جستجوی مقالات مرتبط با کلیدواژه "experiences" در نشریات گروه "پزشکی"
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مقدمه
رینوپلاستی، از شایع ترین اعمال جراحی مربوط به بینی می باشد که به طور شایع و گسترده ای در سراسر جهان انجام می شود. ایران به نسبت جمعیت از نظر تعداد جراحی زیبایی بینی در دنیا رتبه اول را داراست. هدف از این مطالعه، درک تجربیات افراد تحت عمل جراحی رینوپلاستی بود.
روش هااین مطالعه یک مطالعه ی کیفی از نوع پدیدارشناسی توصیفی می باشد. مشارکت کنندگان شامل افرادی که تحت عمل جراحی رینوپلاستی در شهر گناباد قرار گرفته و به روش مبتنی بر هدف انتخاب شدند. جمع آوری داده ها تا رسیدن به اشباع و غنای کامل اطلاعات ادامه یافت و در نهایت 24 نفر وارد مطالعه شدند. تجزیه و تحلیل داده ها بر اساس هفت مرحله ی کلایزی انجام شد. جهت اعتبار بخشی به داده ها از معیارهای Lincoln و Guba استفاده گردید.
یافته هاتحلیل کیفی منجر به استخراج پنج مضمون اصلی که در هر مضمون چند طبقه ی مفهومی در زمینه ی تشریح تجربیات بیماران تحت عمل رینوپلاستی گردید. مضمون های اصلی شامل احساس خودزشت پنداری، گرداب رقابت، تب زیبایی، اختلالات روانشناختی و حس تردید و پشیمانی بود.
نتیجه گیریبا توجه به یافته های مطالعه ی حاضر، در نظر گرفتن مشاوره های روانشناسی در تدوین گایدلاین ها و الگوریتم جراحی های زیبایی در وزارت بهداشت یا انجمن جراحان زیبایی و تاییدیه ی مشاور روانشناس ضروری به نظر می رسد.
کلید واژگان: رینوپلاستی, تجارب, بیمار, عمل جراحیBackgroundRhinoplasty is one of the most common surgeries performed worldwide. This study aimed to explore the experiences of individuals undergoing rhinoplasty.
MethodsThis study follows a qualitative descriptive phenomenology design. Participants included individuals who underwent rhinoplasty surgery, selected based on purposive sampling. Data collection continued until data saturation was achieved, resulting in 24 participants. Data analysis was conducted using Colaizzi's seven-step method. Lincoln and Guba's criteria were applied to ensure data validity.
FindingsThe qualitative analysis identified five main themes, each containing several conceptual categories describing the experiences of patients undergoing rhinoplasty. The main themes included feelings of self-loathing, competition, beauty obsession, psychological disorders, and doubts and regret.
ConclusionBased on the findings of this study, psychological counseling should be considered in developing guidelines and protocols for cosmetic surgeries by the Ministry of Health or the Association of Cosmetic Surgeons, along with the involvement of a psychologist for approval.
Keywords: Rhinoplasty, Experiences, Life Experiences, Patients, Surgery, Phenomenology -
Background
Considering the popularity of mobile health applications among people in the community and the positive results of studies, these applications can be helpful in improving and better controlling blood pressure in patients. Examining users' experiences using these technologies can enhance their effectiveness.
ObjectivesThe current study aimed to investigate the experiences of pregnant mothers with high blood pressure using a mobile phone health application with a phenomenological approach in Kermanshah, Iran.
MethodsThis qualitative and phenomenological study was conducted in 2023. For this purpose, 17 pregnant mothers with high blood pressure were included in the study. Data were collected through semi-structured interviews and analyzed using the "Van Manen" method.
ResultsFour main themes and 12 sub-themes were identified from the interviews. Based on this, reliability (quality of content, educational method, and feedback), waiting time (no need to refer to different sources and speed of response), motivation (achievable goals, structure and order, encouragement and diversity in content), and facilities (interface easy to use, interactive activities and the ability to receive advice from an expert) were the themes and sub-themes extracted from the interviews.
ConclusionsThis study's findings shed light on the potential of mobile health applications for hypertensive pregnant women. They underscore the importance of user-centered design and the potential of mobile health applications to empower and support pregnant women with hypertension. Future research and innovation can lead to developing more appropriate and effective mobile health applications for individuals, thereby fostering a more optimistic outlook for healthcare by incorporating users' perspectives and needs.
Keywords: Experiences, Hypertension, Mobile Applications, Qualitative Research, Phenomenology -
Background
This study explains the beliefs of female hookah smokers regarding the effective strategies for hookah smoking cessation in Bandar Abbas City, Iran.
Materials and MethodsThis qualitative research was conducted in May-September 2021 based on the contractual content analysis approach. The participants were women living in Bandar Abbas City, Iran, who were invited in a purposeful way to participate in a semi-structured interview. The data were recorded, transcribed, and then analyzed. The interview continued until data saturation. The MAXQDA software version 10 was used for data management.
ResultsInterviews were conducted with 41 participants (21 women with a history of unsuccessful quitting and 20 women with a history of successful quitting based on their ` reports). In total, 2 main classes of support services at different levels and information support were extracted. Also, 9 sub-classes were extracted.
ConclusionEffective strategies in hookah smoking cessation is a multi-dimensional and extensive issue. Effective interventions to prevent, control, and effectively reduce hookah smoking can have favorable results if they focus on strategies at all individual, interpersonal, and social levels.
Keywords: Hookah, Experiences, Perceptions, Women -
Introduction
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.
MethodsA 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.
ResultsThree 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.
ConclusionThis 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.
Keywords: Theory-Practice Gap, Clinical Learning, Nursing Students, Experiences, Perceptions -
Background & Aim
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.
ResultsThe 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.
ConclusionNurses 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.
Keywords: COVID-19, experiences, nurses, pandemic -
مجله علمی دانشگاه علوم پزشکی کردستان، سال بیست و نهم شماره 1 (پیاپی 130، فروردین و اردیبهشت 1403)، صص 125 -136زمینه و هدف
تعدد مطالعات کیفی در مورد پدیده یائسگی، این امکان را فراهم آورده تا با سنتز این مطالعات، امکان ایجاد تفسیری جدید از درک تجارب روانی اجتماعی زنان در دوران یائسگی حاصل گردد. هدف از این مطالعه، شناسایی عمیق و درک جامع از پیامدها و مشکلات روانی اجتماعی یائسگی در زنان است.
مواد و روش هادر این مطالعه مرور نظامند و فرا ترکیب مقالات ایرانی که به زبان فارسی یا انگلیسی، و پژوهشی اصیل با روش تحقیق کیفی انجام شده بودند وارد مطالعه شدند. مقالاتی که متن کامل آن در دسترس نبود و در همایش ها ارائه شده بودند، همچنین مقالاتی که نامه به سر دبیر انتشار یافته بودند و داده ناکافی داشتند از مرور نظامند خارج شدند. با استفاده از چک لیست CASP مقالات انتخاب شده ارزیابی نقادانه قرار گرفتند و در نهایت 11 مطالعه وارد مرور نظامند شدند و با استفاده از نرم افزار MAXQDA 20 تحلیل شدند.
یافته هادو تم اصلی احساس رضایت و تحول مثبت در زندگی و نارضایتی و تنزل نقش زنانه استخراج شد. تم احساس رضایت و تحول مثبت در زندگی دربرگیرنده طبقات فرعی؛ احساس خشنودی، پذیرش یائسگی و اتخاذ شیوه جدید در زندگی است. تم احساس نارضایتی و تنزل نقش زنانه دربرگیرنده طبقات فرعی نگرش و احساسات منفی نسبت به یائسگی، اختلال کارکرد و موجودیت زنانه بود.
نتیجه گیریبه طور کلی تجربه روانی اجتماعی زنان از یائسگی به دلیل پیچیدگی و تاثیرات همه جانبه بر سلامت زنان در طیفی از احساس رضایت و پذیرش تغییرات تا عدم رضایت و نگرش منفی نسبت پدیده یائسگی قرار می گیرد. بینش جامع نسبت به تجارب و احساسات زنان در این دوران می تواند به سیاستگذاری و طرح ریزی مداخلات ارتقاء سلامت زنان در دوران یائسگی کمک بنماید.
کلید واژگان: یائسگی, فرا ترکیب, عوامل روانی اجتماعی, تجربیاتScientific Journal of Kurdistan University of Medical Sciences, Volume:29 Issue: 1, 2024, PP 125 -136Background and AimThe number of qualitative studies on the phenomenon of menopause has made it possible to create a new interpretation of understanding the psychosocial experiences of the women during menopause by synthesizing these studies. The purpose of this study was to deeply identify and comprehensively understand the consequences and psychosocial problems of menopause in women.
Material and MethodIn this study, systematic review and synthesis, Iranian articles in Farsi or English, and original studies with qualitative research method, were included. The articles whose full texts were not available and which had been presented in the conferences, as well as the articles which were published as a letter to the editor and had insufficient data, were excluded from the systematic review. Using the CASP checklist, the selected articles were critically evaluated, and finally 11 articles were included in the systematic review. Data were analyzed using MAXQDA 20 software.
ResultsTwo main themes of satisfaction and positive change in life and dissatisfaction and degradation of women's role were extracted. The theme of feeling of satisfaction and positive change in life included sub-classes of feeling satisfied, accepting menopause, and adopting a new way of life. The theme of feelings of dissatisfaction and degradation of the female role included the subcategories of attitudes and negative feelings towards menopause, dysfunction and female existence.
ConclusionIn general, women's psychosocial experience of menopause, due to its complexity and all-round effects on women's health, is placed in a range between satisfaction and acceptance of changes to dissatisfaction and negative attitude towards the phenomenon of menopause. A comprehensive insight into women's experiences and feelings during this period can help policy making and planning interventions to improve women's health during menopause.
Keywords: Menopause, Meta-Synthesis, Psychosocial Factors, Experiences -
مقدمه
با توجه به اهمیت کیفیت آموزش در دانشگاه ها، برروی برنامه های رشد و توسعه کشور هدف این مطالعه، تبیین نظرات دانشجویان، اساتید و مدیران آموزشی در خصوص عوامل موثر بر ارتقای کیفیت آموزش در دانشگاه علوم پزشکی همدان بود.
روش بررسیاین مطالعه کیفی با استفاده از تحلیل محتوای قراردادی برای درک تجربیات دانشجویان، اساتید و مدیران در دانشگاه علوم پزشکی همدان انجام شد. شرکت کنندگان از طریق نمونه گیری هدفمند با تنوع در نظر گرفتن دانشکده، گروه آموزشی، سطح، سن و جنسیت انتخاب شدند. مصاحبه ها به صورت حضوری شامل مصاحبه های عمیق با 20 دانشجو، 8 استاد و 3 مدیر آموزشی انجام شد و پاسخ ها با استفاده از مدل Graneheim و Lundman تحلیل شدند.
نتایجعوامل موثر در ارتقاء کیفیت آموزش از دیدگاه دانشجویان در چهار درون مایه اصلی شامل نحوه تدریس استاد در کلاس، بهره گیری از فنون نوین آموزشی، تعاملات مناسب بین استاد و دانشجو، فراهم بودن زیر ساخت های آموزشی بود. عوامل موثر از دیدگاه مدیران آموزش در دو درون مایه اصلی شامل تدریس در کلاس، تعاملات مناسب بین استاد و دانشجو و در چهار درون مایه اصلی شامل انگیزه اساتید، توانمندسازی اساتید، ویژگی های اساتید، ویژگی های دانشجویان بود.
نتیجه گیریارتقاء کیفیت آموزش به تعاملات مناسب بین استاد و دانشجو، روش های تدریس استاد، استفاده از فنون نوین آموزشی، و زیرساخت های آموزشی بستگی دارد. همچنین، انگیزه و توانمندی اساتید، ویژگی های اساتید و دانشجویان نیز نقش مهمی در این زمینه دارند. بنابراین، برای بهبود کیفیت آموزش، توجه به این عوامل از سوی مدیران آموزشی ضروری می باشد.
کلید واژگان: تجارب, دانشجویان, اساتید, مدیران آموزشی, کیفیت آموزشIntroductionConsidering the importance of the quality of education in universities on the growth and development programs of the country, this study aimed to explain the opinions of students, professors, and educational managers regarding the factors affecting improving education quality at Hamadan University of Medical Sciences.
MethodThis qualitative study used conventional content analysis to understand the experiences of students, professors, and managers at Hamadan University of Medical Sciences. Participants were selected through purposeful sampling with diversity in considering faculty, educational group, level, age, and gender. The interviews in person included in-depth interviews with 20 students, 8 professors, and 3 educational managers. The responses were analyzed using the Graneheim and Lundman model.
ResultsThe factors affecting the improvement of education quality from the students’ perspective were determined in four main contexts: the professor’s teaching method in class, modern teaching techniques, appropriate interactions between professor and student, and the availability of educational infrastructures. The effective factors from the educational managers’ perspective were identified in two prominent contexts: the professor’s teaching in class and appropriate interactions between professor and student. The effective factors from the professors’ perspective were identified in four main contexts: professors’ motivation, empowering professors, professors’ and students’ characteristics.
ConclusionImproving the quality of education depends on appropriate interactions between professors and students, professors’ teaching methods, modern teaching techniques, and educational infrastructures. Also, the motivation and empowerment of professors and the characteristics of professors and students play a significant role in this field. Therefore, to improve the quality of education, educational managers must pay attention to these factors.
Keywords: Experiences, Students, Professors, Educational Administrators, Quality Of Education -
مقدمه
با توجه به شیوع حاملگی های پرخطر در کشورهای در حال توسعه، افزایش موربیدیتی و مورتالیتی مادر و جنین و اثرات نامطلوب این حاملگی ها بر سلامت روان زوجین، درک تجربه بارداری پرخطر در زوجین ضروری است. از آنجایی که از واقع گرایانه ترین راه ها برای دست یابی به چالش های پیش رو، استفاده از تجربیات خود افراد است، مطالعه حاضر با هدف تبیین تجربه زوجین با بارداری پرخطر انجام شد.
روش کارمطالعه کیفی حاضر در سال 1397 در زوجین با حاملگی پرخطر در مراکز بهداشتی درمانی و بیمارستان صیاد گرگان انجام شد. مشارکت کنندگان به روش هدفمند و با حداکثر تنوع جهت مصاحبه عمیق ساختاریافته، انتخاب شدند. جهت صحت داده ها از معیار گوبا و لینکن استفاده شد. جمع آوری، تجزیه و تحلیل داده ها به طور همزمان بر اساس فرآیند تحلیل محتوای کیفی از نوع قراردادی بر مبنای روش گرانهایم و توسط نرم افزار مکسودا (نسخه 10) انجام شد.
یافته هادر مجموع 23 زوج با حاملگی پرخطر مشارکت کردند. محدوده سنی زنان 45-20 سال و مردان 52-22 سال بودند. درون مایه ها شامل نگرانی و ترس زوجین بابت سلامت مادر و جنین، شیوه مقابله با مشکل، نیاز به خدمات جامع و حمایت همه جانبه اطرافیان بود.
نتیجه گیریبا توجه به تجربه نگرانی از سلامت مادر و جنین و نبودن خدمات جامع، توجه به افزایش اطلاعات و کسب مهارت های تطابق با مشکلات و سبک زندگی سالم در زوجین، همچنین ارائه خدمات جامع حمایت گر و حمایت همه جانبه اطرافیان لازم است تا با کاهش عوارض بارداری پرخطر، زوجین تجربه خوبی داشته باشند.
کلید واژگان: تجربیات, حاملگی پرخطر, زوجینIntroductionConsidering the prevalence of high-risk pregnancies in developing countries, the increase in maternal and fetal morbidity and mortality, as well as the adverse effects of these pregnancies on the mental health of couples، it is necessary to understand the experience of high-risk pregnancy in couples. Since one of the most realistic ways to achieve the challenges ahead is to use people's own experiences, this study was conducted with aim to explain the experience of couples with high-risk pregnancies.
MethodsThis qualitative study was conducted in 2018 on couples with high-risk pregnancies in the health centers and Sayad Hospital in Gorgan. The participants were selected in a purposeful way and with maximum diversity for structured in-depth interviews. Guba and Lincoln criteria were used for data accuracy. The data collection and analysis was done simultaneously based on the contract qualitative content analysis process based on Granheim's method and by MAXQDA software (version 10).
ResultsTotally, 23 couples with high-risk pregnancies participated. The age range of women was 20-45 years and men were 22-52 years. The contents included the concern and fear of couples for maternal and fetal health, the way to deal with the problem, and need to comprehensive services and support of the relatives.
ConclusionConsidering the worry about maternal and fetal health and the lack of comprehensive services, paying attention to increasing information and acquiring skills to cope with problems and a healthy lifestyle in couples, as well as providing comprehensive supportive services and support of the relatives is required in order to couples have a good experience of high-risk pregnancy by reducing high-risk pregnancy complications.
Keywords: Couples, Experiences, High-Risk Pregnancy -
BackgroundUnderstanding 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.MethodsA 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.ResultsData 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”.ConclusionAlthough 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.Keywords: Resuscitation, Family-centered care, Qualitative study, Experiences
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زمینه و هدف
پرستاری یکی از مشاغل پراسترس بوده و سرسختی روانشناختی می تواند در کنترل استرس و حفظ و تامین سلامت آنان اثرگذار باشد، بنابراین مطالعه حاضر باهدف نقش تجارب معنوی و تنظیم هیجان در پیش بینی سرسختی روانشناختی پرستاران انجام شد.
روش هاپژوهش حاضر توصیفی-همبستگی بود. جامعه پژوهش شامل تمامی پرستاران شهر بیرجند در شش ماه دوم سال 1401 بودند که بر اساس جدول گجرسی ومورگان (1971) از افراد واجد شرایط تعداد 280 نفر به شیوه نمونه گیری در دسترس انتخاب شدند؛ و به پرسشنامه های تجارب معنوی اندروود و ترسی (2002)، تنظیم هیجان گراس و جان (2003) و سرسختی روانشناختی کیامریی و همکاران (1377) پاسخ دادند. جهت تحلیل داده ها از میانگین و انحراف معیار و آزمون همبستگی پیرسون با نرم افزار SPSS نسخه 22 استفاده شد.
یافته هانتایج نشان داد همبستگی بین تنظیم هیجان (0/531=r) و تجارب معنوی (0/587=r) با سرسختی روانشناختی مثبت بود، همچنین مولفه های تجارب معنوی، 35/3 درصد و مولفه های تنظیم هیجان 29/1 درصد از واریانس سرسختی روانشناختی را تبیین می کنند.
نتیجه گیرییافته های پژوهش حاضر نشان داد که تجارب معنوی و تنظیم هیجان پرستاران بر میزان سرسختی روانشناختی آنان موثر بوده و می توان گفت که با افزایش تجارب معنوی و تنظیم هیجان پرستاران، میزان سرسختی روانشناختی افزایش می یابد. لذا پیشنهاد می شود که با ارتقای تجارب معنوی و تنظیم هیجان پرستاران، زمینه بهبود سرسختی روانشناختی آنان فراهم شود.
کلید واژگان: تجارب معنوی, تنظیم هیجان, سرسختی روانشناختی, پرستارانBackground and AimNursing is one of the stressful occupations and psychological hardiness can be effective in controlling stress and maintaining and ensuring their health, so the present study was conducted with the aim of the role of spiritual experiences and emotional regulation in predicting the psychological hardiness of nurses.
MethodsThe current research was a descriptive-correlational study. The research community included all the nurses of Birjand city in 2023. Among the qualified people, 280 nurses were selected through available sampling based on the Gujarsi and Morgan table (1971). They answered the questionnaires about the spiritual experiences of Underwood and Tersi (2002), the emotional regulation of Gross and John (2003), and the psychological hardiness of Kiamrai et al. (2007). Data analysis was performed with SPSS version 22 software.
ResultsThe results showed that the correlation between emotion regulation (r=0.531) and spiritual experiences (r=0.587) with psychological hardiness was positive. Also, the components of spiritual experiences were 35.3% and the components of emotion regulation were 29.1% of the variance is explained by psychological hardiness.
ConclusionThe findings of the present study showed that the spiritual experiences and regulation of emotions of nurses are effective on their psychological hardiness and it can be said that with the increase of spiritual experiences and regulation of emotions of nurses, the level of psychological hardiness increases. Therefore, it is suggested that by promoting the spiritual experiences and emotional regulation of nurses, the ground for improving their psychological hardiness is provided.
Keywords: Emotion Regulation, Experiences, Nurses, Psychological, Spiritual -
Introduction
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.
MethodsNarrative interviews were conducted with 13 family caregivers. These interviews were audio-taped and transcribed verbatim and analyzed using a phenomenological hermeneutic approach.
ResultsThe 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.
ConclusionExpressed 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.
Keywords: Experiences, Family caregivers, Caring, Alzheimer’s disease, Qualitative research -
International Journal of Community Based Nursing and Midwifery, Volume:11 Issue: 4, Oct 2023, PP 226 -236BackgroundThe 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.MethodsThis 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.ResultsSeveral 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.ConclusionPatients 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.Keywords: Tuberculosis, Treatment, Experiences, COVID-19 pandemic, Qualitative research
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Background
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.
ObjectivesThe current study was conducted to explain the experiences of brain injury patients hospitalized in the ICU.
MethodsThis 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.
ResultsData 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”.
ConclusionsThe 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.
Keywords: Brain Injury, Intensive Care Unit (ICU), ICU Hospitalization, Experiences, Qualitative Content Analysis -
Background
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.
ObjectivesThis study aimed to determine the challenges related to the injection of COVID-19 vaccines in people with MS.
MethodsIn 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.
ResultsOf 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).
ConclusionsIt 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.
Keywords: Vaccine, COVID-19, Multiple Sclerosis, Experiences -
Introduction
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.
MethodsA qualitative systematic review was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines.
ResultsSeven 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.
ConclusionRadiographers, 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.
Keywords: Experiences, Radiographers, COVID-19, Systematic review -
Introduction
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.
Materials and MethodsIn 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.
ResultsMost 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.
ConclusionPsychological 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.
Keywords: Psychological, Stress, Experiences, Nurse, COVID-19 -
مقدمه و هدف
امروزه برون سپاری به عنوان یک ابزار اجرایی ساده و اقتصادی نقش مهمی در سازمان ها دارد و مدیران سازمان علاقه بسیاری به استفاده از برون سپاری دارند. با این وجود، در عمل با مسایل و مشکلاتی متعددی در این زمینه روبه رو هستند مطالعه حاضر. به منظور بررسی نقاط ضعف و قوت برون سپاری در نظام سلامت انجام شد.
روش کاراین مطالعه از نوع کیفی است که با رویکرد تحلیل محتوا در سال 1400 در دانشگاه علوم پزشکی زاهدان انجام شد. روش نمونه گیری به صورت هدفمند بود و نمونه گیری تا زمان اشباع داده ها ادامه یافت. تحلیل داده ها به صورت دستی با استفاده از تحلیل محتوای قراردادی انجام شد.
یافته ها:
پس از استخراج داده ها، 5 طبقه اصلی شامل چالش های حوزه قانون گذاری، چالش های اجرایی، نیروی انسانی، چالش های نظارتی و چالش های مالی و 10 طبقه فرعی استخراج شد.
نتیجه گیری:
بر اساس نتایج مطالعه، برون سپاری یکی از نیازهای اساسی به منظور پیشبرد اهداف سازمان است، اما شیوه اجرای فعلی آن مناسب نیست. استفاده از بخش خصوصی در پیشبرد اهداف حوزه سلامت جزء جدانشدنی سیستم است. می توان قبل از پیاده سازی طرح برون سپاری در حوزه سلامت و هنگام برنامه ریزی، با انجام مطالعات و بررسی پیشینه طرح با نگاه ویژه به آن ها و همچنین استفاده از تجارب کشورهای پیشرفته در این زمینه از مشکلات بعدی در زمان اجرا جلوگیری کرد.
کلید واژگان: برون سپاری, تجارب, خدمات نظام سلامت, مدیرانIntroduction and purposeOutsourcing strategy is a simple and economical approach that can help managers of organizations to undertake executive tasks effectively. In practice, the application of this approach at any organization is not easy and usually presented with many problems. The present study aims to investigate the viability, strengths, and weaknesses of outsourcing strategy in the health system.
MethodsThis qualitative study was conducted with the content analysis approach at Zahedan University of Medical Sciences in 2020. The sampling method was purposeful, and sampling was continued until data saturation. Data analysis was performed manually using contract content analysis.
ResultsThe data analysis indicated six main categories (including legislative challenges, executive challenges, manpower, regulatory challenges, and financial challenges) and 13 sub-categories.
ConclusionThe outcomes of this study revealed that outsourcing is one of the basic needs to advance organizational goals. Nonetheless, its current implementation method is not very appropriate. Challenges identified as obstacles to the proper implementation of the partnership plan with the private sector in the field of health are sometimes an integral part of such plans. These challenges must be resolved before the implementation of the plan and during planning by conducting studies and reviewing the project background. This will help to prevent further problems during the execution.
Keywords: Experiences, Health system services managers, Outsourcing -
Introduction
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.
MethodsThis 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.
ResultsThe 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.
ConclusionPatients 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.
Keywords: Experiences, COVID-19, Qualitative research, Pandemic, Nursing, Patient -
سابقه و هدف
در مطالعات کمی نشان دادهشده که دوچرخه سواران در سراسر جهان نگرش ها و درک متفاوتی از نیاز های ایمنی دارند. لذا در این مطالعه می خواهیم تجارب دوچرخه سواران مصدوم در مورد نیازهای ایمنیبخش در یک مطالعه کیفی بررسی کنیم. هدف تبیین تجارب مصدومان دوچرخه سوار بستری در مرکز آموزشی- درمانی پور سینا گیلان از نیاز های ایمنی در سال 1400 بود.
روش کاراین مطالعه کیفی با روش تحلیل محتوا انجام شد. مشارکتکنندگان، دوچرخه سواران مرد یا زن بالای 18 سال بودند که در حین دوچرخهسواری دچار آسیب از نوع تصادف یا سقوط شده و به یک یا بیشتر از یک اعضا و اندام آن ها آسیب واردشده بود. اکسل مشخصات این مراجعهکنندگان از سیستم ثبت مرکز تحقیقات تروما جادهای گیلان اخذ شد و با مشارکتکنندگان ارتباط تلفنی برقرار شد. بیست نفر با ویژگی های متنوع ازنظر سن، جنس در مطالعه گنجانده شدند.
یافتهها:
تجارب دوچرخه سواران از نیاز های ایمنی شامل نه طبقه بود : قانونمند کردن دوچرخهسواری، برگزاری دوره های آموزشی، نظارت بر دوچرخهسواری، رعایت اصول دوچرخهسواری، مجهز بودن به تجهیزات ایمنی، حق داشتن مسیر انحصاری، بازنگری مسیر های انحصاری، ایجاد حس امنیت، و ایجاد آرامش در بانوان دوچرخهسوار.
نتیجهگیری:
مسیولین امر باید سعی نمایند به نیاز های ایمنی این گروه توجه نمایند و عواملی که در تجارب این مصدومان ایمنیبخش بیانشده بود را تا حد ممکن فراهم نمایند تا به این کاربران احساس آرامش و امنیت بدهند.
کلید واژگان: تجارب, دوچرخه سواری, ایمنی, آسیبBackground and AimThe quantitative studies have shown that cyclists around the world have different attitudes and perceptions of safety needs. Therefore, in this study, we want to examine the experiences of injured cyclists about safety needs in a qualitative study.
MethodsThe present study was a qualitative study witha content analysis method. The study population consisted of male or female cyclists over 18 years of age who were injured in a crash or fall while cycling and one or more of their limbs were injured and hospitalized in Poursina Medical Center. Excel details of these clients were obtained from the registration system ofthe Guilan Road Trauma Research Center. People with various characteristics in terms of age, sex, education, marriage, sex, occupation, length of hospital stay, etc. were included in the study. The number of participants was twenty. Interviews were conducted by medical students with the cooperation and supervision of supervisors.
ResultsSafety factors from the experiences of injured cyclists included nine categories, which were: orderly cycling, holding training courses, supervising cycling, observing the principles of cycling, being equipped with safety equipment, having the right to an exclusive route , Reviewing exclusive routes, creating a sense of security and creating peace in women cyclists.
ConclusionAuthorities should try to make the factors that were safe in the experiences of these injured as much as possible to give these users a sense of calm and security, thereby encouraging others to ride a bicycle as a clean vehicle for the environment.
Keywords: Experiences, Cycling, Safety, Danger, Injury -
BACKGROUND
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.
MATERIALS AND METHODSThis 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.
RESULTSWell‑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.
CONCLUSIONThe 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.
Keywords: Complicated, experiences, high‑risk, mental health, pregnancy, pregnant women, qualitative study, understanding, welfare, well‑being, wellness
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