.…”

Section: Introductionmentioning

confidence: 99%

A Survey on Clinical Governance Awareness Among Clinical Staff: A Cross-Sectional Study

Ravaghi¹,

Khodayari‐Zarnaq²,

Adel³

et al. 2014

GJHS

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Objective:Clinical Governance (CG) program has been raised in Iran in order to improve the quality of clinical care. The purpose of this study is to investigate the awareness of clinical governance program among clinical staff working in selected teaching hospitals in Tehran, Iran.Methods:To investigate the CG awareness, a cross-sectional survey was conducted among 345 clinical staff working in 20 selected public hospitals in Tehran. Data were gathered using the standardized clinical governance awareness questionnaire. Descriptive statistics were used to analyze the data.Result:The results showed that the level of staff awareness about the concept of CG was low. They perceived continuous quality improvement, responsibility, medical errors reduction and patient safety as the main concepts of the CG framework. Reaching agreement of standards concepts among staff and positive changes in attitudes were considered as two most observed changes. The main perceived barriers to the implementation of clinical governance included lack of proper management and leadership, lack of full support, inappropriate organizational culture, lack of knowledge, poor communication system and insufficient training.Conclusions:The concepts and goals of clinical governance have not been effectively conveyed to the staff and despite its implementation in the hospitals, there has been low clinical governance awareness among the staff. Clinical Governance must be implemented through comprehensive management support and participation of all staff and health professionals at both hospital and policy making level.

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“…In November 2009, under document number 388044, the Iranian Ministry of Health and Medical Education (MOHME) implemented clinical governance to standardise and improve clinical services, increase efficiency and reduce costs [14]. Since then, a team dedicated to clinical governance, which includes experts and qualified members, has been working in all universities across the country.…”

Section: Introductionmentioning

confidence: 99%

“…Since then, a team dedicated to clinical governance, which includes experts and qualified members, has been working in all universities across the country. The team has run numerous quality promotion programmes that included goals such as increasing the satisfaction of hospital, clinic and family physicians, raising the motivation of employees and health system officials to provide optimal services, and implementing quality improvement mechanisms [14]. The core of the programme was based on two key points – collective responsibility and comprehensive reform of hospital structures.…”

Section: Introductionmentioning

confidence: 99%

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies

Behzadifar

Bragazzi

Arab‐Zozani

et al. 2019

Health Res Policy Sys

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BackgroundPolicy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. In November 2009, the Iranian Ministry of Health and Medical Education implemented new clinical guidelines to standardise and improve clinical services as well as to increase efficiency and reduce costs. The purpose of this study was to assess the challenges of implementing clinical governance through a meta-synthesis of qualitative studies published in Iran.MethodsTen databases, including ISI/Web of Sciences, PubMed/MEDLINE, Embase, PsycINFO, the Cochrane Library, CINAHL, Scopus, Barakatns, MagIran and the Scientific Information Database, were searched between January 2009 and May 2018. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines. Thematic synthesis was used to analyse the data.ResultsTen studies were selected and included based on the inclusion/exclusion criteria. In the first stage, 75 items emerged and were coded, and, following comparison and combination of the codes, 32 codes and 8 themes were finally extracted. These themes included health system structure, management, person-power, cultural factors, information and data, resources, education and evaluation.ConclusionThe findings of the study showed that there exist a variety of challenges for the implementation of clinical governance in Iran. To successfully implement a health policy, its infrastructure needs to be created. Using the views and support of stakeholders can ensure that a policy is well implemented.Trial registrationCRD42017079077. Dated October 10, 2017.Electronic supplementary materialThe online version of this article (10.1186/s12961-018-0399-5) contains supplementary material, which is available to authorized users.

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Clinical Governance in Iran: Theory to Practice

Cited by 6 publications

References 8 publications

Patient Involvement in Safe Delivery: A Qualitative Study

Patient Involvement in Safe Delivery: A Qualitative Study

A Survey on Clinical Governance Awareness Among Clinical Staff: A Cross-Sectional Study

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies

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