SynthesisHealth research policy and systems2019
The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies.
Synthesis in Health research policy and systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Psychometric evaluation of the Persian version of the shared decision‑making questionnaire in patients undergoing emergency surgery.International journal of emergency medicine · 2026Article
- Head nurse leadership styles and job satisfaction among nurses in teaching hospitals of southeastern Iran: a cross-sectional study.BMC nursing · 2026Article
- Exploring Clinical Governance Interventions and Organisational Learning in Public Hospitals in South Africa's Eastern Cape and Mpumalanga Provinces: A Mixed-Methods Study Protocol.Healthcare (Basel, Switzerland) · 2025Article
- Strengthening Clinical Governance and Public Health Interventions to Improve Drug-Resistant Tuberculosis Outcomes in Rural South Africa.Healthcare (Basel, Switzerland) · 2025Article
- Assessing Clinical Governance Awareness and Implementation Among Healthcare Professionals in Madinah, Saudi Arabia: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- Policy brief: addressing the shortage of human resources in the Iranian health system.Journal of preventive medicine and hygiene · 2024Article
- Exploring a guide for codes of ethics for the development of ethical competence in Iranian nursing students: a systematic review and meta-synthesis.BMC nursing · 2024Article
- Recurrence of medical errors despite years of preventive measures: A grounded theory study.Journal of education and health promotion · 2023Article
- A critical analysis of Iran health system reform plan.Journal of education and health promotion · 2020Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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