جستجوی مقالات مرتبط با کلیدواژه "آنالیز محتوی" در نشریات گروه "پزشکی"

Background and Perceptions and experiences of women about menopause are remarkably influenced by sociocultural context. Awareness of this issue could help health system policy makers to develop appropriate care plans for menopausal women in transition. This study aimed to explore the perceptions of Iranian women about menopause.
This exploratory qualitative study was conducted on 27 women aged 42-55 years old in Gonabad and Mashhad, Iran, between May 2014 and July 2016. Semi -structured in-depth interviews were conducted until data saturation was achieved. Conventional content analysis was done using the method proposed by Graneheim & Lundman (2004) in MAXQDA 2007.
Findings showed an overarching theme entitled “In the limbo of fear and hope" consisting of three categories and 15 sub-categories. The categories included: 1) feeling of freedom due to cessation of menstruation, 2) concerns associated with occurrence of menopause, and 3) divergent interpretations of menopause.
The main theme in this study was “In the limbo of fear and hope” which showed that the perceptions of women about menopause vary in a wide continuum of worry and peace. It is believed that changes in social beliefs toward menopause can reduce concerns and fears of women in menopausal transition.

Nurses, with the onset of work in the hospital, have different experiences from the time of education and apprenticeship, and each of them tries to adapt and adapt themselves to the conditions of the work environment. This research explains the adaptation of newly arrived nurses in the hospital environment. This is a qualitative study in which the required data were collected through semi-structured interviews with 11 nurses entering the hospital from May 2014 to July 2014. Nurses were selected through targeted sampling from hospitals affiliated to Isfahan University of Medical Sciences. Recorded interviews were analyzed using content analysis methodology. According to the interviewees, the five main concepts, including exposure to work environment conditions, professional imaging, underlying predictions, gap between the status quo, the role of the patient and colleagues, were extracted from the data. The results from research data suggest that newly arrived nurses face different challenges for adaptation in the workplace, and if they, as well as their associated managers, are better aware of these challenges. The transition from hospitalization to professionalization will be easier and less stressful and anxiety, which will provide better service and more effective communication that will increase the satisfaction of the service. Also, given the time and money spent on training nurses and their professionalization, they will ensure their survival in nursing care and their commitment to their service.

Empowering nursing students for this critical profession is one of the objectives of school of nursing and educational programs are based on clinical training. In this regards, knowledge of pharmacology is an important part of nursing clinical performance also, teaching and learning about pharmacology is important too. This study aimed to explain experiences of Nursing students’ and Clinical Teachers’ about the course of "Clinical Pharmacology "in the nursing curriculum.
This Study is a qualitative design, using a conventional qualitative content analysis approach. The statistical population included clinical instructors and nursing students in Guilan University of Medical Sciences. Sampling was selected through a purposive sampling strategy and semi structured interviews were held in order to collecting data and Continued until data saturation. Analyzing data was performed as per the stages recommended by Graneheim & Lundman (2004). Research strength and its scientific accuracy were evaluated as per the criteria proposed by Guba& Lincoln.
The data analysis revealed 3 main categories and 8 sub categories: Learning in practice (effective learning, short time to learn, short-term retention)" Challenges in offering course" (mismatch between workload issues and amount of the course, Many issues training in a short time)"time for offering the course:(repeat offering the course, offering course in higher terms, offer ing course with related Courses.
Discusion: based on findings, participant's subjective experiences show some good experiences and some bad experiences. Also, Many participants experiences indicate inadequate issue of education and learning and amount of the course. Again, the experience of many samples show necessity to repeat offering the course ,offering course in higher terms and synchronization of offering the course and the related lessons.

The fact that in spite of providing care some of the patients pass away can affect the mental health of some of the nurses and eventually affect the caring of patients. Therefore, considering the importance of end stage care, this research aimed to explore the experiences of caring end stage patients by nurses working in ICU.
This study is qualitative content analysis. After purposive sampling, data was collected using interview and semi-structured interview and data saturation was reached after interviewing with 10 nurses working in ICU wards of Sanandaj city and the data were analyzed using content analysis contract.
Findings: Three main themes were obtained from the data analysis: trauma, omitting the responsibility of the patient from the nurse and adhering to the inner voice about the experience of caring of end stage patients.
The results of this study indicated the need for moral support from nurses, providing the possibility of providing full care, paying attention and managing patients condition and their families and making nurses participate in the decision-making process of end-stage patients. Therefore, managers while supporting nurses should consider these aspects and establish specialized nursing care units for end stage patients to provide full care for these patients.

Health could have a specific meaning for every person and its related issues could affect all aspects of person’s life. Understanding the meaning of health and disease, especially in the elderly as a vulnerable group is an introduction to more realistic planning based on the existing realities and expectations of the patients. The aim of this study was to clarify the meaning of health in a group of elderly men and women in Iran.
This study is qualitative content analysis. A semi-structured interview was conducted with 14 elderly men and women living in Sanandaj city. After recording the data and transcribing it, the data was categorized based on qualitative content analysis and its themes were extracted.
Findings: The results of the study were in four themes including having a healthy body and a good mood, having spirituality and doing religious practices, satisfaction and positive thinking about oneself and family and last but not least, doing appropriate and independent activities daily.
The results of the study indicated that themes such as health and its related issues in different cultures has to be more broadly explored from the perspective of health care recipients, especially vulnerable groups. Thus, it would be possible to have appropriate planning to create and promote the health of this group in the community.

Besides their effects on patients’ bodies, diseases and their treatments can also take a toll psychologically on different aspects of patients’ lives. On the other hand, patients’ experiences of diseases and treatments are affected by the type and the manifestations of diseases as well as their own socio-cultural background. Understanding patients’ experiences of diseases can help healthcare professionals improve the quality of care. The aim of this study was to explore the experiences of prostate surgery among patients with benign prostatic hyperplasia.
This was a qualitative content analysis study. A purposive sample of patients who had recently undergone a transurethral resection of the prostate was recruited from the urologic care unit of Tohid Hospital, Sanandaj, Iran. Study data were collected through conducting fifteen in-depth interviews with patients. The qualitative content analysis approach was adopted for data analysis.
Findings: Study participants’ experiences of transurethral resection of the prostate fell into four main themes including succumbing to the disease, having no option other than undergoing the surgery, having freedom and comfort, and feeling worried about future.
Male patients who undergo transurethral resection of the prostate need educations and information in order to understand and accept the disease, its treatments, and its effects on different aspects of their lives. Study findings highlighted the necessity for developing and implementing post-operative care plans for this patient population.

Increasing growth professionalization in nursing resulted to importance the concepts of nursing knowledge and enrichment of structure of nursing knowledge. Nursing as a scientific profession for providing nursing services to clients should be notice and deep understand to creation, disseminate and applying knowledge. The main aim of this study was explored clinical nurse's perception to atmosphere of creation knowledge. This study was done in qualitative approach and content analysis. Semi- structures interviews (17) with clinical nurses and head nurses who selected purposefully were done. They were worked in teaching hospitals; Imam Khomieni and Shariate in Tehran city in 2013.Data were analyzed with Conventional Content Analysis. Findings showed that four themes derived from content analysis; scientific discussion, sharing clinical experiences, enrichment clinical rounds and conferences and inter- relationship. Based on results, atmosphere of creation knowledge is an interactional atmosphere, so, nurse managers should be provide situations that clinical nurses have inter relationship with colleagues, share their selve's experiences and have clinical rounds more than now.

Considering the importance of correct documentation in taking care of the patients especially in Coronary Care Unit (CCU), this study aimed at explaining nursing documentation requirements in CCU for improving the reporting system.

It’s a qualitative content analysis study, 15 qualified nurses and 15 qualified instructors from Iran were selected through purposeful and snowball sampling method in 2013. They explained documentation requirements in the CCU by using open-ended questionnaire. One note software was used for data analysis.

After data analysis, 22 subcategories from 5 main categories were emerged as documentation requirements in CCU: (1) health history, (2) health evaluation, (3) monitoring, (4) nursing interventions, and (5) nursing discharge notes.

On admission information regarding health history, findings achieved from patient’s health assessment in different situations such as; a. at the beginning of admission, b. at the beginning of every shift and c. Discharge time, also information achieved from patient’s monitoring during shift; nursing interventions done for the patient and discharge time report are counted as nursing documentation requirements in (CCU).

Establishing an effective communication with patients is an essential aspect of nursing care. However, most studies have described the nurse-patients’ family relationship as weak. Recognition of the content of effective care team-patient’s family communication will facilitate a more affective relationship between the care team and family members of patients in intensive care units. The present study aimed to determine the content of effective communication between the care team and family members of patients in the intensive care unit from the perspective of nurses and patients’ families. This study was performed with a qualitative approach and content analysis method. Participants included 8 Iranian registered nurses and 4 physicians working in intensive care units (ICU) of hospitals affiliated to Kerman University of Medical Sciences, Iran, and 10 first-degree relatives of patients. Data were collected using interviews and observations. Unstructured interviews were used in the present study. We used observation in order to gain a deeper understanding and verify data from interviews. The observations focused on the interactions between the care team and patients’ families during mutual communications. The data analysis of the handwritten account of the communication of the participants resulted in five categories of spiritual care (subcategories: giving hope, considering Allah, and performing religious practices) emotional reaction (subcategories: empathy, mutual understanding, promoting comfort, and trust), encouraging participation (subcategories: participation in decision making, and participation in physical care), interactive learning (subcategories: identification of the information requirements of the family, responding to the needs of the patient’s family, and training the patients), and consultation and guidance (subcategories: consultation in selecting treatment, and selecting the best care method). The findings resulted in the recognition of important aspects in communication between the ICU team and the family of the patients. By identification of the content of communication, establishing new rules, and application of creative methods in educating the care team on establishing communication, implementation of rules, and application of the patient-based approach in clinical environments we can communicate more effectively.

Scientist knows job rotation as a helping tool for attaining variety competencies، extended nurses'' vision and a technique for decreasing job burnout. While، it is accompanied to many problems at the glance، that''s why it shows in-effective in action. The purpose of this study was to explore the experiences of clinical nurses about job rotation techniques in teaching hospitals in Golestan provenience. This qualitative study was content analysis that it explored the experiences of nurses about rotating in different units in the teaching hospitals; for achieving the aim of study، by purposive sampling (15) clinician nurses selected and semi-structured interviews were done. All of interviews were recorded، transcribed and analyzed by constant comparison analysis in conventional of content analysis method. The main theme emerged was «challenges of job rotation». The participants were experienced the current job rotation system as «translate a simple nurse to multi-dimensional nurse» and vice versa; «change a qualified nurse to novice nurse». Participants experienced job rotation as a factor for professional growth، but also their conceptions in its methods of implementation was in-effective. In order to results suggest to nurse managers decide for implementation job rotation strategies were carefully. Also، they would be used effective communication ways that nurses'' conception about their aims of rotation are the same and nurses have not conflict with them about their decisions about it.

Philosophy of education is one of the epistemological domains of human science and one of the important courses in the curriculum of nursing doctoral degree. Quality of nursing education depends on the periodical assessment and improvement of this course. Therefore, the aim of this study was the pathological assessment of the principles and philosophy of education course in nursing doctoral degree. A qualitative design using a content analysis approach was used. Using a purposive sampling method, 11 doctoral degree students and 2 lecturers were interviewed. The interviews were transcribed verbatim and analyzed. Five categories were developed: educational planning, promoting motivational strategies, modification of the process of mutual evaluation, compliance of the content with philosophy and content compliance with student's needs. The main theme was the reform of the process of educational administration. Results of this study show the importance and necessity of review and revision of the principles and philosophy of education course. In order to improve the quality of this course, the course content should be designed based on the needs of nursing students to be applicable in education, research and practice.

Improvement of the quality of nursing education involves continuous assessment of the current condition in order to improve the quality. The students who received educational services are the best source to recognize the existing problems in the education. This study aims to describe the experiences and viewpoints of nursing students on quality of nursing education In this qualitative study, 40 senior nursing students were selected according to purposeful sampling method. Then, eight focus group interviews were performed. All interviews were transcribed and analyzed according to content analysis method. Using thematic analysis, a significant number of preliminary themes and three main themes each with few other sub-themes, were emerged. The main themes were; “theoretical education”, “clinical education” and “the gap between theoretical and clinical education”. It seems that theoretical and clinical education needs more comprehensive educational approaches to integrate knowledge and practice. We suggest that clinical assessment perform by faculties of nursing schools in clinical settings.

One of the ways that can improve scientifically the nursing care behaviors is Post-Registration Nursing Education and sttaf development process. To achieve this objective appropriate context Post-Registration Education must be provided for nurses. Currently, despite the legal requirement for continuing education for nurses, this goal has not been achieved as desired. To achieve this goal, the underlying cause should be investigated. Therefore, the aim of this study was to explore nurse's experiences of nursing continuing education context by a qualitative study. The study with a qualitative approach was conducted in 2011, 23 people from the Educational Supervisors, nurse managers and nurses with a purposeful sampling participated in the study. The data collected by unstructured interviews and field notes and were analyzed using conventional content analysis. During the process of content analysis, participants explained three themes includeing: 1) insufficient attitude to the required training 2) inadequate support 3) Passive training monitoring and the main theme of the study was inadequate perception of their legal education. Currently, due to lack of motivation, support and effective supervision of Post-Registration Nursing Education nurses involved inactively in the learning process and continuing education is limited to the statutory approvals and business benefits of training for nurses and their organizations. So To improve this situation is required attention and good infrastructure Includeing adequate support and effective supervision.

No hospital can be considered as an ideal treatment center without an active and fully functional emergency room. A significant part of this strong and high performance is related to emergency room management that is affected by contextual factors and conditions. This study was conducted to clarify nurses’ experience of emergency room management from nurses’ point of view. This study was carried out through a qualitative approach and content analysis method with conventional approach. Via purposeful sampling, 18 nurses during one year gave unstructured interviews in two teaching hospitals in Tehran. The gathered data were analyzed by using MAXQDA3 software. The results of this study indicated that nurse's experience of emergency room management lay in three main aspects: 1. Neglecting basic needs of human resources, 2. Neglecting development of human resource, 3. Basic and functional management challenges and deficiencies Considering the shortcomings and failures in emergency room management, managers should pay attention to nurses’ basic needs. They should support nurses, consider offers, improve education, and try to overcome challenges and shortcomings of management.

Clinical supervision is an essential way of support and advances professional roles of nurses. Clinical supervision includes objectives and positive functions and is an effective support system within many challenges in nursing. The aim of this study was to investigate factors affecting processes of clinical supervision from perspectives of nurses.

In this qualitative and content analysis study, 18 participants including supervisors and nurses were selected purposively. Data were collected using semi-structured interviews, document reviews, and observations. Data were collected from September 2009 to October 2010. Data were analyzed using content analysis method.

The results of the study showed that implementation of clinical supervision by supervisors were affected by individual and organizational dimensions. In the individual dimension three themes were emerged: 1) supervisors’ individual competencies; 2) supervisees’ individual competencies; and 3) interaction between the supervisors and the supervisees. The organizational dimension had four themes: 1) high work load; 2) complex nature of clinical supervision; 3) non-effective organization in supervising; and 4) inappropriate fields for monitoring.

According to the findings, several factors influenced clinical supervision including personal characteristics of supervisors and supervisees, complex nature of clinical supervision and environmental factors in hospitals. Understanding the different perceived dimensions of clinical supervision can help nurse managers to implement effective clinical supervision.

Managers are one of the effective factors in improvement of the organizations efficacy, effectiveness, and productivity. Nursing manager's efficacy has an important role in health organizations success. Last studies indicate that the exploration of nurse's experiences lead to direct and indirect effects on nursing care process and profession. The aim of the study is the exploration of retired nurse's experiences from nursing managers and management. This study was a qualitative research in 2010. Twenty retired nurses were selected based on purposeful and theoretical sampling. The main way for data collection was semi-structured interviews. For analysis of data, we use qualitative content analysis method. Interviews analysis led to finding numerous subthemes for example not paying enough attention to evaluation process, motivation fostering necessity, attention to supporting staff and usage of effective and suitable management style. Unsuitable nursing management was more insisted. Findings of this study that are based on retired nurse's experiences can improve relationships development, work experience exchange, efficient management, manager-nurse mutual support, professional consistency, and manager-nurse mutual trust and provide a suitable background for professional development and promotion.

Background and aimFeeling of health is subjective and unique and health criterion varies in different age, cultural and socioeconomic groups. Illness can have a great effect on individual’s feeling and definition of health and well being. The aim of this study was to explore the meaning of health concept in the view of diabetic patients.Materials and methodsThis study was qualitative, semi structured interviews were conducted with 20 diabetic patients who attended to the diabetes clinic of Sanandaj Tohid Hospital. Interviews were transcribed and analyzed using conventional content analysis, and codes and themes were derived from participant’s responses Findings Based on the findings of study five major themes about health emerged: intact body and happiness, life without any limits, peace of mind, spirituality and absence of complications. ConclusionHealth definition based on specific conditions of any culture and group that affect health behavioral. Based on emerged themes, health care providers must consider these themes and seek ways to achieve health in diabetic patients and use them in care plans.