Journal of Qualitative Research in Health Sciences

Authors

1 kerman university of medical sciences

2 Kerman University of Medical Sciences

Abstract

Introduction: The national nosocomial surveillance system has been newly developed in Iran; therefore,
it is necessary to investigate its different aspects in order to improve the quality of this system. Thus, the
aim of this study was the explanation of the status of the nosocomial surveillance system in Iran.
Method: This qualitative study was conducted through qualitative content analysis. The study participants
were selected through purposeful sampling method. Data collection was carried out through 17 in-depth
interviews and 3 focus group discussions with relevant stakeholders. Data were analyzed using content
analysis method. In order to assess the accuracy and validity of the study, validity, confidentiality, and
confirmability criteria were evaluated.
Results: Through the analysis of interviews, 9 main themes (planning and policy making, human
resources, infection control committee, quality and quantity of resources, protocols, software, surveillance,
coordination and education) and 42 subsidiary themes concerning the status of the national nosocomial
surveillance system were extracted. According to the participants’ opinions, the planning and algorithm of
the program are acceptable. However, some issues exist in components such as applicability, priority,
comprehensiveness of the definitions, attitude and behavior of the human resources, and ambiguity of the
roles and responsibilities.
Conclusion: This qualitative study showed that numerous factors influence the improvement of the
nosocomial surveillance system. The interviews indicated that its design pattern is acceptable.
Nevertheless, some of its components are not executed uniformly in all domestic hospitals.

Keywords

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