Validation and Prioritization of Organizing Themes in the Implementation Model of Therapeutic Policies in University Medical Hospitals
Year: 2026
Type: article
Abstract: The objective of this study was to design, validate, and prioritize a comprehensive model for implementing therapeutic policies in university medical hospitals in southeastern Iran based on a Jihadi management approach. This study employed a mixed-methods design conducted in two phases. In the qualitative phase, semi-structured interviews were conducted with 17 experts in therapeutic policy implementation, and the data were analyzed using thematic analysis to extract initial codes, basic themes, and organizing themes. In the quantitative phase, the population consisted of 4,420 hospital managers and staff, from whom 387 valid questionnaires were collected through stratified random sampling. An 82-item Likert-scale questionnaire with confirmed validity and reliability was used as the data collection tool. Statistical analyses were performed using standard analytical software, and structural equation modeling was applied to evaluate the measurement and structural models. A multi-criteria decision-making approach was used to prioritize the organizing themes. The qualitative results yielded 72 initial codes, 23 basic themes, and 9 organizing themes related to the implementation of therapeutic policies using a Jihadi approach. Structural equation modeling indicated that all paths between the organizing themes and the main construct were statistically significant. The strongest effects were attributed to continuous monitoring systems and staff ethical considerations. Prioritization results showed that “growth and empowerment,” “institutionalization of Jihadi culture,” and “staff ethical considerations” were the most influential themes in improving the implementation of therapeutic policies. The findings highlight that effective implementation of therapeutic policies requires strengthening value-based systems, establishing continuous monitoring structures, promoting ethical and professional behavior among staff, mobilizing resources, and enhancing human capacity development.
Institution: Islamic Azad University Kerman
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7160018518