Evidence map›Paper›PMID 42316221›Full record

ArticleBMC medical education2026

Facilitators and barriers to internal evaluation in an Iranian medical Sciences University: a qualitative exploration of faculty perspectives.

Zahra Bastani Nejad, Farnoosh Tajik, Zhila Fereidouni, Abolfazl Karimivaselabadi, Najimeh Beygi, Ali Taghinezhad

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zahra Bastani NejadDepartment of Medical Surgical Sciences, School of Allied Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Farnoosh TajikNursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran. farnooshtajikk@gmail.com.
Zhila FereidouniDepartment of Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran. fereidounizhila@gmail.com.
Abolfazl KarimivaselabadiStudent Research Committee, Department of Clinical Biochemistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Najimeh BeygiDepartment of critical care Nursing, Fasa University of Medical Sciences, Fasa, Iran.
Ali TaghinezhadDepartment of English Language, Fasa University of Medical Sciences, Fasa, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn response to increasing demands for accountability and quality assurance in higher education, internal evaluation has become a core mechanism for improving educational performance. Internal evaluation refers to a systematic self-assessment process through which faculty and staff examine educational, research, and administrative performance to identify strengths, weaknesses, and areas for improvement. Faculty members play a central role in implementing internal evaluation; however, their engagement is shaped by multiple facilitators and barriers. Evidence from resource-constrained contexts remains limited, particularly qualitative insights into faculty perceptions. This study qualitatively examines faculty members' perceptions of the facilitators and barriers influencing internal evaluation.

methodsThis qualitative study used a conventional content analysis approach. Semi‑structured interviews were conducted with 16 faculty members at Fasa University of Medical Sciences using purposive sampling until data saturation was achieved. Data were collected between January and October 2025 and analyzed using conventional content analysis. Trustworthiness was ensured using Lincoln and Guba's criteria.

resultsThree overarching categories emerged inductively from the data: (1) conceptualizations of internal evaluation, including its role as a systematic performance review, a reflective process for identifying strengths and weaknesses, and a cultural mechanism for promoting quality; (2) facilitators, encompassing individual factors (intrinsic motivation, self-efficacy, training), organizational factors (structural support, adequate infrastructure), and cultural factors (learning-oriented culture, collaboration); and (3) barriers, including individual challenges (resistance to change, workload), organizational constraints (limited resources, inefficient procedures), and cultural obstacles (negative attitudes, interdepartmental tensions).

conclusionInternal evaluation is shaped by intersecting individual, organizational, and cultural dynamics. Recognizing these influences can guide context-appropriate strategies; for example, shifting from a compliance-driven model to a developmental model that emphasizes workload adjustments, targeted capacity building, and transparent feedback loops to increase faculty engagement. CLINICAL TRIAL NUMBER: not applicable.

Indexed as

Faculty, MedicalSchools, MedicalAcademiaAttitude of Health PersonnelHumansInterviews as TopicIranQualitative ResearchBarriersFacilitatorsFaculty perceptionsInternal evaluationIranMedical educationQualitative content analysis

Identifiers

PMID42316221
PMCPMC13523508

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.