{"id":"https://openalex.org/W2610477448","doi":"https://doi.org/10.19082/4131","title":"Challenges experienced by nurses in the implementation of a healthcare reform plan in Iran","display_name":"Challenges experienced by nurses in the implementation of a healthcare reform plan in Iran","publication_year":2017,"publication_date":"2017-04-25","ids":{"openalex":"https://openalex.org/W2610477448","doi":"https://doi.org/10.19082/4131","mag":"2610477448","pmid":"https://pubmed.ncbi.nlm.nih.gov/28607646","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5459283"},"language":"en","primary_location":{"id":"doi:10.19082/4131","doi":"https://doi.org/10.19082/4131","is_oa":true,"landing_page_url":"https://doi.org/10.19082/4131","pdf_url":"http://www.ephysician.ir/2017/4131.pdf","source":{"id":"https://openalex.org/S2764487914","display_name":"Electronic physician","issn_l":"2008-5842","issn":["2008-5842"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","erih-plus","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310319038","host_organization_name":"Electronic Physician","host_organization_lineage":["https://openalex.org/P4310319038"],"host_organization_lineage_names":["Electronic Physician"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Electronic physician","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"http://www.ephysician.ir/2017/4131.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090101197","display_name":"Shahin Salarvand","orcid":"https://orcid.org/0000-0002-3326-1624","observed_orcids":["https://orcid.org/0000-0002-3326-1624"]},"institutions":[{"id":"https://openalex.org/I3121602497","display_name":"Lorestan University of Medical Sciences","ror":"https://ror.org/035t7rn63","country_code":"IR","type":"education","lineage":["https://openalex.org/I3121602497"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Shahin Salarvand","raw_affiliation_strings":["M.Sc. of Nursing, Faculty Member, Social Determinants of Health Research Center, Nursing and Midwifery Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"M.Sc. of Nursing, Faculty Member, Social Determinants of Health Research Center, Nursing and Midwifery Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran","institution_ids":["https://openalex.org/I3121602497"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084732759","display_name":"Maryam Azizimalekabadi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3130249259","display_name":"Sheikh Bahaei University","ror":"https://ror.org/04bz0e642","country_code":"IR","type":"education","lineage":["https://openalex.org/I3130249259"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Maryam Azizimalekabadi","raw_affiliation_strings":["MA in TEFL, Lecturer, English Language Department, Sheikhbahaee University, Isfahan, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MA in TEFL, Lecturer, English Language Department, Sheikhbahaee University, Isfahan, Iran","institution_ids":["https://openalex.org/I3130249259"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050016284","display_name":"Azadeh Akbari Jebeli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114982161","display_name":"Isfahan University of Medical Sciences","ror":"https://ror.org/04waqzz56","country_code":"IR","type":"education","lineage":["https://openalex.org/I114982161"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Azadeh Akbari Jebeli","raw_affiliation_strings":["M.Sc. of Nursing, Lecturer, Psychiatric Nursing Department, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"M.Sc. of Nursing, Lecturer, Psychiatric Nursing Department, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran","institution_ids":["https://openalex.org/I114982161"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081675664","display_name":"Mohamadreza Nazer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3121602497","display_name":"Lorestan University of Medical Sciences","ror":"https://ror.org/035t7rn63","country_code":"IR","type":"education","lineage":["https://openalex.org/I3121602497"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Mohamadreza Nazer","raw_affiliation_strings":["M.D. of Infectious and Tropical Disease Specialist, Associate Professor, Hepatitis Research Center, Medical Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"M.D. of Infectious and Tropical Disease Specialist, Associate Professor, Hepatitis Research Center, Medical Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran","institution_ids":["https://openalex.org/I3121602497"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5081675664"],"corresponding_institution_ids":["https://openalex.org/I3121602497"],"apc_list":{"value":750,"currency":"USD","value_usd":750},"apc_paid":{"value":750,"currency":"USD","value_usd":750},"fwci":2.0493,"has_fulltext":true,"cited_by_count":18,"citation_normalized_percentile":{"value":0.86743803,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"9","issue":"4","first_page":"4131","last_page":"4137"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.7764000296592712,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.7764000296592712,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14316","display_name":"Nursing Education, Practice, and Leadership","score":0.07029999792575836,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.03709999844431877,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.7139999866485596},{"id":"https://openalex.org/keywords/nurses","display_name":"nurses","score":0.4569999873638153},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.8140000104904175},{"id":"https://openalex.org/keywords/health-system-infrastructure","display_name":"health system infrastructure","score":0.6039999723434448},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.44699999690055847},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.4880000054836273}],"concepts":[{"id":"https://openalex.org/C2776505523","wikidata":"https://www.wikidata.org/wiki/Q4785468","display_name":"Plan (archaeology)","level":2,"score":0.7638925313949585},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.7161672115325928},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.66154545545578},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.4784831404685974},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4553743302822113},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3983803987503052},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3548855781555176},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3136184811592102},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.19559228420257568},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.13629764318466187},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.09892576932907104},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.19082/4131","doi":"https://doi.org/10.19082/4131","is_oa":true,"landing_page_url":"https://doi.org/10.19082/4131","pdf_url":"http://www.ephysician.ir/2017/4131.pdf","source":{"id":"https://openalex.org/S2764487914","display_name":"Electronic physician","issn_l":"2008-5842","issn":["2008-5842"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","erih-plus","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310319038","host_organization_name":"Electronic Physician","host_organization_lineage":["https://openalex.org/P4310319038"],"host_organization_lineage_names":["Electronic Physician"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Electronic physician","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:4316459","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5459283","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5459283","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5459283","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Electron Physician","raw_type":"Text"},{"id":"pmid:28607646","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28607646","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Electronic physician","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2da2e43aa5cb429aba8a67f1820d96d6","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/2da2e43aa5cb429aba8a67f1820d96d6","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Electronic Physician, Vol 9, Iss 4, Pp 4131-4137 (2017)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.19082/4131","doi":"https://doi.org/10.19082/4131","is_oa":true,"landing_page_url":"https://doi.org/10.19082/4131","pdf_url":"http://www.ephysician.ir/2017/4131.pdf","source":{"id":"https://openalex.org/S2764487914","display_name":"Electronic physician","issn_l":"2008-5842","issn":["2008-5842"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","erih-plus","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310319038","host_organization_name":"Electronic Physician","host_organization_lineage":["https://openalex.org/P4310319038"],"host_organization_lineage_names":["Electronic Physician"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Electronic physician","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8048999905586243,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320327622","display_name":"Lorestan University of Medical Sciences","ror":"https://ror.org/035t7rn63"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2610477448.pdf","grobid_xml":"https://content.openalex.org/works/W2610477448.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1521578411","https://openalex.org/W1871478163","https://openalex.org/W1914308209","https://openalex.org/W1983933519","https://openalex.org/W1990415494","https://openalex.org/W2015172816","https://openalex.org/W2021013236","https://openalex.org/W2052840436","https://openalex.org/W2116451202","https://openalex.org/W2122328334","https://openalex.org/W2158826623","https://openalex.org/W2203092361","https://openalex.org/W2301093678","https://openalex.org/W2416252693","https://openalex.org/W2469320536","https://openalex.org/W2548000951","https://openalex.org/W2784582791","https://openalex.org/W4230002081"],"related_works":["https://openalex.org/W3190596739","https://openalex.org/W2526223753","https://openalex.org/W4289234334","https://openalex.org/W3015503580","https://openalex.org/W7165641299","https://openalex.org/W4387541695","https://openalex.org/W2802015103","https://openalex.org/W2553587976","https://openalex.org/W2920389840","https://openalex.org/W7064309375"],"abstract_inverted_index":{"INTRODUCTION:":[0],"The":[1,106],"Healthcare":[2,107],"Reform":[3,108],"Plan":[4,109],"is":[5,112,133],"counted":[6],"as":[7],"a":[8,87,113],"plan":[9,25,95],"for":[10],"improving":[11],"healthcare":[12,38],"services":[13],"in":[14,24,36,40,76,110,118],"Iran.":[15,41],"Undoubtedly":[16],"pros":[17],"and":[18,57,103,128],"cons":[19],"can":[20],"be":[21],"seen":[22],"either":[23],"or":[26],"implementation.":[27],"This":[28],"study":[29],"was":[30,51,60],"conducted":[31],"to":[32,115,123],"describe":[33],"nurses'":[34],"challenges":[35],"implementing":[37],"reform":[39,81],"METHODS:":[42],"A":[43],"qualitative":[44],"method":[45],"centered":[46],"upon":[47],"conventional":[48],"content":[49],"analysis":[50],"applied.":[52],"We":[53],"used":[54],"purposive":[55],"sampling":[56],"data":[58],"saturation":[59],"obtained":[61],"by":[62,74],"30":[63],"participants.":[64],"Data":[65],"were":[66],"analyzed":[67],"using":[68],"MAXQDA":[69],"software.":[70],"RESULTS:":[71],"Challenges":[72],"experienced":[73],"nurses":[75],"the":[77,90,97,119],"implementation":[78],"of":[79,92,131],"this":[80],"include;":[82],"unsuitable":[83],"infrastructure,":[84],"unfavorable":[85],"vision,":[86],"complicated":[88],"challenge,":[89],"necessity":[91],"monitoring,":[93],"control":[94],"outcomes,":[96],"impact":[98],"on":[99],"nurses,":[100],"people's":[101],"misconceptions":[102],"solutions.":[104],"CONCLUSIONS:":[105],"Iran":[111],"solution":[114],"establish":[116],"equality":[117],"health":[120],"system,":[121],"however,":[122],"eliminate":[124],"these":[125],"challenges,":[126],"revision":[127],"appropriate":[129],"foundation":[130],"infrastructures":[132],"called":[134],"for.":[135]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2017-05-12T00:00:00"}