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Starting at the top: culture change has the potential to advance the patient participation agenda in Iranian hospitals
  1. Georgia Tobiano1,2,
  2. Wendy Chaboyer1,3
  1. 1 NHMRC CRE In Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia
  2. 2 Nursing/Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, Gold Coast, QLD, Australia
  3. 3 School of Nursing and Midwifery, Griffith University, Gold Coast, QLD, Australia
  1. Correspondence to Dr Georgia Tobiano, NHMRC CRE In Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia; g.tobiano{at}

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Commentary on: Sarkhosh S, Abdi Z, Ravaghi H. Engaging patients in patient safety: a qualitative study examining healthcare managers and providers' perspectives. BMC Nurs. 2022 Dec 29;211,:374. doi: 10.1186/s12912-022-01152-1.

Implications for practice and research

  • Without a shift in organisational culture, patient participation in patient safety may continue to be haphazard in Iranian hospitals.

  • Researchers should consider and report the impact of gender when investigating patient participation in care.


Despite Iran’s economic crisis, brought on by sanctions, years of war and improper government resource management, Iranian healthcare is now considered among the finest in the Eastern Mediterranean region.1 There are satisfactory secondary and tertiary hospitals, and progress towards eradication of contagious, maternal and neonatal disorders has been made.1 Internationally, patient participation in hospital safety activities is advocated, such as patients detecting and reporting symptoms, side effects and hospital issues, to …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.