جستجوی مقالات مرتبط با کلیدواژه « experiences » در نشریات گروه « پزشکی »

 One of the main areas that contributes to clarifying the significance of nursing students’ performance in the clinical context is clinical learning. However, the theory-practice gap has long been an issue for clinical learning for nursing students. This study sought to explore the experiences and perceptions of nursing student when applying theory into practice during their clinical learning.

 A descriptive qualitative study was conducted with 10 senior nursing students using face-to-face interviews. These interviews were audio-taped and transcribed verbatim and analyzed using a qualitative thematic analysis.

 Three themes emerged upon analysis: academic contribution to the theory-practice gap, clinical environment contribution to the theory-practice gap, and effects of the theory-practice gap. Seven sub-themes emerged including educator contribution to the theory-practice gap, student contribution to the theory-practice gap, supporting facility contribution to the theory-practice gap, clinical instructor contribution to the theory-practice gap, clinical field contribution to the theory-practice gap, effects of the theory-practice gap to the academic field and effect of the theory-practice gap to the clinical field.

 This study provides an overview of experiences and perceptions of nursing students on theory-practice gaps during clinical learning. Further research using in-depth focus group interviews in a wider population may provide more explanatory and useful information for nursing education to better manage learning process.

Nurses are considered one of the most important members of the healthcare system in facing pandemics, including COVID-19. This study was conducted to explain the nurses' experiences in caring for patients diagnosedwith COVID-19.

Methods & Materials:

This studywas a qualitative systematic review.Astructuredsearch was conducted using CINAHL, MEDLINE, EMBASE, Pub Med, Google Scholar, Cochrane Library, MedNar, and ProQuest. All qualitative studies describing nurses’ experiences of caringfor patientswithCovid-19were included.This reviewwas conducted using the Joanna Briggs Institute methodology for systematic reviews. Themes and narrative statements were extracted from included papers using the JBI SUMARI data extraction tool.

The findings of 46 qualitative studies were included in this systematic review. From the data analysis, four themes "Professional Development", "Psychological exhaustion", "Care Challenges" and "Work-family conflict" were extracted.

Nurses have experienced conflicts between their work and family and challenges when caring for patients with COVID-19. Hence, they were psychologically under pressure but professionally developed. To ensure the survival of nurses in critical situations, all their needs must be carefully monitored and the necessary support provided to them.

Understanding the experiences of patients’ family members witnessing resuscitation helps develop care plans. Accordingly, this study aimed to explore the experiences of witnessing resuscitation among the patients’ family members. A total of 15 patients’ family members were interviewed over a 4-month period (from April to July 2019). The participants were recruited through purposive sampling, and they were enlisted from three educational hospitals in Tabriz. Data were analyzed using Smith’s interpretative phenomenological analysis (IPA) via the MAXQDA12 software. Data analysis led to the identification of four main themes and nine subthemes. The main themes included “the insistence on being present”, “achieving calmness”, “partnership and collaboration” and “hindrance”. Although family members reported feelings of agitation towards the health professionals, there was also strong evidence of the benefits of witnessing resuscitation such as open communication, psychological support, and facilitating acceptance of the patient’s prognosis. The study highlighted the importance of developing formal policies based on a family-centered care (FCC) approach to observe family presence during resuscitation while maintaining the patient’s and family’s rights.

Alzheimer’s disease (AD) becomes one of the diseases that greatly increased in the older adult population. Family caregivers play an important role in caring for family members who suffer from AD. The aim of this study was to illuminate the meaning of family caregivers’ lived experiences caring for a family member with AD from the perspective of an Indonesian.

Narrative interviews were conducted with 13 family caregivers. These interviews were audio-taped and transcribed verbatim and analyzed using a phenomenological hermeneutic approach.

The findings are presented under two main themes: Descent and ascent in caring for which emerged from category from being denial to acceptance, from lack of patience to compassion, from using to not using medication, and desperate yet responsibility. Another theme, caregivers’ life learning emerged from the category of ongoing caring for and getting through in caring for.

Expressed concerns have shown that family caregivers not only face challenges in caring for family members suffering from AD, but also gain a lesson for life. It is necessary for family caregivers to manage caring processes for family members who suffer from AD.

The scope of tuberculosis (TB) elimination programs, such as case detection, rapiddiagnostics, and treatment success, has dramatically worsened because of the COVID-19 pandemic.Therefore, this study aimed to explore the experiences of patients with TB who had completed theirtreatment during the COVID-19 pandemic. This qualitative study was performed using content analysis approach between May–July2022. A total of 14 patients with TB who agreed to participate in this study were selected usingpurposive sampling. In-depth interviews were conducted using semi-structured interview guidelines,and the interviews ended after information saturation occurred. Data analysis was carried outconcurrently to identify the main themes. The NVIVO software application version 12 was utilized toanalyze the data. Several key themes emerged from the study, shedding light on various aspects of theexperiences of TB patients during the COVID-19 pandemic. These themes encompass (1) Barriers toTB Diagnosis during the COVID-19 Pandemic; (2) Challenges in TB Treatment during the COVID-19Pandemic; and (3) Support Resources during TB Treatment in pandemic era. Patients have difficulty receiving healthcare because of changes in TB health servicesbrought on by the pandemic. This research advances our knowledge of the effects of the COVID-19pandemic on patients with TB and lays the groundwork for improved patient support and interventions.

The experiences of patients hospitalized in the intensive care unit (ICU) can be used as one of the important components to develop and provide humane and holistic care tailored to the needs and preferences of these patients.

The current study was conducted to explain the experiences of brain injury patients hospitalized in the ICU.

This was a qualitative study using conventional content analysis. The participants included brain injury patients with a history of hospitalization in the ICU and were selected using a purposive sampling method. At least 3 months after discharge from the ICU, face-to-face unstructured in-depth interviews were conducted with the participants to explore their experiences regarding hospitalization in the ICU. Finally, the collected datawereanalyzed basedonthe content analysismodelof GraneheimandLundman.

Data analysis indicated 238 compact semantic units (initial codes). Based on their similarities and differences, these codes were organized into 22 subcategories, 6 categories, and 2 themes, including “the suffering body and soul” and “illumination in the dark”.

The results of this study showed that hospitalization in the ICU is a very difficult and unpleasant experience for brain injury patients due to enduring an immense amount of physical and mental suffering. The ICU care and treatment team can moderate this unpleasant experience to some extent by paying careful attention to the physical and mental needs of these patients. The results of the present study can serve as a clinical manual for providing humane and holistic care tailored to the needs and preferences of brain injury patients hospitalized in the ICU.

Multiple sclerosis (MS) is the most common debilitating chronic autoimmune and inflammatory disorder of the central nervous system. Compared to the general population, MS patients are at a higher risk of contracting various diseases.

This study aimed to determine the challenges related to the injection of COVID-19 vaccines in people with MS.

In this qualitative research that was conducted on patients with MS, the data were collected in a secure environment through semi-structured interviews. We continued the interviews until data saturation, which was reached after 10 interviews, but 2 more interviews were conducted to make sure of data saturation. The duration of each interview was 30 - 45 minutes, depending on each patient’s condition. The data were managed in MAXQDA 10.

Of the participants, 66% werefemale, andthe average age of the patientswas47 years. After analyzing the interviews, 4main categories and 19 subcategories were extracted: mental concerns (hearing rumors, hearing news of death due to COVID-19, worrying about theunknownsof newvaccines, and worrying about side effects and treatment interactions), quarantine suffering(movement complications, depression, weak immune system, social distancing, and compliance with health protocols), educational resources (doctors, clinic staff, national media, cyberspace, and family) and personal experiences (effectiveness of the COVID-19 vaccine, reduction of symptoms compared to unvaccinated people, and having no complications).

It is essential to take measures to decrease the existing challenges. For example, the patients were afraid of drug interactions and the lack of full understanding of the disease by doctors. In general, they had many questions, while they did not knowa reliable source of information. They chose doctors as themostreliable source; this choiceshowsthe importanceandcapacity of the doctor’s position in relation to vaccination, which can be used to explainandpromotevaccination in schools, offices, factories, and other parts of society. Besides, in relation to research on new diseases, a task force should be formed for each disease, and the mutual impacts of diseases and their drug interactions should be investigated; in this way, fewer concerns and problems arise during vaccination and treatment.

Throughout the pandemic, radiographers globally continued to offer services, putting them on the frontlines of the fight against the COVID-19 pandemic. Understanding the experiences radiographers have during pandemics is necessary to create specific support mechanisms and to prepare for future pandemics or health crises. The aim of this review was to synthesize qualitative primary research on the experiences of radiographers during the COVID-19 pandemic.

A qualitative systematic review was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines.

Seven studies were found that addressed the experiences of radiographers using a qualitative methodology and were deemed of sufficient quality to be included in the review. Five key themes emerged, including factual information challenges,increased human emotional responses, altered workplace conditions, increased mental health concerns, and support for radiographers.

Radiographers, like many other healthcare professionals, faced information, fear, anxiety, and heightened mental issues. Despite these challenges, some radiographers complained about a lack of adequate support. We hope that this review will enhance the understanding of the experiences of radiographers during pandemics so as to create specific support mechanisms and also prepare for future pandemics or health crises.

 The unexpected spread of COVID-19 with high risk of transmission, fear and anxiety, and a load of negative emotions followed for nurses. It is necessary to assess the psychological experiences of nurses during the first peak COVID-19 pandemic.

 In this qualitative study, with the approach of conventional content analysis approach, the participants were selected through proposed-based sampling and snowball from the COVID-19 centers of Guilan province in March 2020. The number of 20 participants with various demographic characteristics (Gender, age ...) entered the study. The tools used were in-depth and semi-structured interviews.

 Most of the participants were women, married and nurses.  Six categories were obtained: not perception, worries, and pretending, horrible observations, pre-psychological symptoms and psychological symptoms.

 Psychological experiences of nurses in  COVID-19 center in Guilan were expressed in a range of not perceptions and worry until the appearance of numerous pre and psychological symptoms. The psychological needs of this group must be considered at all stages of the crisis. Psychological support by mental health workers should be considered in line with the development of the crisis to reduce the stress on nurses.

The COVID-19 pandemic is a considerable challenge for infected patients who require more attention for recovery. Therefore, this study aimed to explore the lived experience of patients with COVID-19.

This qualitative, hermeneutic phenomenological study was conducted in the southeast of Iran from March to May 2020. The data were purposefully collected from 16 patients with COVID-19. Data were collected using in-depth semi-structured telephone interviews and analyzed using the Van Manen method.

The lived experiences of patients were categorized into five themes, including incredible clinical symptoms of COVID-19, horror and stigma, bad memories of hospitalization, trust in God and hope as recovery agents from COVID-19, and reborn after recovery from COVID-19.

Patients with COVID-19 have experienced variety of physical and psychosocial challenges. Health care providers have to supply appropriate strategies to fulfill the infected patients needs in such a crisis.

Physical changes in high‑risk pregnancy (HRP) can lead to changes in mood and social relationships and negative effects on women’s well‑being. Individuals in different sociocultural contexts have different perceptions of well‑being. Yet, there is limited information about perceptions of well‑being in HRP. This study aimed to explore the Iranian women’s experiences of well‑being in HRP.

This qualitative study was conducted in 2019–2020 through directed content analysis based on the conceptual framework of well‑being in HRP. Participants were 26 women with HRP purposively recruited from public and private healthcare settings in Mashhad, Iran. Face‑to‑face semistructured interviews were held for data collection until data saturation. Data were analyzed through directed content analysis proposed by Elo and kyngäs (2008) and were managed using the MAXQDA (v. 10) program.

Well‑being in HRP had seven attributes in the five main dimensions of physical, mental‑emotional, social, marital, and spiritual well‑being. The seven attributes of well‑being in HRP were controlled physical conditions, controlled mood, emotions, and affections, perceived threat, self‑efficacy, and competence for multiple role performance, maintained social relationships, meaning seeking and relationship with the Creator, and positive marital relationships.

The present study provide an in‑depth understanding about well‑being in the Iranian women with HRP. It is a complex and multidimensional concept with physical, mental‑emotional, social, marital, and spiritual dimensions. Comprehensive multicomponent interventions are needed to promote well‑being among women with HRP and designed the guidelines to provide woman‑centered care.

Uganda is ranked 14 out of 54 countries in Africa with the highest level of teenage pregnancy. The teenage pregnancy rate in Kibuku District in 2016 was 35.8%, high above the average rate in Uganda (25%) and also above rural areas in Uganda (27%). Unfortunately, there is limited information on the experiences of seeking antenatal care and delivery among teenagers. This paper explored teenagers’ experiences seeking services at health facilities in the Kibuku district, Eastern Uganda.

This study used a phenomenological design. Data were collected using in-depth interviews with 27 teenagers aged 14-19 years seeking antenatal care (ANC) or those who had delivered. The teenagers were purposively selected to participate in the study. Data collected was thematically and inductively analyzed through coding.

The study showed that most teenage mothers knew the importance of seeking ANC and delivery from a health facility. Unfortunately, few sought services early due to some experiences, including financial constraints, support from their caregivers (husbands and parents), medication, and health education. The teenagers were motivated to attend ANC and were treated well by health workers. However, most teenagers did not have the decision-making power to seek care.

Teenage mothers knew the importance of seeking ANC and delivery at health facilities. Their experiences with the health facilities also contributed to the health-seeking behavior of the teenagers, including the comfort received by the girls at the facility, the medication administered, how they were treated by the health workers and the availability of utilities. Health and social workers could consider sensitizing teenagers and their caregivers about the delicate nature of their health when pregnant to make personal decisions.

Graduates’ job performance has become a matter that needs urgent attention. This is because many stakeholders are increasingly becoming interested in understanding the extent schools are able to produce output that meets the yearnings of society. Along these lines, we examined the contributions of alcohol intake to the job performance of higher education graduates while treating mental stress and psychotic experiences as mediators in the nexus.

The study's population comprised all the graduates of higher education institutions in Nigeria between 2015 and 2020. Data were collected from a virtual cross‑section of 3,862 graduates who self‑reported to have taken alcohol in the past. These participants responded to an electronic questionnaire that was mailed to them. The scale content validity for clarity and relevance were 0.90 and 0.88, respectively, while the Cronbach alpha reliability estimate of the instrument is 0.86.

Amongst many others, key findings indicate that alcohol intake, mental stress and psychotic experiences jointly made a significant negative contribution to the overall job performance of graduates (R2 = 0.256, 95% confidence interval (CI) [0.23, 0.28], P = 0.00). Mental stress (B = −0.09, β = −0.14, z = −4.45, 95%CI [−0.24, −0.05], P = 0.00) and psychotic experiences (B = −0.26, β = −0.43, z = −8.07, 95%CI [−0.68, −0.16], P = 0.01) have significant negative contributions to graduates’ job performance, respectively. Alcohol intake and mental stress jointly predict the psychotic experiences of graduates (B = −0.26, β = −0.43, z = −8.07, 95%CI [−0.68, −0.16], P = 0.01). Alcohol intake has a positive contribution to the mental stress of graduates (R2 = 0.797, 95%CI [0.77, 0.825], P = 0.01). Mental stress and psychotic experiences jointly mediated the relationship between alcohol intake and graduates’ job performance.

It was concluded that high intake of alcohol and high levels of mental stress and psychotic experiences significantly reduce graduates’ job performance generally and in specific aspects. Alcohol intake can increase graduates’ job performance to a small extent depending on the amount consumed.