Journal of Education and Health Promotion

Force field analysis of driving and restraining factors affecting the evidence‑based decision‑making in health systems; comparing two approaches

. Tahereh Shafaghat; . Mohammad Kazem Rahimi Zarchi; . Mohammad Hasan Imani Nasab; . Zahra Kavosi; . Mahammad Amin Bahrami; . Peivand Bastani

Volume 11, Issue 10 , November 2021, , Pages 1-10

Abstract

BACKGROUND: All policies and decisions need evidence examined by scientific methods. Movingtoward evidence‑based decision‑making (EBDM) as a change in organizations, especially ... Read More BACKGROUND: All policies and decisions need evidence examined by scientific methods. Movingtoward evidence‑based decision‑making (EBDM) as a change in organizations, especially healthsystems (HSs), is inevitable. This study was conducted to identify the factors affecting EBDM in HSsfrom two approaches and to score them.MATERIALS AND METHODS: A mixed‑method study was carried out using the force field analysisregarding the change toward EBDM in HS in 2020. This study included six steps to identify andscore the key driving forces (DFs) and restraining forces (RFs) to change toward the EBDM inHS: first, finding forces from literature; second, selecting key DFs and RFs through focus groupdiscussion; third, scoring the first group of DFs and RFs by the experts through electronic forms;fourth, determining key DFs and RFs from the managers’ perspective using qualitative interviews;fifth, scoring the second group of DFs and RFs by the experts; and sixth, comparison between forcesresulted from two approaches.RESULTS: According to the literature and experts’ opinions, “relevant, reliable, interpretable, andunderstandable evidence” and “interaction between researchers and decision‑makers” were thestrongest forces to change, and “lack of organizational commitment and support” and “lack of relevant/high‑quality evidence” were the strongest forces against the change toward EBDM in HS. Further,based on managers’ perspective and scores by the experts, “suitable supervision and control” and“reforming the planning and decision‑making system” were the strongest forces to change, and“inadequate knowledge of the managers and staff about the principles and contents of EBDM” and“issues beyond the authorities of managers” were the strongest forces against the change towardEBDM in HS.CONCLUSIONS: Based on the findings, HSs’ managers can focus to reduce RFs and promote DFsfor implementing EBDM strategies, so they can provide better services by making more efficientdecisions.

Iranian University students’ stressors and coping strategies: A qualitative study

. Fatemeh Khademian; . Azam Aslani; . Ramin Ravangard; . Mohammad Nami; . Samaneh Abbasi; . Peivand Bastani

Volume 11, Issue 6 , July 2021, , Pages 1-10

Abstract

BACKGROUND: Although a certain amount of stress is essential, excessive stress can adverselyinfluence the physiological and mental health. Hence, this study aims to assess common stressorsand ... Read More

Oral health practitioners’ knowledge, attitude, and awareness about coronavirus: A systematic review and meta‑analysis

. Abdosaleh Jafari; . Mohammadtaghi Mohammadpour; . Arash Ghanbarzadegan; . Giampiero Rossi‑Fedele; . Peivand Bastani

Volume 11, Issue 1 , January 2021, , Pages 1-6

Abstract

BACKGROUND: Oral health practitioners are at the frontline of infection, particularly with respiratoryviruses such as the novel coronavirus. Knowledge, awareness, and attitude of these ... Read More

Journal of Education and Health Promotion

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Author = . Peivand Bastani

Force field analysis of driving and restraining factors affecting the evidence‑based decision‑making in health systems; comparing two approaches

Abstract

Iranian University students’ stressors and coping strategies: A qualitative study

Abstract

Oral health practitioners’ knowledge, attitude, and awareness about coronavirus: A systematic review and meta‑analysis

Abstract