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On Friday , I will be leaving for a trip to Iran. I am running a 4 day workshop on
cost-effectiveness at Tehran University of Medical Sciences. I am very grateful for the opportunity to meet with the medical staff and researchers, but am especially fortunate that my hostess for this week will be nurse. She works in one of the university teaching hospitals, much like I worked at Beth Israel Deaconess, a teaching hospital of Harvard Medical school.
I very much hope that to see some of her work and that of her nursing colleagues during this very brief visit.

If possible, I might field questions to her or her colleague - what would you want me to ask ? Are there any Irani nurses here who have suggestions for things that I should see or do when in Tehran?


Michele Sare
Replied at 5:25 PM, 10 Feb 2014

What a great opportunity! I'd like to know what nurses there might say about: 1. Best ways for nurses to connect across borders 2. What do they need to do the job they intend 3. What can we learn from nurses in Iran, 4. How does a person become a nurse in Iran – how many years of school and 5. What can we learn from Iranian nursing education?

Given the opportunity - I would be honored to learn a great deal more, but am grateful that you took the time to ask for input - have a magnificent journey - I look forward to your report!


Elizabeth Glaser
Replied at 9:31 AM, 16 Feb 2014

Welcome from downtown Tehran. I got here about 30 hours after leaving Boston. Flight delays from the snow and mechanical problems on one of the planes complication things a bit. I did not get to see Dubai, but did have an afternoon in Istanbul ( airport). I sat at a cafe to work but ended up watching the people come and go ;I saw people from South Asia, Central Asia, China, North Africa, subSaharan Africa and Europe all passing though this crossroads for the world.
People are friendly and very helpful. I will say that I was surprised to see that facebook is blocked. Apparently there are ways to get past it but it was something that I had not expected.
Will let you know more about the visit after going over to the medical school.


Elizabeth Glaser
Replied at 11:51 PM, 16 Feb 2014

We are about 10 or 12 hours ahead so it is 8 :15 am here.
Everyone has been great. Last night I worked too late so there was no dinner available ( it was after 11pm ) so the staff got me apple pie with ice cream and hot chocolate - it was sooo good. Just what I needed. Today I start my class at Tehran University of Medical Sciences. I just discovered that they have nursing and midwifery so I am going to see if I can meet anyone from that department. And Maryam and I will meet tonight after she gets off her shift at the hospital. They have a PhD program but I do not know the minimum for nursing as yet, and I wonder if they have dispensing/prescribing nurses. My med school host is a pharmacist, who is now focusing on pharmacoeconomics, so he will also have information about prescribing. Michele, I will keep your questions in mind.


Michele Sare
Replied at 10:32 PM, 17 Feb 2014

Thanks for your update - Tues. a.m. there? Maybe 'photo-voice' nurses/or restrictions to what can photograph? Looking forward to hearing/learning more - so grateful for this connection across an oft miss-understood border. Have a great day! Michele

Elizabeth Glaser
Replied at 2:52 PM, 18 Feb 2014

On Thursday, will have a brief tour of a hospital and get to meet other nurses.

Michele Sare
Replied at 4:44 PM, 24 Feb 2014

Welcome home - news from your trip?

Elizabeth Glaser
Replied at 5:42 PM, 24 Feb 2014

In Iran, the baccalaureate degree is required for registered nurses.
I toured the wards in the cancer institute and visited the Iranian Research Center for HIV AIDS. Both are within the Imam Khomeini Hospital Complex a major clinical and teaching facility at Tehran University of Medical Sciences.

Maryam, my friend and guide, works in risk management and clinical governance at the cancer institute. I kept seeing posters on the campus with different fields and she explained it is about the comprehensive strategic plan for improving patient services occurring across the hospital.

In the ICU I asked about infections and was told that the hospital cultures from every unit at least once a month to monitor for site of infection, type and for the presence of drug resistant strains -the binder for the ICU showed results from the monthly cultures in their unit and from across the hospital. In the cancer institute the nurses are doing high tech modern nursing, such as running an ICU with people on vents, yet the building that houses them is old and in poor condition. There are new buildings going up due to funds left by a private donor so hopefully they will benefit from this but the current sanctions provide a very real constraint on their ability to care for patients.

Included is a photo: Esmat Saeidi(head nurse, ICU), Elizabeth, Sepeideh Saiedian(clinical supervisor), Maryam Kazem Haghighi ( risk management), Mehri tavakoli(nurse, ICU) at Imam Khomeini Hospital complex- Cancer Institute, Tehran.

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