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Background & Aims: Innovation, which is the result of the joint work of university and industry, is an initiative that improves the efficiency of innovation. This type of cooperation, i.e. collaborative innovation between university and industry, is called collaborative innovation. Collaborative innovation brings dynamism and vitality to companies and causes economic growth and expansion. (1). In fact, one of the important factors in innovation, and one of the important factors in economic growth and development, is the transfer of knowledge that takes place between universities and industry because this cooperation makes commercialization in companies easier (2). On the other hand, one of the things that has always been very important in knowledgebased companies is the commercialization process. This process has three separate phases, the ideation phase, the technology/product development phase, and the commercialization phase. First, an idea that has a demand in the market is created and cultivated. In the development stage, this idea becomes a product or technology, and commercialization is technological knowledge that has entered the market (9). In our beloved country of Iran, knowledge-based companies active in the field of medical products have succeeded in reaching self-sufficiency in the field of medical products to almost 40% in the past few years, but they have been very unsuccessful in the discussion of commercializing medical products for export to other countries. . Now, according to the capacity of our country, we can earn up to two billion dollars a year from the commercialization of these types of goods, which has a positive impact on the national economy. Therefore, the researcher seeks to solve these problems by presenting a model for commercialization. Therefore, the main research question is, what is the commercialization model of medical products for knowledge-based companies? Methods: The current research is of an exploratory and expansion type, which was conducted using a qualitative method. The statistical population of this research is experts with practical experience in the field of commercialization of products of knowledgebased companies in the science and technology park of Mazandaran province, and professors of the University of Medical Sciences and management professors of management faculties of universities of Mazandaran province, who are aware of the subject of the research. 12 people were selected as samples from among them by snowball method until full saturation. Then a semi-structured interview was conducted to collect data from them. Interviews were held one by one with each expert. After conducting the interviews (audio recording), the texts of the interviews recorded from the experts, on the same day of the interview, were transcribed word by word on paper and typed as research data., was used. The research data are analyzed on two levels, the textual level and the conceptual level The textual level includes the coding of the data, the conceptual level emphasizes the construction of the research model including establishing a relationship between the codes based on the Strauss and Corbin model. Also, in order to ensure the validity of the model, the strategy of analysis and review by knowledgeable people (multi-view) has been used. Results: To design the model using the foundation data method in the first step; Initial coding was done using the text of the interviews. In this step, one hundred and nine primary codes were extracted. In the second step; Axial coding was done. In this step, thirty-two axial codings were obtained from a total of one hundred and nine initial codes. In the third step; Selective coding Selective coding was done based on the results of open coding and axial coding in this step, which is the main step of theorizing. Thirteen codes were obtained. Also, the validity of the research model was done by using the analysis and review method by knowledgeable people, in this method, to check the validity of the research model, all the data and primary extracted codes were sent to other experts who are familiar with the issue of commercialization of medical products in knowledge-based companies. They were informed and experts were given and they were asked to modify and approve the designed codes, and all the codes were approved, thus the validity of this research was proved. Also, the reliability of the research was checked with Kreppendorf's alpha method, and the agreement of five experts on the codes was equal to 89%. Considering that this amount is more than 60%, the reliability of the codings of this research is confirmed. Conclusion: In this research, the causal conditions for the commercialization of medical products, four factors of human capital, technology, digital transformability of the company and environmental factors have been stated. (Shirvani, Tulai and Delavi, 2019 limited the causal conditions to digital technology. Considering these factors by the companies residing in the science and technology park, they can take into account all the effective factors in creating a successful business for their products and Don't just focus on technology. The strategies of this research have been identified in three dimensions; Financial strategies, market orientation and attracting cooperation of the University of Medical Sciences. Every business unit needs capital in order to set up and start its activity, and in order to develop and continue its activity, it needs new investment, which must be provided through financial resources (24). Access to financial resources is one of the important factors in the success of companies and one of the important concerns of companies at different stages of their life (25). Market orientation can be defined as a stage of organizational growth or as a level that reflects organizational maturity (26). Kotler has looked at market orientation as the final stage of the development of a business organization and believes that the market orientation is created along the development of different business orientations. Market orientation is based on marketing thinking and marketing thinking forms its philosophical foundation. (26). However, marketing thinking as a foundation and philosophical foundation is not enough. Because market orientation focuses not only on customers, but also on competitors, different organizational issues and many external factors that affect the needs and preferences of customers. [ABSTRACT FROM AUTHOR]

Background & Aims: The underlying factors of human behavior have been the subject of research for centuries, and the concept of happiness has generally been proposed as an answer to this question. The search for happiness is like every person. In recent years, intense work speed, working conditions, stress, anxiety, and technological advances have brought the concept of happiness to the fore. Therefore, the phenomenon of being happy, which is needed due to negative reasons arising today, has brought many questions about the definition and nature of happiness, its determinants, and whether it exists. Positive psychology, which focuses on the positive aspects of people, states that a person should actualize himself at the highest level. Today, football has become a global sport played by people in almost every corner of the world. This game attracts millions of people through its activities as players, coaches, referees, fans, volunteers, and supporters. Also recently, football has been identified as a driver with economic, social, and political influence for many stakeholders. So multinational companies invest billions of dollars in the field of financial support. Also, from childhood, players and teenagers in football schools choose their favorite football models and play on the football fields by imitating them. Football in developed countries has become a revenue-generating industry, and sports managers are looking for solutions that can make the best use of the potential around them and achieve their sports and economic goals in the shadow of that. In such a situation, managers are successful in creating better conditions for themselves by diversifying their work environment. Nowadays, most countries have realized that diversifying services and taking advantage of their direct and indirect benefits are not possible without proper planning and policies, and other organizations and companies need to formulate goals, strategies, and operational planning. It is so that, while being aware of the direction of movement, he can avoid any reworking, going astray, and wasting his physical financial, and informational resources. Currently, football schools are in trouble with their mushroom-like growth in terms of facilities, or they have drawn a goal other than the training and development of football talents, which if it were otherwise, even now, despite the many years of activity of these schools, the team We had strong players in the club and national level. Although some steps have been taken in this direction in recent years, it is not enough, and more attention should be paid to this matter. Perhaps a suitable solution is to identify ways to develop happiness and joy in football schools. By researching this and compiling it, football schools can play their crucial role in the sport and football of the country in the best way and without a doubt take their rightful place in developing talents. And its durability is getting closer every day; therefore, in this research, an attempt is made to investigate the effect of the factors affecting the vitality and vitality by relying on the diversification of football school services. Methods: The approach of the current research is a combination (of quantitative and qualitative). The statistical population of the qualitative part includes 17 sports management experts and physical training managers and coaches of the country's football leagues, and the statistical population of the quantitative part includes all the visitors to football schools in Mashhad, whose number was about 3000 people. The number of statistical samples in the qualitative section was 17 experts and in the quantitative section, the number was 306. The methods of collecting information are different in different stages. a) Collecting information and identifying the factors in the phase of identifying and studying related articles and books and interviewing experts, then according to the above question, there is a need to choose a specific criterion for including or not including the articles and works are done. To ensure that the research is well-formed. These criteria are necessary because as filters, they eliminate incorrect and irrelevant information. For this purpose, for a study to be considered in the systematic review of this research, it must first be a scientific article published in a university journal that has a scientific review, in addition to the fact that it must have been published between 2010 and 2020. In addition, it should be taken into consideration, whether it is in an operational method or in a conceptual way, it affects the goals of the research (study) since concepts and ideas in management progress and develop very quickly. This is the reason why articles older than fourteen years are not recognized as suitable because they can cause problems and distort the results. Of course, it should be noted that in addition to the articles selected based on the above criteria, some articles in lower-ranked journals and even articles presented at conferences have been considered to have more comprehensive access. To the literature related to this field. Papers were searched in Google Scholar, Springer, and ScienceDirect databases. To analyze the data, Lisrel software was used. Results: The results showed that the number of 34 open codes and 5 core codes (the existence of basic standards, safe physical facilities, service quality, having a written program and experienced trainers, and having a talent search program) are among the factors affecting vitality and vitality based on diversity. It is part of the services of football schools. Conclusion: In general, it can be said that by diversifying the services of football schools, it is possible to create a higher level of freshness and vitality in those who refer to football schools, which can improve the reputation of a football school and earn and increase Help the health level of people in the society. Undoubtedly, creating a happy and cheerful environment through the services of football schools in a good way and creating trust and understanding among families and every football school is of particular importance. On the other hand, this leads to branding and creating a brand image with the customer as a tool to create loyalty in customers and gain profitability as well as the sustainability of the organization. If we can design a good brand name and adhere to the commitments that we claim in the brand name, we can guarantee their loyalty to our future services. Because the football school has a set of organizational facilities it is profitable to enter into other businesses using those resources, and the branding of the football school means searching and entering into businesses that are well with The company's facilities are matched and the long-term effect within the football school is positive in terms of profitability. [ABSTRACT FROM AUTHOR]

Background and Aim Training clinical students who learn the theoretical lessons in hospitals in practice will play an important role in improving treatment processes and providing better services to patients. Therefore, the purpose of this study is to identify the factors affecting the quality of clinical education in hospitals in Saveh City. Methods & Materials This research is a combination of exploratory studies and exploratory projects. In the qualitative stage, the qualitative method of Grand Strauss and Corbyn 1998 was used to explain the quality of clinical training. Since the students who have taken clinical courses in the Faculty of Medical Sciences of Saveh Hospitals in 1398-1397 are about 200 people and the professors and educators who teach these people are about 20 people, which according to Karajsi and Morgan, the sample size should be 140, of which 20 were interviewed and 120 were filled out with paper and electronic questionnaires. In this study, semi-structured interviews, and a researcher-made questionnaire with Cronbach’s alpha coefficient of 0.598 were selected as the data collection method. This research was performed using the qualitative method and using MAZQDA 10 and SPSS 26 software, the items obtained from qualitative research were collected and exploratory factor analysis was used to identify the factors. Ethical Considerations Considering that this study is one of the research priorities of Saveh School of Medical Sciences, it has a research license letter (No. 24.127. D.99). Results The results showed that the factors affecting the quality of clinical education include five factors. The first factor is space and facilities, the second factor is the improvement of educational processes, the third factor is educational and managerial deficiencies, the fourth factor is the evaluation of the teacher and the fifth factor is the qualitative improvement of education. Conclusion According to the quantitative and qualitative results of this study and by interviewing twenty experienced professors and student representatives, the factors affecting the quality of clinical education in Saveh hospitals were identified. [ABSTRACT FROM AUTHOR]

Introduction: The extent of development of a country is determined by research indicators such as the number of published articles. Many factors can cause a lack of research. Objective: The present study aimed at identifying obstacles to the implementation of the research from the viewpoint of faculty members of Guilan University of Medical Sciences in 2018. Materials and Methods: In this combined research, the quantitative data were collected by the faculty members of the research pathology questionnaire. The appropriate statistical indices were used to describe the data. In the qualitative section, sampling was purposeful and continued until data saturation. Data were collected through semi-structured interviews and data analysis was carried out using a seven-step content analysis approach. The accuracy and accuracy of the data were also determined by Lincoln & Guba's proposed criteria. Results: In the quantitative part, the most important inhibitor factors include management factors (low communication between university and foreign universities), empowerment factors (lack of familiarity with relevant statistical techniques), administrative rules (length of paper publishing stages), and personal factors (teaching too much), social factors (inadequate intellectual incentives) and economic factors (inadequate research budget and lack of research facilities). In the qualitative section, the four main categories (individual challenges, dysfunctional infrastructure, Limited Research Partner, and discouragement of the research result) and fifteen sub-floors were extracted. Conclusion: According to the results of this study, in order to improve the quantitative and qualitative research among faculty members, it is suggested that the respective authorities consider such issues as strengthening the research motivation of faculty members taking advantage of research facilities and special privileges, and also equivalence of research tasks. [ABSTRACT FROM AUTHOR]

Introduction: Women, due to menstruation, pregnancy, and poor iron intake and absorption, are prone to iron deficiency anemia and its effects. The present study aimed to assess the effectiveness of process-based therapy in working memory and sleep quality in women suffering from iron deficiency anemia and generalized anxiety disorder. Materials & Methods: This study utilized a single-case experimental design. For doing so, six female participants suffering from iron deficiency anemia were selected through purposive sampling and received individual process-based therapy during nine 60-minute sessions. In the pre-treatment stage, the participants responded to Newman, Zueling, Kachin, and Constantino's fourth version of the generalized anxiety disorder questionnaire and underwent clinical interviews. They also completed a working memory test and sleep quality questionnaire in baseline stages, third, sixth, and ninth sessions of the intervention, and finally at the 3-month follow-up stages. The data were analyzed using visual analysis, a stable change index, and a recovery percentage formula. Results: The results pointed out that the rates of overall recovery in working memory in the intervention and follow-up stages were 52.95% and 85.43%, respectively. Moreover, the rates of overall recovery in sleep quality in the intervention and follow-up stages were 66.57% and 75.78%, respectively, indicating success in therapy. Conclusion: Process-based therapy improves working memory and increases the sleep quality of participants. Therefore, it is suggested to be used as a method of treatment and complementary to medical treatment to remedy comorbid mental disorders and improve the general performance of people with anemia. [ABSTRACT FROM AUTHOR]

This paper attempts to identify the elements and requirements for reuse of research data among researchers in Iran. The present study is qualitative research. This research was carried out in two stages. At first, Initial elements were extracted by reviewing and analyzing the content of the texts, but due to the fact that the extracted factors were not native, we used semi-structured interview. The statistical population in the first stage includes articles about reuse in PubMed, Scopus, Science direct and ProQuest databases. The statistical population of the second phase was researchers who were familiar with the reuse of research data. The interviews began using targeted sampling and continued using snowball strategy and sampling based on the introduction of the contributors. The data gathering tool was a semi-structured interview and data were analyzed by MaxQDA software. As a result of analyzing the content of the literature and interviews, the main elements of reuse of research data were identified in three main dimensions: human factors, organizational factors and infrastructures. The components of each dimension were identified and, at the end, suggestions were made to reuse existing data. [ABSTRACT FROM AUTHOR]

Electronic Theses and Dissertations (ETDs) programs often encounter obstacles of technical, legal, financial and business nature. To develop a multifaceted view of ETD programs, the concept of Business model (BM) can be used. BM helps to grasp a detailed understanding of business feasibility and viability, which entails a broad spectrum of key factors and features the business. The existing BM ontologies and frameworks however are often generic and do not match the specific context of ETDs programs. The purpose of this paper is to fill the gap and identify and empirically evaluate a BM ontology that corresponds to the peculiarities of the ETDs context. In this study a multi-method approach is chosen. First, by means of a systematic literature review, different ontologies and frameworks in the literature were reviewed. The findings were used as an input to conduct a series of interviewing with National ETD (NETD) program’s managers around the world. Based on the interviews, ETD-specific BM ontology is proposed, which consists of eight key components, including users, financial aspect, governance, content providers, content, services, technology, and cooperation. Business-driven challenges of ETD programs have not been studied by academic community properly. This research is the first attempts to study NETD programs through BM perspective and aims to investigate BM of such programs at ontology level. Since NETD programs are collecting, organizing, and making TDs available for their users, their viability is important. Defining of BM’s key components of these programs allows their mangers and policy-makers to address business-driven needs and ensure viability and stability of the programs. [ABSTRACT FROM AUTHOR]

Background Staff training in organizations is a measure for developing human capital. The pathology of this process needs to be assessed to understand the current situation and solve the challenges and limitations. Objective This study aims to assess the pathology of the training process for the incident command system (ICS) staff of hospitals in Guilan Province using the three-pronged approach. Methods This is a qualitative-quantitative study. The study population in the qualitative phase included experts in the hospital ICS. In the quantitative phase, the study population included all ICS managers and staff in the Guilan Province hospitals (n= 548). The data collection tool was a semi-structured interview in the qualitative phase and a researcher-made questionnaire in the quantitative phase. For data analysis, MAXQDA software, version 2020 was used in the qualitative phase and SPSS software, version 26 was used in the quantitative phase. Results The results in the qualitative phase showed the extraction of 55 open codes, 25 axial codes, and 6 selective codes in the form of three domains of processes, context, and structure. The results in the quantitative phase showed that among all the domains, the process domain-related factors with a percentage of variance (impact) of 0.262 were more harmful than context- and structure-related factors in the training process. Conclusion The pathology assessment based on the three-pronged model is an effective method for determining the training priorities for the hospital ICS staff. The use of this model during a crisis can be an effective step for identifying shortcomings to solve them and take appropriate measures for the ICS staff training. [ABSTRACT FROM AUTHOR]

Introduction: The improvement of every administration and health system has always received assiduous attention. One of the processes that every system should pay attention to is empowerment. Therefore, the present study aimed to determine the empowerment components of employees working in the Ilam Welfare Organization. Material & Methods: This applied research was conducted based on a qualitative approach and ground theory method in 2022-2023. The statistical population included professors and experts in the field of employee empowerment. Sampling was performed using the available and snowball method, and theoretical saturation was achieved with 15 cases. The interviewees of the research were 15 professors and experts in the field of employee empowerment who had the most experience in the research topic, and the data analysis was performed manually. Results:Based on the findings, 12 components and 24 subcomponents were identified in the field of empowerment of welfare organization employees, including individual skills, group skills and management (causal conditions), ethics, communication (contextual conditions), knowledge and improvement of the work environment (intervening conditions), managerial ability., moral ability, communication ability (strategies), promotion of service to employees, and the use of employees' potential capacities (consequences). Conclusion: Paying attention to skills and management at the individual and group level creates the possibility of employee empowerment in the welfare system. Necessary attention to knowledge and environment on the one hand and management and communication guidelines on the other hand provide the necessary platform and conditions for the growth of employees. The welfare organization will benefit from the effective result of empowerment when it uses its employees and their potential capacities. [ABSTRACT FROM AUTHOR]

Introduction: Clinical decision-making is done based on data collection, interpretation and evaluation to choose an evidence-based treatment plan from among different ways; Since the clinical environment has dynamic, variable, uncertain and unstable conditions, the clinical decision-making of assistants has different dimensions and is influenced by several factors; As a result, it is not possible to get a deep understanding of it with quantitative and cross-sectional studies; Therefore, the present study was carried out with the aim of explaining the experiences of internal department assistants on the factors and obstacles affecting clinical decision-making in hospitals affiliated to Jahrom University of Medical Sciences. Materials and Methods: This article is a contract content analysis study in which 8 assistants of the internal medicine department from hospitals affiliated to Jahrom University of Medical Sciences were selected and participated in the study by purposeful sampling. Semi-structured in-depth personal interview method was used to collect data. All interviews were recorded and then transcribed and analyzed using Granheim and Lundman's method. Result: Data analysis revealed 4 main themes and 14 sub-categories, which main themes are: "criteria for clinical decision-making", "obstacles to clinical decision-making", "facilitators for clinical decisionmaking" and "the need for development" Training of assistants". Conclusion: Considering that clinical decision-making is based on the comprehensive benefit of the patient, ethical principles and evidence, and the lack of theoretical knowledge, little experience and insufficient skills, lack of specialists, facilities and equipment along with the lack of amenities and work pressure can prevent correct decision-making, it is better to emphasize more on these matters in educational planning. [ABSTRACT FROM AUTHOR]

Introduction: Injuries caused by sharp tools are one of the most important biological risks for hospital employees, leading to dangerous physical and psychological consequences. The present study aimed to determine the prevalence of needle sticks and investigate their related factors among the staff of Kowsar Hospital in Semnan. Material & Methods: In this cross-sectional study, all hospital employees who suffered from needle sticks during 2014-2018 were examined. The data collection tool was a checklist, including demographic variables, occupation, type of accident, and measures taken after the needle stick, part of which was collected from the personnel file in the infection control office, and another part was collected through interviews. After collecting the relevant data, they were entered into SPSS software (version 26) and subjected to statistical analysis. Findings: A total of 194 cases of needle sticks occurred, with a prevalence of 23.7%. The mean age of the investigated subjects was 34.57±9.41 years, and 41.2% of cases were in the age group of above 35 years. Moreover, 68% of them were women, 60.3% of subjects worked the morning shift, and most cases of needle sticks occurred in employees with less than five years of work experience (47.9%). Most cases of needle stick (60.3%) were related to employees with bachelor's education and nursing jobs (38.7%). In addition, the highest rate of needle sticks was related to the operating room (28.9%), and insertion of the injection needle into the hand (76.8%) was the most common incident of needle stick, and washing with soap and water (95.4%) was the most common procedure performed after needle stick. Discussion & Conclusion: Considering the relatively high prevalence of needle sticks among the medical staff, hospital officials should take into consideration vaccination and reporting systems while teaching proper prevention methods by creating a safe environment and trying to improve it. [ABSTRACT FROM AUTHOR]

Introduction: Non-adherence to medication in HIV-positive patients leads to the occurrence of HIV-related diseases and ultimately reduces the quality of life and immune system function of these patients. Therefore, the present study was conducted to identify and explain the factors that influence medication nonadherence in HIV-positive Iranian patients. Material & Methods: The present applied study was conducted in 2020-2021 using the descriptive method. First, by reviewing the research literature and interviewing experts in the field of HIV treatment, the main factors influencing medication nonadherence in HIV-positive patients were identified, based on which the research questionnaire was designed. Data were collected from 590 HIV-positive patients and analyzed using exploratory factor analysis and SPSS23 and LISREL software. Findings: Four factors, namely organizational factors (16 items), individual factors (19 items), educational factors (7 items), and communication factors (7 items) were identified as effective factors for medication non-adherence in HIV-infected patients. Communication factors, individual factors, educational factors, and organizational factors with factor loadings of 0.76, 0.74, 0.73, and 0.71, respectively, had an impact on medication non-adherence in HIV-positive patients. Discussion & Conclusion: To improve medication adherence among HIV patients, behavioral disease counseling experts and therapists should pay more attention to communication factors (improving patients social support from family and friends) and individual factors (not coping with the disease state and the effects of stigma and disclosing the disease). [ABSTRACT FROM AUTHOR]

Background & Aims: According to the learning approach, adaptation is a set of learned behaviors, and incompatibility occurs when a person has not learned the necessary skills to cope with daily life problems. At the same time, there is no perfect compatibility, but optimal compatibility probably occurs when there is a reasonable agreement between what a person thinks about himself and what others think about him. Therefore, it can be said that behavioral compatibility with new processes or new ways of doing work and tasks that result from using the Internet of Things in the organization is a fundamental issue in today's organizations (13). In other words, successfully dealing with new phenomena is called adaptation. Creating a logical connection between the new ways of doing things and tasks, which can be called processes modified by the Internet of Things, with the behavior of employees and how they deal with these processes is of great importance and is considered one of the important issues of the organization a problem caused by technological changes in the organization's environment (14). One of the companies providing services to people and citizens is the Electricity Distribution Company. In recent years, this company has been able to update many internal processes through the use of administrative automation, and subscribers do not need to visit in person to solve their problems or follow up on their requests. The use of the Internet of Things in the electricity distribution company is one of the new topics in the organization, which has improved the quality of providing services to subscribers both in terms of the speed of service delivery and the access of all people to services at any place and time (15). But the point that should be checked and evaluated is how the employees of this company deal with these changes. The behavioral adaptation of the employees of the electricity distribution company with the new way of providing services to the subscribers and also the changes made in the duties of the employees are among the issues that have arisen due to these changes. During the past few years, the managers of the Mazandaran and Golestan Regional Electric Company have made many changes within the company and also want to make extensive changes in the coming years, so it is important and necessary for the company managers to know that the employees are facing the changes that are going to be made. How will they react? The critical issue for company managers is to see these behavior patterns so that they can implement a system that fits these behavior patterns for employees to adapt to changes in their organization and deal with each behavior pattern accordingly. Therefore, if organizations want to survive, continue to live, improve, develop, and increase effectiveness, they must be sensitive to the different behaviors of employees and show appropriate reactions. Therefore, the current research seeks to answer the following central question: What is the pattern of adaptation of employees' behavior with an emphasis on the Internet of Things? Methods: In this research, a combination of qualitative and quantitative methods has been done. The statistical population of the qualitative research includes organizational experts. These people included university professors (scientific experts) and senior managers, assistants, middle managers, and senior experts of the specialized mother company of Tavanir (practical experts) who had expertise (scientific experts) and sufficient experience (practical experts) in the field of research. Their opinions were used during Delphi and AHP hierarchical analysis. Criteria for selecting experts: People who have a master's degree or higher in the fields of human resource management or organizational behavior are included in this list. Also, have work experience in the management department of the electricity company (Tavanir specialized mother company) for 5 years or work experience for 10 years in the electricity company (Tavanir specialized mother company). Also, university professors in related fields as scientific experts are on this list. The time frame of data collection and implementation of the interview technique was carried out in the winter of 1400 and for one month. In the quantitative part of the questionnaire, the pairwise comparison of the dimensions and indicators of the model was provided to the statistical community, which included senior managers, assistant managers, middle managers, and senior experts in the field of human resources in the specialized mother company of Tavanir. To determine the sample in this section, the purposeful, non-probability sampling method was used until reaching theoretical saturation. The data collection tool was a semi-structured interview (Delphi questionnaire) and a researcher-made quantitative questionnaire. Data analysis was done using the Delphi technique, structural equation method with the help of SMART PLS software, and AHP hierarchical analysis method. Results: The results show that the proposed model of employee behavior adaptation consists of 5 main dimensions, including attitude toward behavior, subjective norms, usage experience, cognitive processes, and behavioral motivation. In the hierarchical analysis section, the results show that the dimension of behavioral inspiration with a weight of 1.563 ranks first, and the dimension of mental norms with a weight of 0.602 ranks next in terms of importance in adapting the behavior of employees in the fourth industrial revolution with an emphasis on the Internet. Objects are located. Conclusion: In general, according to the results of the study, it can be said that the technology factor played an important role in the behavioral adaptation of the employees, therefore, the acceptance of technology and the behavioral adaptation of the employees with its, technological capabilities are needed in the field of improving the conditions of performing tasks for Describe the staff. The limitations of the research are those factors that create obstacles in the way of collecting information, analyzing, and obtaining desirable results. Limitations are inherent in any research. This research is not exempted from this principle and limitations include the problems of determining the index and converting qualitative categories into quantitative values such as attitude to behavior and the involvement of factors such as boredom, stress, lack of time and lack of sufficient knowledge of the respondents causing inaccuracy of people in Answering questions has had. Considering that behavioral motivation was recognized as the most important dimension of the behavioral adaptation model of the employees, it is suggested to improve the behavioral adaptation of the employees, to identify the expectations of the employees from the changes made, and to fulfill them or provide a logical justification for it. To accept the technology and adapt the behavior of the employees to it, it is suggested to explain the capabilities of the technology in the field of improving the working conditions for the employees. [ABSTRACT FROM AUTHOR]

Introduction: Although self-disturbance is considered as an essential aspect of borderline personality disorder, there is little knowledge about its nature in affected individuals. Aim: The present study aimed to determine the patterns of self in women with borderline personality disorder. Method: This study was a basic research with a qualitative approach. The statistical population consisted of women with borderline personality disorder in Mashhad and psychologists and psychiatrists in Mashhad and Tehran, Iran, in 2021. Fifteen women with borderline personality disorder were selected by convenience sampling using Leichsenring's Borderline Questionnaire (1999) from Ibn Sina Hospital in Mashhad, and eight specialists were selected through purposive sampling. Data was collected through semi-structured interviews and coded through thematic analysis. Results: In the data analysis, five main themes, including self-knowledge, self-agency, loneliness, self and injury, and self and emotions, were identified. The self-knowledge theme has two sub-themes, namely, lack of self-awareness and instability. Self-agency included two external and internal themes. Loneliness was also divided into three themes of rejection, being misunderstood, and avoidance. Self and injury contained the themes of self pathology and selfharm, and finally, the main theme of self and emotions was divided into positive and negative emotions. Conclusion: In women with borderline personality disorder, under the influence of adverse and harmful experiences from early relationships and due to the accumulation of unprocessed emotions that cause impulsive behaviors, the self is incoherent, unstable with low selfawareness, and weak agency in facing life difficulties. Therefore; the extracted themes can provide a more comprehensive understanding of these individuals. [ABSTRACT FROM AUTHOR]

Background Obtaining informed consent (IC) is essential for any diagnostic or therapeutic procedure. Objective IC is an important legal communication process between the patient and the physician. Methods In 2021, this cross-sectional study was performed in Alzahra Hospital. Eligible patients over the age of 18 years, who were candidates for elective gynecological surgeries under SA enrolled in the survey. A questionnaire containing demographic data and 20 specific questions divided into 4 areas (providing information, comprehensibility of the consent form, voluntary informed consent, and communication with the doctor), was completed via a direct interview. Results The data from 259 eligible patients were analyzed. In terms of providing information to the patient, comprehensibility of the consent form, and the voluntary obtaining consent were in poor condition. However, in terms of communication with the physician, 46.3% of the patients were in a good state and 20.1% were in an excellent state. A significant relationship was also observed between the level of education and the quality of obtaining IC (P=0.034). Conclusion It was concluded that the IC process was not acceptable in this academic center, and efforts should be made to improve the current conditions. [ABSTRACT FROM AUTHOR]

Background Organizations, like humans, are exposed to diseases. Nurses in medical centers interact with the organization; therefore, the disease in organization have adverse effects on them. Objective This study aims to find different types of organizational diseases in the hospitals of Guilan province and their effect on nurses Methods This is a qualitative study using thematic analysis. It was conducted in Guilan University of Medical Sciences and the hospitals in Rasht,Iran. Data were collected by interviewing 10 faculty members and the nursing managers of Razi Hospital. Results The major known diseases were divided into 3 categories: physical, psychophysical, and psychological diseases. The physical diseases included organizational constipation, organizational paralysis, and organizational sepsis. The psychological diseases included depression, aggression, and sleep disorders. The psychophysical diseases illnesses were posttraumatic damage, organizational shock, and organizational cancer. Conclusion By generalizing human diseases to organizations, a clear path to diagnosis of the sick organization and its symptoms can be achieved. Identification of diseases, such as organizational asthma, organizational trauma, organizational paralysis, organizational sepsis and cancer and other diseases in the organization prevents the development of organizational challenges. The improved health of the organization can lead to the development of nurses' health. [ABSTRACT FROM AUTHOR]

Introduction: Policy making is one of the main and fundamental issues in the management of institutions and organizations which necessitates attention to its process and components. Therefore, this study aimed to evaluate the relationship between policy-making and university autonomy in macro medical universities of region 3. Material & Methods: The present applied study was conducted with an integrated approach (qualitative and quantitative) in Ilam province of Iran, in 2021. The statistical population in the qualitative part consisted of the professors of macro medical universities in region 1 among whom 15 individuals were selected for designing the policy-making and university autonomy questionnaires using the purposive sampling method, considering the saturation law. In the quantitative part, 320 subjects were selected using a stratified random sampling method from managers and deputies of departments, faculties, department heads, and faculty members of macro medical universities in the health sector of region 3 to examine the relationship between variables. In the qualitative part, the questionnaires were designed and finalized through the Delphi method in two rounds, the experts’ opinions obtained through semi-structured 70-min interviews, and the review of topics and study of theoretical foundations. In the quantitative section, a researcher-made questionnaire on university policy-making and university autonomy was used for data collection. The SPSS and PLS software were used to analyze the data through confirmatory factor analysis and structural equations. (Ethic code: 2084838744062451398162299017) Findings: The results showed that among the various dimensions of policymaking, the component of “university structure” had the greatest impact with R2=0.927, and among the components of university independence, leadership independence had the most impact with R2=0.942 and path coefficient=0.971. Discussion & Conclusion: Based on the path coefficients, a factor load of 0.644 was established between the two variables of policy-making and university autonomy which was above average and, therefore, significant. Moreover, since the t-statistic value of 16.247 was established out of the (-2.58, 2.58) range, it can be concluded that the relationship between policymaking and university autonomy in macro medical universities in region 3 was positive and meaningful. [ABSTRACT FROM AUTHOR]

Introduction: As an integral part of society, sport faces problems similar to that of society. One problem is the bullying of football coaches. Aim: This study identifies the factors affecting bullying among Iranian professional football coaches. Method: The research method is descriptive survey based on structural equations modeling. The statistical population included all professional football coaches in Iran in 2021. 205 coaches are selected as a sample based on the simple random sampling method. A researcher-made questionnaire with 33 questions was used based on qualitative interviews and coding to collect the data. Once expert’s validation is obtained (n=8), the reliability of the questionnaire is evaluated and confirmed by Cronbach's alpha method and mixed reliability. SPSS-23 and PLS Smart-2 are used to analyze the data in the descriptive and inferential sections. Results: The confirmatory factor analysis results show 8 factors of anti-social behaviors in sports, athletes, interactions, bullying and harassment experience, occupational factor, behavioral factor, contextual and managerial factors, and individual and psychological factors as factors affecting bullying among Iranian professional football coaches. The results of confirmatory factor analysis indicate an acceptable fit. Content, divergent and convergent validity indicated good scale validity. Conclusion: The results showed that different factors affect the bullying of coaches. Therefore, it is necessary to study the identified factors and focus on football coaches. It is suggested that sports managers and officials be better informed about the factors identified in this study. [ABSTRACT FROM AUTHOR]

Background & Aims: Menopause happens in the life of all women. During this process women inter to the new era of life that have many side effects and difficulties. The purpose of study was to evaluate the frequency of hormone therapy and other supplements. Materials & Methods: This cross-sectional study carried out on 384 menopausal women who attended in medical and health centers of Hamadan city in 2012. The way of sampling was multi-stage cluster. Data were collected through interviews with women in the clinics in the health centers. Data processing and statistical analysis were performed by using SPSS 16.0. Results: The results revealed that mean age of menopause was 48/45± 3/38 year. 81.5% of the women were taking supplements that used hormone therapy (9.1%), and 72.4% used non hormonal supplement that included calcium (38.3%), vitamin (27.3%) and herbal drugs (6.8%). Regarding to this results μ2 test showed that age at menarche, smoking, mother education, BMI, type of menopause, and use of supplements in different menopause groups was not statistically significant (p>0/05). Conclusion: The results showed that 81.5% of menopausal women were taking supplements from which 72.4% was non-hormonal supplements. Therefore, effective educational programs with supplement interventions can improve the quality of life in postmenopausal women. [ABSTRACT FROM AUTHOR]

Introduction: One of the behavioral problems among diabetic patients in Ahvaz is found to be their infrequent referral to diabetes units. Therefore, this qualitative research aimed to identify barriers and incentives for patients with type II diabetes referring to healthcare centers. Materials and Methods: The present qualitative content analysis research was conducted in Ahvaz in 2017. The population of this study consisted of 69 patients with type II diabetes referring to diabetes units of healthcare centers in Ahvaz. The necessary data were collected through performing interviews until and was continued until data saturation was achieved. All interviews were transcribed verbatim and finally analyzed by the researchers. Results: The barriers and incentives for type II diabetic patients to refer to diabetes units were each divided into two categories of individual and systemic. Individual barriers included two categories of economic barriers (3 codes) and occupation factors (1 code), and systemic barriers consisted of four categories, namely information barriers (2 codes), lack of facilities, equipment, and expertise required by patients (3 codes), access limitations (1 code), and long waiting queues (1 code). Individual incentives included one category of patients' awareness (1 code) and systematic incentives consisted of 2 categories, namely financial factors (1 code) and proper educational and public relations (2 codes). Conclusion: It seems that the use of e-learning and distance learning can greatly contribute to remove individual barriers and satisfy the patients' needs. Moreover, in the systemic barriers section, the patients' referral problems can be solved by the cooperation of different organs with each other and the increase of inter-departmental coordination. [ABSTRACT FROM AUTHOR]

Background and Aim Currently, the prevalence of chronic kidney disease has increased for a variety of reasons. Renal diseases, followed by dialysis and kidney transplantation, can greatly affect the People's physical and mental health. Since most of previous studies have examined the physical and often preoperative problems of kidney transplant patients and many of them have used quantitative methods, the present study aimed to investigate the psychological challenges of renal disease patients after Kidney transplantation. Methods & Materials The study population consisted of kidney transplant patients referred to the Nephrology Clinic of Labafinejad Hospitalin Tehran, Iran in 2019 aged 35-50 years and 1-5 years had passed since their transplantation. A semi-structured in-depth interview was done for collecting information. A purposive sampling and continued until data saturation and until no themes were available. In the end, 15 patients were interviewed. Data analysis was performed by Colaizzi’s method. Ethical Considerations This study with a code of IR.IAU.SRE.1398.022 was approved by the Research Ethics Committee at Islamic Azad University, Science and Research Branch in Tehran, Iran. Results The primary themes were divided in to 3 main themes including: Concerns and psychologically disturbing feelings, emotional and spiritual support of the family, and uncertainty of receiving specialized, financial and welfare support. Conclusion Patients with kidney disease after transplantation surgery have psychological challenges in addition to physical problems that are of great importance to mental health professionals. Studying these challenges can provide a deeper understanding of their psychological problems and adaptation after surgery. [ABSTRACT FROM AUTHOR]

Background and Aim: Hearing impairment is one of the most stressful disabilities. The mental health of parents caring for children with hearing impairment is at risk. Therefore, technical support and intervention are very valuable for these families. These services are also useful for children’s development. The aim of this study was to assess the effectiveness of social work services on the social adjustment of parents of children with hearing impairment. Methods: In this study, 37 parents of children with hearing impairment were selected as the sample population. Interviews and case studies were conducted to determine whether the parents were receiving social work services. The social adjustment scale was used to assess parents’ social adjustment. Analysis of variance (F) was used to analyze the data and information obtained from parents. Results: Data analysis showed that there is a significant difference between parents who had received social work services and parents who had not received social work services (p<0.001). Conclusion: According to the obtained results, parents who had received social work services experienced higher social adjustment. It can be said that providing assistance to parents of children with hearing impairment can improve their social integration. [ABSTRACT FROM AUTHOR]

Background: Chronic constipation is a common problem worldwide that negatively impacts quality of life. Because of the effects of psychological and cultural factors on the function of the bowel tract and the vast variety of ethnicities and diet among the Iranian people, the present study describes the occurrence of constipation and its associated factors in Kerman, the largest city in Southeast Iran. Materials and Methods: This was a cross-sectional study conducted in Kerman, Iran from 2011 to 2012 that included 2191 adults who were randomly selected and interviewed face to face using a validated questionnaire based on Rome III criteria. Demographics, cigarette smoking, opium dependence, amount of fiber consumption, physical activity and psychological factors were assessed. Inclusion criteria was ages 15 to 85 years old. Exclusion criteria was the presence of any metabolic and/or neuro-muscular disease that caused constipation. All data were analyzed with Stata11 software, with a confidence interval of 95%. A p-value of ≤0.05 was chosen for statistical significance. Results: Participants had a mean age of 44.9 ± 16.2 years. There were 57.42% female participants. The prevalance of chronic constipation was estimated at 9.4% (7.7%-10.6%). Constipation was more prevalent in females, older individuals, those with decreased physical activity, people who were anxious and depressed, and opium addicted individuals (p<0.05). There was no significant difference in terms of cigarette smoking and amount of dietary fiber between constipated and non-constipated individuals (p>0.2). Conclusion: Although the prevalance of constipation in Iran is estimated to be lower than Western countries, new changes in life style can cause an increase in the burden of constipation in the future. [ABSTRACT FROM AUTHOR]

Background & Aims: In today's world, e-learning as a knowledge acquisition tool have been developed and changed in a rapidly expanded ways. In recent years, the use of online technologies in education, provided opportunities for new ways of learning as well as effective methods of training. Due to the potentialities of e-learning, its utilization in medical education was taken into serious consideration. But the implementation of e-learning associated with the barriers. the objective of this research is to identify these barriers and to provide appropriate solutions. Materials & Methods: This study has two parts. In the first step, through the literature reviewing, barriers and their related solutions of previous studies with regard to the e-learning have been extracted. In the second phase, through cross-sectional descriptive study with randomized cluster sampling, we gathered data from administrators, faculty members, and students of Urmia University of Medical Sciences through semi-structured interview. Results: The main barriers of implementing e-learning according to the priorities of the respondents included: lack of technical infrastructure, the lack of appropriate attitude and knowledge, the lack of management roadmap. The proposed solutions includes: determining E-learning project's goals, providing technical tools, reengineering of its related process, cooperation of IT and education professionals. Conclusion: According to the results, it seems necessary to provide infrastructure hardware, software and network devices. In addition, educational administrators, teachers and students should have the right attitude toward this knowledge according to the its characteristics, objectives, and benefits. [ABSTRACT FROM AUTHOR]

Background & Aims: quality of nursing care as a concept is subjective, multidimensional, ambiguous, neutral, related disease and depended on health care system and in the whole world is focused on improving and promoting this concept in chronic diseases. The purpose of this study was to clarify the concept of quality care in the context of chronic heart diseases and also to obtain a clearer understanding of its meaning attributes antecedents, sequences and empirical referents in nursing. Materials & Methods: In this study, we analyzed the concept of quality nursing care as used in literature and as described by participants. The three phases of a hybrid concept analysis are theoretical, fieldwork, and analysis. In the theoretical phase, full text of 110 articles in the pubMed, CINAHL, Elsevire and BlackweL databases were evaluated for the years 1990 to September 2011. Because of the stakeholder-specific nature of quality, perceptions of six participants including patient, nurse and cardiologist of the concept, were elicited in the fieldwork phase via semi structured interviews. Interviews were tape recorded and transcribed verbatim then qualitative content analysis was used to analyze both theoretical and fieldwork phase data. In the final step of combining the two previous stages, the overall analysis was performed. Result: Based on review of literature, the following operational definition was proposed: the continuous process to provide safe and patient - centered care that based on the therapeutic relationship and evidence-based nursing and rely on nursing theory, ethics and expertise, that along, family participation and cardiac rehabilitation team, and the ongoing management, leads to health promotion, cost effectiveness, comfortable transition and peaceful death. The antecedents of quality nursing care represented as factors; a: organizational, b: nursing unit, c: patient environment, d: Service attributes pointed. The consequences of this concept may be described as, a: Health, b: functional ability, c -- satisfaction nurse/patient, d: Cost effectiveness, e: desirable processes. Conclusion: The results of this study suggest that consistent and evidence-based management of disease, improvement patient knowledge of their condition and providing psychosocial care, has important role in improving the quality of nursing care in chronic heart disease. The results can also be used effectively in developing quality of nursing care assessment scales and theory. [ABSTRACT FROM AUTHOR]