فهرست مطالب dr heidarali abedi

Self-management is a dynamic process in which individuals actively manage their chronic illness. The purpose of this article was to outline self-management resources used by patients following coronary artery bypass graft (CABG) surgery. The choosing of self-management resources by individuals is a personal process which differs based on the individual’s background. Although factors effective on self-management have been determined in previous studies, the self-management resources used by patients after CABG have been overlooked. A qualitative approach based on content analysis was used in this study. Data were collected through in-depth semi-structured interviews conducted at a cardiac rehabilitation center in Kerman, Iran. Participants comprised 25 patients, 3 nurses, 4 cardiac specialists, and 7 family members. Through data analysis, 8 categories in 3 major themes were extracted. The major themes comprised the basis for patient's self-management resources following CABG intervention. In the first theme, "regaining mental strength", the categories of "Meaning making", "Positive thinking", and "Focus on capability" were identified. The 2 categories of "Thanking God" and "Religious help" caused the formation of the theme "sustaining spiritual-self". In the third theme, "social support", the 3 categories of "Seeking family support", "Contact with peers", and "Seeking health care provider's support" were identified. According to the findings, participants themselves activate psychological, spiritual, and social resources to manage their illness. However, resource activation should be carried out with the support of and through a mutual relationship with health care providers.

Thalassemia is associated with severe blood disorders and hemolysis. As is the case with other chronic diseases, parents who care for these children tolerate insufferable pain. Given the importance of suffering in nursing, understanding this concept seems necessary in order to provide appropriate care based on their experience. This study aims to understand caregiver suffering experience of parents of children with thalassemia. This was a qualitative study conducted with a content analysis approach. A total of 21 participants were selected from parents referred to the thalassemia ward of a university hospital in Kerman, Iran, by the theoretical purposive sampling method. Data were collected through recorded semistructured interviews that were transcribed verbatim and analyzed by the Lundman and Granheim’s content analysis method. Data analysis resulted in the emergence of the four categories of living with hardship, stigma and labeling, parental concerns, and the role of a support network, all of which were incorporated into the parental suffering theme. The results indicate that parents as caregivers for children with thalassemia suffer intensely, but silently. Perhaps the results of this study can attract the attention of authorities and cause them to provide assistance for these parents.

Backgroung: The elderly are among the vulnerable groups in society، and elder abuse by caregivers is one of the forms of violence known as a public health problem throughout the world. The present study aimed to investigate different forms of elder abuse during hospital stay. Using non-random convenience sampling، this cross-sectional study was conducted on 200 elderly people over the age of 65 admitted to Meybod Hospital in 2012. A structured interview and a researcher-made questionnaire entitled “Studying the Abuse of the Hospitalized Elderly” were used to collect information. Most study samples were women (52%) and the 65 to 70 age group (65%). The prevalence of physical، psychological and financial abuses، as well as neglect and self-neglect were 11. 8%، 9. 68%، 5. 08%، 21. 17% and 21. 14%، respectively. There was a significant difference between men and women in terms of physical (P = 0. 02)، psychological and self-neglect (P = 0. 01) abuses. There was also a significant difference between the age groups in terms of physical (P = 0. 005) and neglect (P = 0. 02) abuses. Despite the great emphasis our culture puts on respecting patients and the elderly، the hospitalized elderly experience different types of abuse. Therefore، an accurate understanding of elder abuse in hospitals could increase the awareness and sensitivity of people، managers، personnel and organizations associated with this phenomenon so that they can take effective measures for prevention and design of a system identifying the elderly at risk.

Consistent with health care changes, nursing schools also require revising of clinical education programs, especially, the nursing student’s first clinical experience. The first clinical experience is considered the cornerstone in professional nursing education. The present study was conducted with the aim to identify challenges of clinical training of the fundamentals of nursing to undergraduate students and develop them with a collaborative approach in the School of Nursing and Midwifery in Ahwaz Jundishapur University of Medical Sciences, Iran.

The presents study reports the two operating cycles of an action research with a collaborative approach and focus group discussion, and with the participation of 84 stakeholders. Content analysis approach was used to analyze the data obtained in focus discussion interviews. In addition, reflective evaluation was performed during the operation and final evaluation at the end of each cycle with the participation of all members, including students.

The findings of this qualitative study detected a lack of consistency in planning and implementation of curriculum, inadequate intra- and extra-organizational communication management, inadequate student understanding of situation, and improper control of restrictors and improper use of facilitators in teaching and practice. After classification of problems, educational decision-making authorities of the School developed an operational program within the national curriculum framework through participation in clinical skills and principles training program. Overall, the evaluation results in the two operating cycles confirm that the general success of the action plan is based on professional collaboration of faculty trainers and administrators, and clinical nurses involved in the process.

Planning fundamentals of nursing training in partnership with all those involved in practice and education, together with students can be effective in reducing educational failures, gap between theory and practice, and result in the satisfaction of all stakeholders.

Regarding recent social and economic changes and developments and the increasing presence of working women in society, paying more attention to the importance of maternal role among working women who face multiple roles is necessary. Therefore, this study describes the experiences of working women related to their maternal role.

This was a qualitative research, in which the phenomenological approach was used. The participants were selected from women working in one of the units of Islamic Azad University, Iran. Purposive sampling was used to select 9 participants. In-depth interviews were the main data collection method. In addition, data were analyzed through Colaizzi’s method. Reliability and validity of the present study was rooted in the four axes of real value, applicability, continuity, and being based on reality.

Data analysis led to the extraction of 414 primary codes, 25 subthemes, and 7 main themes including different pregnancy, supportive umbrella, role alteration, role overlap, role strain, gradual adaptation, and erosion.

The acceptance of numerous roles, such as maternal and marital roles, by working women results in various role expectations of them from their children, spouses, family, and the society. This, in turn, forces them to meet both familial and occupational needs and expectations. However, since maternal role is considered as one of the most important roles of women, this obviously, intentionally or unintentionally, can affect the maternal role and cause role conflicts for working mothers. Based on the findings of the current study, this important role of working mothers is accompanied by much hardship and difficulty and it is a completely different process than that experienced by non-working mothers. Since this may affect their physical and mental health, it necessitates more attention.

Patient safety has long been a major concern for healthcare professionals. Today، hospitals should provide patient safety in order to gain accreditation. Among patient safety issues، medication error rate has been considered as a major indicator of healthcare quality. The different aspects of medication error are not clearly known and the nurses are the main source of knowledge in this field. Therefore، the researcher decided to study the experiences of nurses who have been faced with a medication error in order to clarify the various aspects of this phenomenon. It is through the exact identification of this phenomenon that it can be managed.

In the present study، a phenomenological qualitative approach was used. Participants in this study were nurses working in hospitals of Isfahan and had experienced medication error. Purposive sampling was adopted in the study and sample size was dependent on the data saturation. A total of 10 participants were chosen. Data collection was carried out through unstructured interviews and analysis through Colaizzi’s Method.

From the findings of this study، six main themes expressing participants’ experiences emerged. The six main themes include: The context of error، the error range، negligence، the consequence of error، concealment of error، and reporting of error.

Nurses report their errors when they feel safe and do not see harmful results for them. Therefore، hospitals should review their policies on error reporting to ensure they actively encourage nurses to report medication errors، and to support a blame-free culture in the organization and a systembased approach to deal with the error.

Ageing is the crucial occasion of human life reduces physical strength and the ability to do some recreational activities that require physical strength. Moreover، the lack or shortage of recreational and cultural centers force most of the seniors to stay at home or، at best، to sit in front of homes or go to parks and green space in the final years of life. With regard to the specific needs of this age and quality of life in the elderly، it is important to give necessary attention to the elderly daily living story to better understanding of their life status. We aimed to describe the elderly lived experiences during spending their time in parks in Isfahan، Iran. Phenomenological research with purposeful sampling and unstructured interviews as well as Colizis'' analysis approach were the main bases of the study. The findings were grouped into ten themes including: spirituality، happiness، nutrition، emotional attachment، stroll in the park، memories، changing appearance، rest، leisure and support resources. Many researchers have expressed a range of factors in elderly daily living as well as economic issues and leisure opportunities that would be altered during retirement. Each of these factors can affect the satisfaction of retired elderly.