Volume 18, Issue 4 (2025)                   JMED 2025, 18(4): 18-29 | Back to browse issues page

Ethics code: IR.MEDSAB.REC.1403.134

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rad M, Feizabadi M, Assarzadeh H, Chaman R, Yazdimoghaddam H, Javadinia S A. Barriers to implementing findings from theses and dissertations: a qualitative study. JMED 2025; 18 (4) :18-29
URL: http://edujournal.zums.ac.ir/article-1-2474-en.html
1- Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran.
2- Department of Scientometrics, Sabzevar University of Medical Sciences, Sabzevar, Iran
3- School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
4- Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
5- Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran , Javadinia.alireza@gmail.com
Abstract:   (190 Views)
Background & Objective: Graduate and postgraduate theses in medical sciences aim to identify clinical problems, propose therapeutic strategies, and inform health policies. However, their findings are often not applied in practice. This study explored barriers to implementing results from postgraduate theses.
Materials & Methods: This qualitative study employed a conventional content analysis approach and was conducted from January 31 to March 31, 2025. Ten faculty members participated, selected through purposive sampling until data saturation was achieved. Data were collected via semi-structured, individual interviews and analyzed using Elo and Kyngäs’s method. To ensure the trustworthiness of the findings, Lincoln and Guba’s criteria—credibility, dependability, confirmability, and transferability—were applied.
Results: Qualitative data analysis yielded 500 initial codes, which were organized into 63 subcategories, 12 primary categories, and ultimately synthesized into 4 main categories. The four categories included: “barriers related to researchers and research itself”, “barriers related to organizational and managerial environments”, “barriers related to healthcare professionals and staff”, and “barriers related to policy and regulations”. The overarching, abstracted theme was identified as “systematic barriers to the application of research findings in the health system”.
Conclusion: This study identified four main categories of barriers that hinder the use of research evidence in healthcare: researcher- and research-related, organizational, professional, and policy barriers. Overcoming these challenges requires coordinated, multi-level strategies engaging researchers, healthcare providers, managers, and policymakers. Systematic action in these areas can promote evidence-informed decision-making and improve patient outcomes.
Full-Text [PDF 495 kb]   (26 Downloads)    
Article Type : Orginal Research | Subject: Medical Education
Received: 2025/05/5 | Accepted: 2025/11/18 | Published: 2025/11/19

References
1. Abd-Alrazaq A, AlSaad R, Alhuwail D, Ahmed A, Healy PM, Latifi S, et al. Large language models in medical education: opportunities, challenges, and future directions. JMIR Med Educ. 2023;9(1):e48291. [DOI:10.2196/48291] [PMID] []
2. Uddin T, Kamal T, Azad A, Islam MJ, Yousuf M, Moyeenuzzaman M. Fellowship trainee research activities of a faculty of Bangladesh College of Physicians and Surgeons: analysis of 30 years dissertation work and recommendation for further improvements. J Bangladesh Coll Phys Surg. 2022;40(2):51-6. [DOI:10.3329/jbcps.v40i40.59908]
3. Karakullukçu A, Ardıç C. Bibliometric analysis of medical speciality dissertation studies in family medicine departments and clinics between 2000-2020. Ankara Med J. 2023;23(3):295-311. [DOI:10.5505/amj.2023.90836]
4. Whirl-Carrillo M, Huddart R, Gong L, Sangkuhl K, Thorn CF, Whaley R, et al. An evidence-based framework for evaluating pharmacogenomics knowledge for personalized medicine. Clin Pharmacol Ther. 2021;110(3):563-72. [DOI:10.1002/cpt.2350] [PMID] []
5. Jabali SH, Yazdani S, Pourasghari H, Maleki M. From bench to policy: a critical analysis of models for evidence-informed policymaking in healthcare. Front Public Health. 2024;12:1264315. [DOI:10.3389/fpubh.2024.1264315] [PMID] []
6. Subbiah V. The next generation of evidence-based medicine. Nat Med. 2023;29(1):49-58. [DOI:10.1038/s41591-022-02160-z] [PMID]
7. Kerr H, Rainey D. Addressing the current challenges of adopting evidence-based practice in nursing. Br J Nurs. 2021;30(16):970-4. [DOI:10.12968/bjon.2021.30.16.970] [PMID]
8. Safdari R, Ghazisaeidi M, Ehtesham H, Robiaty M, Ziaee N. Barriers to research in medical sciences from the viewpoints of faculty members of Birjand University of Medical Sciences in 2012. J Rafsanjan Univ Med Sci. 2016;15(6):515-26.
9. Galván-Barrios J, Fiorillo-Moreno O, Delgado P. Gaps and challenges of available clinical guidelines on treatment options for early hepatocellular carcinoma. Int J Surg Open. 2025;63(1):60-1.
10. Matias-Yatar T, Felizardo K, Aguilar E, Cabrera J, Bersamin M, Faller E. Research utilization of evidence-based practice in clinical setting among nurses: a review. Int J Res Publ Rev. 2023;4(3):1408-12.
11. Ahmed I, Ishtiaq S. Reliability and validity: importance in medical research. J Pak Med Assoc. 2021;71(8):2401-6. [DOI:10.47391/JPMA.06-861] [PMID]
12. Li H, Moon JT, Purkayastha S, Celi LA, Trivedi H, Gichoya JW. Ethics of large language models in medicine and medical research. Lancet Digit Health. 2023;5(6):e333-5. [DOI:10.1016/S2589-7500(23)00083-3] [PMID]
13. Sharma A, Palaniappan L. Improving diversity in medical research. Nat Rev Dis Primers. 2021;7(1):74. [DOI:10.1038/s41572-021-00316-8] [PMID]
14. Alberto II, Alberto NI, Ghosh AK, Jain B, Jayakumar S, Martinez-Martin N, et al. The impact of commercial health datasets on medical research and health-care algorithms. Lancet Digit Health. 2023;5(5):e288-94. [DOI:10.1016/S2589-7500(23)00025-0] [PMID]
15. Kirkham JJ, Williamson P. Core outcome sets in medical research. BMJ Med. 2022;1(1):e000284. [DOI:10.1136/bmjmed-2022-000284] [PMID] []
16. Latifi S, Khalilpour A. Barriers to updating of knowledge and utilization of research findings in nursing clinical practice. Res Med Educ. 2012;4(1):17-25. [DOI:10.18869/acadpub.rme.4.1.17]
17. Azizian F, Ansarinia A. Survey of some barriers to utilization of research finding in clinical practice from view of Yazd dental faculty science committee members in 2017. Res Dent Sci. 2019;16(2):140-51. [DOI:10.29252/jrds.16.2.140]
18. Safari-Moradabadi A, Ramezankhani A, Aghamolaei T, Hosseini M, Dadipoor S. Students viewpoint about barriers to doing research in Hormozgan University of Medical Sciences. Res Med Educ. 2017;9(3):9-1. [DOI:10.29252/rme.9.3.9]
19. Mokhtari R, Adib-Hajbaghery M, Yazdani-Darki M. Barriers to student research from the perspectives of nursing, health, and medical sciences students: a cross-sectional study. Nurs Midwifery Stud. 2019;8(2):97-103. [DOI:10.5812/nms.12195] [PMID] []
20. Dormiani Tabatabaei SA, Dastjerdi K. Faculty members and students' view points about barriers to research in Islamic Azad University, Najaf Abad Branch. Res Med Educ. 2023;15(3):14-24. [DOI:10.32592/rmegums.15.3.14]
21. Mahmoodi F, Beheshti H. Survey of the medical sciences students' attitude towards research. Strides Dev Med Educ. 2024;21(1):218-25. [DOI:10.21203/rs.3.rs-3906416/v1]
22. Dadipoor S, Ramezankhani A, Aghamolaei T, Safari-Moradabadi A. Barriers to research activities as perceived by medical university students: a cross-sectional study. Avicenna J Med. 2019;9(1):8-14. [DOI:10.4103/AJM.AJM_121_18] [PMID] []
23. Nejatizadeh A, Sarnayzadeh M, Kahnouji K, Ghasemi R, Nakhodaei N. Constraining factors of research among faculty members at Hormozgan University of Medical Sciences. Electron Physician. 2016;8(5):2405-11. [DOI:10.19082/2405] [PMID] []
24. Rashidi MR, Ghojazadeh M, Vahedi L, Sadeghi G, Alikhani M, Azami-Aghdash S. Challenges and strategies for the promotion of research in Tabriz University of Medical Sciences: the analysis of stakeholders' views. J Res Clin Med. 2015;3(4):206-18. [DOI:10.15171/jarcm.2015.033]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Medical Education Development | All rights reserved.