عنوان مقاله [English]
World Health Organization supposes health as something more than the absence of sickness or disability. It also considers health in a way that it includes the psychological, social as well as spiritual aspects of human beings. Present research has been performed on the basis of an abductive strategy through application of Extensive ethnographic methods aiming at representation of management-related strategies oriented toward consideration of spirituality in governmental hospitals located in Shiraz. Two main research questions include: how meta-physical dimensions of main actors of the health system including their psychological, social as well as spiritual aspects are being considered by decision makers of the medical therapeutic complexes? What are the most important observed instances put in contrast with the principles of medical ethics? The informants of the study include physicians, lecturers of medical ethics, nurses, hospital managements, social workers, patients and their visitors as well. The mentioned informants have been selected purposefully through multi-level qualitative sampling. Analysis of data gathered through various ways of data seeking such as in-depth as well as semi-structured interviews, photo taking and review of hospital documents shows that regarding psychological, social and spiritual aspects of the main actors of the cure system can be represented under the label " advisory obligatory prescription" as a final theme and "religious spirituality", "organizational spirituality" and "personal professional culture of system of cure services" as total themes. Furthermore, in therapeutic centers, institutionalization of spirituality, as a management ideal, has been mostly fulfilled on the basis of religious teachings with special reference to juridical preferences.
Key Concepts: Ideal Observer, Medical Ethics, Culture, Spirituality, Professional Behavior