Bahareh Amirkalali, Saeed Hosseini, Fatemeh Ramezani, Sara Nejati, Neda Nayebi and Bagher Larijani
The purpose of this paper is first to examine whether standard hospital food met patients' requirements and second, to evaluate the effect of individualized dietary intervention…
Abstract
Purpose
The purpose of this paper is first to examine whether standard hospital food met patients' requirements and second, to evaluate the effect of individualized dietary intervention on weight, BMI and body composition of the patients.
Design/methodology/approach
In total, 69 patients (37 in the intervention group and 32 in the control group) were randomly selected. Weight, height and body composition measurements were performed in both groups within 24 h after admission and at discharge. In the intervention group, encouraging with eating and drinking, replacing missed meals with supplements or enteral nutrition were used as strategies to improve dietary intake. Frequency, chi‐square, Wilcoxon and paired t‐test were used to analyze data.
Findings
Before intervention daily energy and protein intake were significantly lower than required amounts in both groups. After intervention energy intake met requirements in the intervention group while it was still less than requirements in the control group. Protein intake met requirements in both groups. There were no significant changes in body weight, BMI and body composition in the intervention group during hospitalization but in the control group weight, BMI and body protein decreased significantly.
Originality/value
This paper shows the importance of individualized dietary intervention to prevent weight and body protein loss of patients during hospitalization.
Akram Khayatzadeh‐Mahani, Mahmood Nekoei‐Moghadam, Atefeh Esfandiari, Fatemeh Ramezani and Sahar Parva
The purpose of this paper is to explore how the clinical governance policy and its main component, patient satisfaction, turned into practice and what they look like on the ground…
Abstract
Purpose
The purpose of this paper is to explore how the clinical governance policy and its main component, patient satisfaction, turned into practice and what they look like on the ground in the centralised health system of Iran.
Design/methodology/approach
A qualitative research stance was adopted incorporating three main sources of information: face to face in‐depth interviews and focus groups conducted with hospital senior managers at the teaching hospitals in Kerman city, Iran, as well as documentary analysis of key policy texts. Nine hospital senior managers were purposefully selected for face‐to‐face interviews as well as a purposeful sample of 15 hospital senior managers for focus groups.
Findings
The documentary analysis revealed how clinical policy has been put into practice. The interview and focus group data analysis also disclosed four key themes with respect to how policy implementers in the Iranian centralised health system perceive nationally developed policies towards clinical governance and patient satisfaction. These include: a paper exercise; opaque, ambiguous policies; unstable policies; and separation of policy making from policy implementation.
Originality/value
The study revealed a perceived mismatch between the official proposals for clinical governance and their application in practice. The findings of this research lend support to the idea that there should be no separation between policy making process and its implementation; they are inseparable and should be treated in parallel, rather than in sequence. The study further suggests more accountability of the state towards its policies and public alike as a better governance of the health system. State‐level sustainability followed by allocating proper resources to implementation fields and empowering policy implementers coupled with good systems of performance control are the keys to keep patient focus a top priority.
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Keywords
Ali Kazemi, Seyedeh Fatemeh Ghasempour Ganji and Abdullah Na'ami
This paper aims to investigate the link between internal capabilities, innovation strategies and export performance (EP), considering the corporate social responsibility (CSR…
Abstract
Purpose
This paper aims to investigate the link between internal capabilities, innovation strategies and export performance (EP), considering the corporate social responsibility (CSR) principle as a moderator.
Design/methodology/approach
The statistical population of the current study is the food and agricultural products exporting small- and medium-sized enterprises (SME) which participated in the 27th International Agrofood Exhibition (2021) in Tehran, Iran. A sample of 296 managers was selected, using systematic random sampling, to answer the questionnaire. To analyze the data, we used structural equation modeling (SEM) and Hayes PROCESS in SPSS.
Findings
Results show that just manufacturing capabilities affect both exploratory and exploitative innovation, in contrast to marketing capabilities that does not have any significant impact on these two innovation strategies. Moreover, the impact of both explorative and exploratory innovation on EP is supported in the context of food and agricultural SMEs. However, CSR positively moderates the impact of exploratory innovation on EP, showing it has a negative effect on the impact of exploitative innovation on EP.
Originality/value
By addressing the research gap on the link between internal capabilities, innovation strategies, EP and CSR among SMEs, the current research provides valuable body of research that later studies in the literature can leverage or build upon.
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Keywords
Seyedeh Fatemeh Ghasempour Ganji, Fariborz Rahimnia, Mohammad Reza Ahanchian and Jawad Syed
This paper aims to examine diversity management (DM) practices in leading private-sector organizations in Iran.
Abstract
Purpose
This paper aims to examine diversity management (DM) practices in leading private-sector organizations in Iran.
Design/methodology/approach
The study draws on in-depth interviews with 23 human resource management (HRM) executives and supervisors in nine private sector companies in Iran, and presents the analysis conducted using MAXQDA software.
Findings
The results categorize DM practices into four subsystems of HRM, i.e. recruitment and selection, training, performance management, and reward management. These practices indicate the inclusion of diversity-sensitive criteria and consideration of equal opportunity in the HRM subsystems.
Originality/value
The findings advance a contextual understanding of DM in a developing country. Considering DM practices in HRM subsystems may provide an effective way to help managers address workforce diversity in organizations.
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Fatemeh Ghaemi, Maryam Emadzadeh, Ali H. Eid, Tannaz Jamialahmadi and Amirhossein Sahebkar
The purpose of this meta-analysis was to examine the effect of pomegranate juice (PJ) intake on glycemic control in adults.
Abstract
Purpose
The purpose of this meta-analysis was to examine the effect of pomegranate juice (PJ) intake on glycemic control in adults.
Design/methodology/approach
Materials and methods: PubMed (Medline), ISI Web of Science, Cochrane Library and Scopus databases, measuring glucose and/or insulin and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) in adults, were searched from inception to December 11, 2021. Moreover, to examine whether grouping factors influenced heterogeneity between research results, subgroup analysis was used.
Findings
This meta-analysis showed that PJ intake reduced HOMA-IR significantly, especially if =250 mL was used. This reducing effect remained significant in females, nondiabetic patients and unhealthy subjects.
Originality/value
The authors believe the presented data would be highly motivating and of a wide readership for the readers of your journal, and this paper stimulating a surge of research on the impact of PJ consumption on glycemic indices.
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Masoumeh Simbar, Fatemeh Nahidi, Mahrokh Dolatian and Alireza Akbarzadeh
Improving hospital service access and mothers' care are said to be the best approaches for decreasing maternal mortality. This study aims to evaluate prenatal care (PNC) and…
Abstract
Purpose
Improving hospital service access and mothers' care are said to be the best approaches for decreasing maternal mortality. This study aims to evaluate prenatal care (PNC) and suggest ways to improve hospital and health center maternity services.
Design/methodology/approach
This was a cross‐sectional descriptive study to evaluate prenatal care services in three domains: service structure; care process; and outcomes. Using non‐randomized quota sampling, 600 PNC clients were assessed in 12 pre‐natal clinics. Two checklists were used to assess facilities and care process and a questionnaire to assess client satisfaction. Validity and reliability were assessed and confirmed.
Findings
Six hundred subjects, averaging 29.3 (±9.4) weeks pregnancy, were included. Assessing different care processes demonstrated the following compliance to standards: counseling process 55.5 per cent (±21.2); history‐taking 48.71 per cent (±11.4); vital signs assessment 53.4 per cent (±10.6); general examination 30.2 per cent (±13.3); obstetrical examination 91.8 per cent (±27); blood tests 93.8 per cent (±21.9); urinary tests 86.9 per cent (±26.3); clients' education about peri‐natal‐risk 39.7 per cent (±27.1). Results showed that 0.54 per cent (±13.1) of clients were satisfied with care processes.
Research limitations/implications
Clients and providers were informed about the study's evaluation processes, which may have affected the results.
Practical implications
Study method and results can be used to improve PNC services.
Originality/value
This is the first time a study has focused on Iranian PNC structures, processes and outcomes.