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عضویت

جستجوی مقالات مرتبط با کلیدواژه « qualitative study » در نشریات گروه « پزشکی »

  • طاهر علیزاده، بهمن بهمنی*، محمدسعید خانجانی، منوچهر ازخوش، شیما شکیبا، محسن واحدی
    هدف

    آلبینیسم یک بیماری ژنتیکی است که به خاطر اختلال در تبدیل ملانین باعث ایجاد محدودیت های بینایی و مشکلات مربوط به پوست و مو می شود. این بیماری می تواند تبعات روانی اجتماعی گسترده ای در بین مبتلایان به این بیماری داشته باشد. این مطالعه با هدف بررسی و مرور تجارب روانی اجتماعی افراد دارای آلبینیسم انجام شده است.

    روش بررسی

    مطالعه حاضر از نوع مروری و ترکیب مضمون است. این مرور، مقالات کیفی چاپ شده تا بهمن 1401 به زبان فارسی و انگلیسی را در زمینه تجارب روانی اجتماعی افراد دارای آلبینیسم مورد بررسی قرار داد. مقالات مرتبط، با جست وجوی گسترده در پایگاه های اطلاعاتی پابمد، اسکوپوس،، وب آو ساینس، سید و مگ ایران و همچنین موتور جست وجوی گوگل اسکالر انتخاب شدند.

    یافته ها

    در مرحله اول جست وجو 868 مقاله به دست آمد که پس از حذف موارد تکراری و نامرتبط و بررسی عناوین و چکیده مقالات، 365 مقاله کنار گذاشته شد و 102 مقاله باقی ماند که در نهایت با بررسی چکیده ها و با در نظرگرفتن معیارهای ورود 16 مطالعه انتخاب شد. با ترکیب کدهای مقالات کیفی مرتبط با تجارب روانی اجتماعی آلبینیسم 2 طبقه اصلی با عناوین چالش های روانی اجتماعی افراد دارای آلبینیسم و منابع حمایتی و راهبردهای مقابله ای در افراد دارای آلبینیسم حاصل شد.

    نتیجه گیری

    یافته ها نشان داد افراد دارای آلبینیسم چالش های متعددی را در زندگی تجربه می کنند، همچنین آن ها برای مقابله با این چالش ها به برخی منابع حمایتی و راهبردهای مقابله ای مجهز بودند که از دشواری چالش های مذکور کم می کرد. شناخت این چالش های روانی اجتماعی و منابع حمایتی می تواند به متخصصان و کسانی که با افراد دارای آلبینیسم سروکار دارند جهت سیاست گذاری و برنامه ریزی و تدوین برنامه های درمانی و توان بخشی در جهت ایجاد شرایط مطلوب و موثر کمک کند.

    کلید واژگان: آلبینیسم, مطالعه کیفی, ترکیب مضمون}
    Taher Alizadeh, Bahman Bahmani*, Mohammad Saeed Khanjani, Manouchehr Azkhosh, Shima Shakiba, Mohsen Vahedi
    Objective

    Albinism is a genetic disease that causes vision limitations and skin and hair problems as a result of a disorder in melanin conversion. This disease can have wide psychosocial consequences among the sufferers. This study reviews and investigates the psychosocial experiences of people with albinism.

    Materials & Methods

    This study is a review type and a thematic synthesis. This review examined the qualitative articles published until February 2023 in Persian and English in the field of psychosocial experiences of people with albinism. Articles related to extensive search were selected in PubMed, Scopus, Web of Science, SID, and Magiran databases, as well as the Google Scholar search engine.

    Results

    In the first stage of the search, 868 articles were obtained, after removing duplicate and unrelated items and checking the titles and abstracts of the articles, 365 articles were omitted and 102 articles remained. By combining the codes of qualitative articles related to the psychosocial experiences of albinism, two main themes were obtained with the titles of psychosocial challenges of people with albinism (PWA) and support resources and coping strategies in people with albinism.

    Conclusion

    PWA experience many challenges in life and they are equipped with some support resources and coping strategies to deal with these challenges, which reduces the difficulty of the mentioned challenges. Knowing these psychosocial challenges and support resources can help professionals and individuals who deal with PWA to make policies and plan and develop treatment and rehabilitation programs to create favorable and effective conditions.

    Keywords: Albinism, Qualitative Study, Thematic Synthesis}
  • Simin Tahmasbi, Fereshteh Aein
    Objectives

    Migraine is one of the common diseases of children, which can disrupt their quality of life. Some studies have shown the effect of melatonin in reducing migraine headaches. This study aims to investigate the effect of melatonin administration in reducing headaches in children with migraine without sleep disorders.

    Materials & Methods

    In this clinical trial study, fifty-five children aged five to 15 years with migraines who had no sleep disorder were enrolled. The control group (twenty-seven patients) was treated with propranolol tablets, and the intervention group (thirty patients) was treated with propranolol tablets plus melatonin tablets for three months. Patients were visited before, one month, and three months after the start of treatment, and their data was collected and recorded.

    Results

    The number of headache attacks decreased significantly in the intervention group compared to the control group three months after the treatment (P=0.006). The number of patients with a good response to treatment in the intervention group was significantly more than the control group (p=0.023). Parents’ satisfaction with the treatment in the intervention group was significantly higher than the control group (P=0.026). There was no significant difference in the intensity of disability caused by headaches after treatment in the two groups. No significant drug side effects were seen in any of the two groups.

    Conclusion

    Adding melatonin to the treatment of children with migraine without sleep disorders significantly reduces the frequency of headache attacks and increases satisfaction with the treatment

    Keywords: Epilepsy, Parenting Styles, Child, Qualitative Study}
  • Sirvan Abbasi Ghocham, Sarina Rashidi, Khalil Moradi, Salam Vatandost
    Objective

    In Iran, the majority of emergency medical services (EMS) personnel are male; hence, one of their distinct and crucial missions is the prehospital childbirth mission, which might be significantly challenging for both personnel and patients. To obtain in-depth and authentic data, the present study was conducted to elucidate the barriers and facilitators of prehospital childbirth missions based on the experiences of EMS personnel. 

    Methods

     A qualitative study employing conventional content analysis was conducted in 2023. Participants were selected through purposive sampling from EMS personnel willing to participate in the study and who have experiences with missions leading to childbirth. Data saturation was reached through in-depth semi-structured interviews with 14 participants. Data accuracy and credibility were confirmed using the Lincoln & Guba criteria. 

    Results

    The results included two main themes including barriers and facilitators. Barriers were categorized into "gender-related barriers" and "personnel barriers." While "appropriate communication" and "efforts to preserve privacy" were the primary facilitator themes. 

    Conclusion

    The findings revealed that EMS personnel face considerable barriers in the process of these missions. Therefore, for optimal performance quality in this prominent mission, it is recommended that clinical and educational policymakers consider actively recruiting female personnel, focusing on enhancing communication and practical skills and securing the patient's privacy. These approaches can result in childbirth missions with lower stress levels for patients, families, and personnel who provide the service.

    Keywords: Childbirth, Emergency Medical Services, Prehospital, Qualitative Study}
  • Nila Kusumawati *, Syafrisar Agritubella, Alice Rosy, Fitry Erlin, Hanno Pijl
    Background
    Schools, a place where students spend much more time than home, play an importantrole in preventing the nation’s future generation from type 2 diabetes mellitus (T2DM). This studyaimed to explore challenges in T2DM prevention among senior high school students.
    Methods
    The study was conducted in Riau Province, Indonesia, from June to August 2023 usinga qualitative content analysis. 31 respondents, determined by data saturation, were recruited usingpurposeful sampling. They were public senior high schools’ principals, vice principals, school healthservices staff, school canteen tenants, students, parents, and primary health care personnel in sixdistricts. Data were collected through semi-structured face-to-face interviews and document review.Graneheim and Lundman’s content analysis method was used to analyze the data in Nvivo version 11software. The Lincoln and Guba Qualitative research criteria for trustworthiness were used to ensurethe rigor of the study.
    Results
    The main concepts obtained from the data were classified into three themes entitled,“Nonoptimal existing diabetes prevention programs in schools”, “Inadequate knowledge of schoolcommunity on T2DM”, and “Inadequate policies to prevent diabetes in schools”
    Conclusion
    An evidence-based, well-organized, and systematic school-based diabetes preventionprogram is fundamental to help overcome challenges and prevent future T2DM incidence. It requiresrelevant stakeholders’ high level of awareness, strong collaborations with the school community, andeffective school policies.
    Keywords: Diabetes Mellitus, Prevention, Primary Health Care, Qualitative Study, Students}
  • Moeen Shakerinejad, Zeinab Gholamnia-Shirvani, Effat Khodadadi*, Maryam Nikpour
    Background & Objective

    Hidden curriculum plays an effective role in developing professionalism and improving the quality of education in the fields that constitute the structure of the health system, such as medicine and dentistry. The present study was designed to clarify the experience of dental students with a hidden curriculum at Babol University of Medical Sciences, Babol, Iran.

    Material & Methods

    This study was conducted with a qualitative approach and using the conventional content analysis method in 2021. The participants consisted of 15 dental students studying in the 3rd to 6th academic years at Babol University of Medical Sciences, Babol, Iran, who were selected by purposive sampling method. Data collection continued until reaching saturation using semi-structured interviews.

    Results

    The mean age of the participants was 23.8 ± 1.7 years, of which 66.7% were women and 66.7% were men. In this research, 100 codes were obtained that were categorized into 14 subthemes and 6 main themes. The main themes included the professor’s educational characteristics, professor’s professional characteristics, interactions and communication, attitude and expectations, rules, facilities, and educational environment.

    Conclusion

    The results of our study showed that teaching and assessment methods, professional behaviors, and professors’ role modeling, as well as the interactions between the professors, students, and staff, their attitudes, educational environment, and rules, should be taken into consideration before planning the hidden curriculum for dental students.

    Keywords: Dental Students, Hidden Curriculum, Qualitative Study}
  • Mojtaba Hajipoor, Effat Saghi, Omalbanin Hajhoseini, Sajedeh Esbouchin, Mohammad Hajzadeh, Mohsen Zakerian, Ali Taghipour, Fatemeh Roudi *
    Background

    A crucial prerequisite for managing non-communicable diseases (NCDs) and their risk factors is communityexperiences and perceptions about the challenges of unhealthy eating. On the other hand, there is no literature on nutritionalliteracy in the city›s outskirts, which are the vulnerable parts of society. Thus, this study aimed to examine the barriers to healthynutrition for resident women in low-income areas of Mashhad.

    Methods

    This qualitative study used 28 women as a representative sample of the residents of marginalized areas of Mashhad inIran. Data collection was conducted using interviews between 2021 and 2022. Data analysis was done using a content analysisapproach (open and selective coding).

    Results

    The most critical obstacles related to healthy eating were listed as follows: (a) low income, high expenses or expensive,(b) incorrect habits or lack of awareness, (c) food preferences, (d) lack of feeling of necessity and insufficient motivation, (e) lackof convenient access in the area, and (f) illness or physical condition. However, participants stated economic, social, and culturalissues as the main barriers to choosing healthy food among residents of low-income areas.

    Conclusion

    This study identified the main barriers to a healthy diet in marginal areas. Overcoming these obstacles can be astrategy for local and national planning to deal with NCDs.

    Keywords: Barriers, Healthy Nutrition, Nutritional Literacy, Qualitative Study}
  • Faezeh Salayani, Mohammadjavad Asghari Ebrahimabad *, Mohammadali Besharat, Behrooz Mahram, Sakineh Soltani Kouhbanani
    Background

    Relationship disengagement is one of the most common reasons reported by couples when explaining the distress and dissolution of the marriage. The present study aimed to investigate the factors affecting relationship disengagement in Iranian couples.

    Methods

    This qualitative study was conducted using the conventional content analysis approach. The participants were 24 Iranian married couples (in Mashhad) who were selected using non-random and purposive sampling. The data were collected through in-depth semi-structured interviews with the couples and the interviews continued until data saturation. The collected were analyzed using Graneheim and Lundman’s qualitative content analysis method.

    Results

    Data analysis revealed three themes (each with some categories): (1) Interpersonal factors (problems related to the family of origin, conflict in couple interactions, distancing behaviors, and ineffective spouse selection), (2) individual-personality factors (emotional instability and character traits), and (3) socioeconomic factors (financial and vocational issues and perceived fairness and inequality).

    Conclusion

    The findings indicated that marital relationship disengagement leads to emotional apathy and dissolution of marital relationships. Couples therapy approaches should target the causes of relationship disengagement to increase the quality of couples’ relationships and prevent divorce. The insights from this study can be used for formulating treatment and preventive approaches to prevent couple relationship disengagement.

    Keywords: Couples, Disaffection, Relationship Disengagement, Qualitative Study}
  • Hossein Sadeghnezhad, Marzieh Helalbirjandi, Seyyed Abolfazl Vagharseyyedin *, Ebrahim Moradi
    Background
    Cardiopulmonary resuscitation (CPR) is an emergency method to restore blood flow and spontaneous breathing in a person who has suffered cardiac arrest. Clinical practice guidelines are recommendations for nurses regarding the care of patients with specific conditions such as cardiac arrest. Accordingly, this study aimed to investigate the experiences of hospital emergency department nurses regarding the implementation of CPR guidelines.
    Methods
    This study was conducted using a qualitative content analysis approach to investigate the experiences of 11 emergency department nurses. The participants were selected using purposive sampling. Data were collected through in-depth semi-structured interviews until saturation was reached. Data were analyzed using the content analysis method proposed by Graneheim and Lundman simultaneously with data collection.
    Results
    Data analysis led to the identification of two main categories and ten subcategories. The categories included “barriers” with five subcategories (lack of knowledge and skills, low motivation, work pressure, lack of facilities, and lack of cooperation among the CPR team) and “facilitators” with five subcategories (facility development, teamwork, conscientiousness, adequate training, and effective supervision).
    Conclusion
    Nursing managers can use nurses’ experiences to find appropriate ways to improve the use of clinical guidelines for CPR.
    Keywords: Barriers, Cardiopulmonary Resuscitation, Nurses, Guidelines, Qualitative Study}
  • Promoting Sexual and Reproductive Health among Married Women of Reproductive Age in Sanandaj City: A Qualitative Study
    Maryam Babaei, Masoomeh Simbar, Hamid Alavi Majd, Fatemeh Nahidi*
    Background

    The purpose of this study was to explore the experiences of married women in promoting sexual and reproductive health behaviors.

    Methods

    This qualitative study was conducted in December 2019 to March 2022 in Sanandaj, IRAN. Data were collected through individual semi structured interviews with 23 married women of reproductive age. In order to enhance the information gathered from participant interviews, we also conducted interviews with 8 experts. Data were analyzed by the conventional content analysis approach of Graneheim and Lundman.

    Results

    The results revealed a central theme of "personal empowerment," encompassing three main categories: self-regulation, developing communication skills, and maintaining a healthy sex life. These categories were further divided into six subcategories.

    Conclusion

    The reproductive and sexual health of married women of reproductive age is highly important. Understanding the behaviors adopted by these women to improve their health can be essential for enhancing the knowledge of healthcare professionals and providing better care.

    Keywords: Qualitative Study, Married Woman, Promotion}
  • Atefeh Shamsi, Asghar Ehteshami, Hamed Zandi Esfahani, Mahboobeh Namnabati *
    Background
    Premature infants often encounter different challenges due to their underdeveloped systems at birth and require specialized care to survive. Telecare usage as a follow-up tool is a proper line to increase infants’ health by reinforcing parents’ competency to care effectively during the post-discharge period. However, there is controversy about telecare for post-discharge infant care. This study aimed to investigate and compare the experiences of nurses and physicians about post-discharge telecare usage in premature infants. 
    Methods
    This qualitative study employed conventional content analysis. Semi-structured interviews were conducted with 30 nurses and 25 physicians using purposive sampling. The participants were recruited from three neonatal intensive care units (NICU) affiliated with Isfahan University of Medical Sciences, Iran, from October 2022 to February 2023. All participants had at least two years of experience providing teleconsultation care for premature infants through a web-based national social media platform. The interviews aimed to explore participants’ experiences with teleconsultation. Data collection spanned five months, and the analysis was guided by Granheim and Lundman’s method to extract core concepts until data saturation was reached, meaning no new information emerged from further interviews.
    Results
    The findings demonstrated two main components, including the challenges and benefits of telecare. Both nurses and physicians generally agreed on the usefulness of telecare, but they differed in opinions regarding infant safety and trust in parents’ understanding of telecare monitoring.
    Conclusion
    The study highlighted safety concerns and parental internet literacy levels related to telecare follow-up, advocating for its integration alongside traditional care. Valuable insights were provided for policy-makers in managing post-discharge care for premature infants, emphasizing the need for further exploration into long-term impacts and parental adherence to telecare protocols.
    Keywords: Premature, Infant, Remote Consultation, Physicians, Nurse Clinicians, Qualitative Study}
  • فاطمه رحیمی، الهام شکیبازاده*، مهناز آشورخانی، مهشید فروغان
    اهداف 

    سالمندی جمعیت با افزایش تقاضای سالمندان برای مراقبت طولانی مدت که به طور عمده توسط مراقبین خانوادگی ارائه می شود همراه است. فراهم کردن مراقبت باکیفیت در حین حفظ سلامت مراقبین، نیازمند شناخت تسهیل کننده ها و نیازهای آموزشی است که کمتر موردتوجه قرار می گیرد. بنابراین این مطالعه باهدف تعیین تسهیل کننده های مراقبت از سالمندان در منزل، از دیدگاه مراقبین خانوادگی انجام شد.

    مواد و روش ها

    این مطالعه پژوهشی از نوع تحلیل محتوای قراردادی بود. برای جمع آوری داده ها از بهمن سال 1399 تا فروردین سال 1400، از مشارکت 17 مراقب خانوادگی سالمندان به صورت مصاحبه های تلفنی نیمه ساختاریافته استفاده شد. مراقبینی که 18 سال یا بیشتر داشتند، حداقل 1 ماه تجربه مراقبت داشتند و حداقل 6 ساعت در هفته به مراقبت می پرداختند به صورت نمونه گیری هدفمند و گلوله برفی برای مصاحبه انتخاب شدند. نمونه گیری تا اشباع داده ها ادامه یافت. تحلیل داده ها پس از بازنویسی مصاحبه های ضبط شده با نرم افزار تحلیل کیفی مکس کیودا نسخه 2018 صورت گرفت و کدبندی و تجزیه وتحلیل گردید.

    یافته ها 

    عوامل فردی، بین فردی و محیط های حمایتی به عنوان 3 طبقه اصلی تسهیل کننده شناسایی شدند. عوامل فردی شامل خصوصیات فردی مراقب، منافع درک شده از مراقبت، مهارت در مراقبت و انجام فعالیت های خودمراقبتی توسط مراقب می باشد. عوامل بین فردی شامل برقراری رابطه مناسب با سالمند، عدم وابستگی کامل سالمند به مراقب، همکاری و حمایت اعضای خانواده مراقب و برخورداری از حمایت دیگران است. محیط فیزیکی، حمایت محیط های کار و حمایت سازمان های ارائه دهنده خدمات به سالمندان، زیرطبقات محیط های حمایتی را تشکیل می دهد. در بین فعالیت های مراقبتی، نحوه تهیه غذاهای مقوی و چگونگی غذا دادن به سالمندان دچار مشکلات بلع، جابه جا کردن و حرکت دادن سالمندان ناتوان جسمی، بالاترین اولویت آموزشی را داشتند.

    نتیجه گیری

    مراقبین باید باتوجه به نیازهای آموزشی خود مانند مهارت های مراقبتی که نیاز به حمایت برنامه ریزی شده از طرف سازمان های ارائه دهنده خدمات دارد، به خدمات مراقبتی و خانه داری مقرون به صرفه دسترسی داشته باشند.

    کلید واژگان: مراقبین خانوادگی, سالمندان, مراقبت های خانگی, تسهیل کننده ها, مطالعه کیفی, ایران}
    Fatemeh Rahimi, Elham Shakibazadeh*, Mahnaz Ashoorkhani, Mahshid Foroughan
    Objectives 

    Population aging is accompanied by an increase in the elderly's demand for long-term care, which is mainly provided by family caregivers. Providing quality elderly care, while maintaining the health of caregivers, requires recognition of facilitators and the educational needs. Therefore, this study aims to investigate facilitators of elderly care at home and the educational needs of the family caregivers of older adults in the south of Tehran, Iran.

    Methods & Materials

    This is a qualitative study using the conventional content analysis method. To collect data, we conducted semi-structured telephone interviews. Seventeen family caregivers aged ≥18 years with at least one month of caregiving experience and at least six hours of caregiving per week were selected using purposive and snowball sampling methods until data saturation from January to April 2021. After transcribing the recorded interviews, the data were entered into the MAXQDA 2018 software and analyzed.

    Results

    Personal factors included personal characteristics of caregivers, Capability in caregiving, perceived benefits of caregiving, and self-care activities of caregivers. Interpersonal factors included proper relationship with older adults, older adults’ partial  dependence on caregivers, cooperation and support of family members, and receiving others’ support. Supportive environments included physical environment, receiving support from work environments and organizations providing elderly care services. The most important educational needs of family caregivers were the needs to learn how to prepare nutritious foods for the elders, the way to nourish older adults with dysphagia, and how to move the physically disabled older adults.

    Conclusion

    Family caregivers of older adults in the south of Tehran should have access to affordable elderly care and home care services based on their educational needs that require planned support from service providers.

    Keywords: Family Caregivers, Older Adults, Homecare, Facilitators, Qualitative Study, Iran}
  • G.V. Gobel, L. Lusmilasari, F. Haryanti*
    Aims

    This study aimed to explore caregiver practices for optimizing toddlers’ healthy growth and development.

    Participants & Methods

    This qualitative research was done using an explanatory case study design. Qualitative exploration was conducted through semi-structured in-depth interviews with 19 parent participants selected via purposive sampling. All interviews were audio recorded and transcribed verbatim. The transcriptions were screened for relevant information, manually coded, and analyzed using qualitative content analysis.

    Findings

    Five themes related to caregiving practices emerged, including the fulfillment of children’s health requirements, the provision of sufficient nutrition, responsive parenting, ensuring safety and security, and offering early learning opportunities.

    Conclusion

    Comprehensive support for optimizing the growth and development of stunted children requires collaboration among parents, family members, health centers, government initiatives, community organizations, and professionals in the health, education, and social sectors.

    Keywords: Caregivers, Growth, Development, Nutritional Status, Qualitative Study}
  • نسیم قهرانی، فتانه عموئی، سید حمزه حسینی*، فرهاد غلامی، عالیه زمانی کیاسری، سیاوش مرادی، پدرام ابراهیم نژاد، سید حمید شریف نیا، رقیه ولی پور خواجه غیاثی، مریم نعمتی، اعظم اسمعیلی قاجاری
    سابقه و هدف

    در دانشگاه ها موضوع جذب و نگهداشت اعضای هیات علمی از اهمیت بالایی برخوردار است. چنان چه این امر به هر دلیلی میسر نگردد، می تواند منجر به رکود علمی اعضای هیات علمی و افت انگیزه در مسیر شغلی و وقفه در اجرای وظایف هفتگانه آنان گردد. با توجه به اهمیت پیشرفت اعضای هیات علمی به عنوان نخبگان آموزشی و پژوهشی کشور و نقش بسزای آن ها در تربیت نیروی انسانی ماهر به خصوص نقش اعضای هیات علمی وزارت بهداشت درمانی و آموزش پزشکی در تربیت دانش آموختگان رشته های علوم پزشکی که با سلامت عمومی جامعه در ارتباط هستند لذا پرداختن به دلایل رکود علمی و یافتن راه حل برای جلوگیری از آن ضروری است. این مطالعه کیفی با هدف بررسی عوامل موثر بر رکود علمی و راهکارها از دیدگاه اعضای هیئت علمی دانشگاه علوم پزشکی مازندران، انجام پذیرفت.

    مواد و روش ها

    این مطالعه با هدف کاربردی، و به شیوه کیفی از نوع تحلیل محتوای قراردادی از دی ماه 1401 الی آذر 1402 انجام شده است. در این پژوهش با توجه به ماهیت پژوهش کیفی به منظور تبیین ادراک، نگرش ها و رفتارهای مشارکت کنندگان، از روش نمونه گیری هدفمند با حداکثر تنوع و هم چنین نمونه گیری به روش گلوله برفی استفاده شد چرا که هدف، انتخاب مشارکت کنندگانی بود که منبع غنی از اطلاعات بوده و به محقق جهت درک بهتر مفهوم رکود علمی کمک نمود. مشارکت کنندگان، اعضای هیات علمی بودند که حداقل 10 سال عضو هیات علمی بوده اند. علاوه بر انجام مصاحبه عمیق و نیمه ساختار یافته، اسناد بالادستی و نتایج مطالعات مشابه نیز مورد بررسی قرار گرفت.

    یافته ها

    درمجموع 3 مضمون اصلی، 18 مقوله و 118 کد به شرح پیش رو استخراج شد، مضمون رکود علمی شامل47 کد و 6 مقوله با عناوین عوامل فردی، عوامل سازمانی، عوامل روانشناختی، عوامل مهارتی، عوامل شغلی و عوامل پژوهشی مضمون چالش های مسیر ارتقا شامل 33 کد و 6 مقوله با عناوین چالش های آئین نامه ارتقا، چالش های مربوط به فعالیت های فرهنگی، آموزشی، پژوهشی، اجرایی و چالش های بررسی پرونده های ارتقای مرتبه علمی و مضمون راهکارهای پیشگیری از رکود علمی شامل 38 کد و 6 مقوله با عناوین راهکارهای پیشگیری مرتبط با آئین نامه ارتقا، فعالیت های فرهنگی، فعالیت های آموزشی، فعالیت های پژوهشی، فعالیت های اجرایی و بررسی پرونده های ارتقای مرتبه علمی می باشد.

    استنتاج

    بر اساس نتایج مطالعه حاضر، محققان علل رکود علمی را شناسایی نمودند؛ همچنین آنان بر این باورند که بازنگری در آئین نامه ارتقا مهم ترین راهکار پیشگیری از رکود علمی می باشد. آن ها بیان داشتند در بازنگری آئین نامه می توان، علاوه بر شاخص های کمی در هر یک از عوامل امتیازی ارتقا به کیفیت آن ها نیز پرداخته شود. در مبحث آموزش، کیفیت و نوآوری آموزش در نظر گرفته شود. در بخش پژوهش، به کاربردی بودن پژوهش ها توجه شود. آنان معتقد بودند رکود علمی قابل پیشگیری است و می توان از طریق اقدامات گسترده تر بهره وری علمی و سیستم های پاداش که پروژه های نوآورانه و اکتشافی را تشویق می کنند، با آن مقابله کرد. در بخش اجرایی، کیفیت انجام کار و تغییر و تحولات مفید در حین فعالیت اجرایی ملاک قرارگیرد. در فعالیت فرهنگی، به انجام فعالیت های اجتماعی و با کیفیت توجه شود؛ هم چنین آن ها روند سریع تر پرونده های ارتقا و وجود نیروی انسانی زبده در رسیدگی به مشکلات احتمالی را مطرح نمودند. آن ها بیان داشتند با رویکرد تفویض اختیار به دانشگاه های علوم پزشکی کشور و بازنگری آئین نامه های ترفیع و ارتقا می توان با عوامل ایجاد رکود علمی مقابله کرد و به سوی دانشگاه پاسخگو گام برداشت.

    کلید واژگان: رکود علمی, اعضای هیات علمی, دانشگاه علوم پزشکی, مطالعه کیفی, تحلیل محتوا}
    Nassim Ghahrani, Fattane Amuei, Seyed Hamzeh Hosseini*, Farhad Gholami, Aliye Zamani Kiasari, Siavash Moradi, Pedram Ebrahimnejad, Hamid Sharif-Nia, Roghayye Valipour Khajehghyasi, Maryam Nemati, Azam Esmaeilighajari
    Background and purpose

    In universities, the issue of attracting and retaining faculty members is of great importance. If this is not possible for any reason, it can lead to the academic stagnation of academic staff members the loss of motivation in their career path, and interruption in the implementation of their seven duties. Considering the importance of the advancement of academic staff members as educational and research elites of the country and their significant role in training skilled human resources, especially the role of academic staff members of the Ministry of Health and Medical Education in training graduates of medical sciences that are related to the general health of the society, are related, this study was carried out to identify, diagnosing the factors and ways to prevent their scientific stagnation.

    Materials and methods

    This study was conducted with a qualitative method from January to December 2023. In this research, according to the nature of qualitative research, to explain the perceptions, attitudes, and behaviors of the participants, the purposeful sampling method with maximum diversity was used, as well as the snowball sampling method because the goal was to select participants, Which was a rich source of information and helped the researcher to better understand the concept of scientific stagnation. The participants were faculty members who had been faculty members for at least 10 years. In addition to conducting in-depth and semi-structured interviews, upstream documents and the results of similar studies were also examined.

    Results

    In total, 3 themes, 18 categories, and 118 codes were extracted as follows: The main themes of this study are the causes of scientific stagnation, the challenges of the advancement path, and the strategies to prevent scientific stagnation. The theme of scientific stagnation includes 47 codes and 6 categories (individual, organizational, psychological, skill, job, and research factors). The content of the challenges of the promotion path, including 33 codes and 6 categories (the challenges of the path of the promotion regulations, challenges in cultural, educational, research, executive activities, and challenges of examining cases for promotion of scientific rank). The content of the solutions to prevent scientific stagnation includes 38 codes and 6 categories (the solution to prevent scientific stagnation in connection with the regulation of promotion, cultural, educational, research, executive activities, and the review of files for the promotion of scientific rank.)

    Conclusion

    Based on the results of the present study, the researchers identified the causes of scientific stagnation; also, they believe that revising the promotion regulations is the most important way to prevent scientific stagnation. They stated that in the revision of the bylaws, in addition to the quantitative indicators, in each of the scoring factors, their quality can also be addressed. In terms of education, the quality and innovation of education should be considered. In the research section, pay attention to the applicability of the research. They believed that scientific stagnation is preventable and can be countered through broader scientific productivity measures and reward systems that encourage innovative and exploratory projects. In the executive department, the quality of work and useful changes and developments during the executive activity should be the criteria. In cultural activities, pay attention to social and quality activities; also, they brought up the faster process of promotion cases and the existence of elite human resources to handle possible problems. They stated that with the approach of delegating authority to the country's medical sciences universities and revising the promotion and promotion bylaws, it is possible to deal with the factors causing scientific stagnation and take a step towards a responsive university.

    Keywords: academic stagnation, faculty members, university of medical sciences, qualitative study, content analysis}
  • مریم علیرمضانی*
    سابقه و هدف

    با توجه به پیشرفت های انجام شده در زمینه تشخیص و درمان بیماری های قلبی، یکی از بیماری های قلبی که امروزه شیوع بالایی دارد، بیماری های مادرزادی قلبی می باشد. این افراد با توجه به این که با درمان های پزشکی به سنین بالاتر می رسند، نیازهای مخصوص به خودشان را دارند. مطالعات مختلف نشان داده است که حداقل 50 درصد از بیماران مبتلا به بیماری قلبی، توصیه های درمانی انجام شده توسط کادر درمان را جدی نگرفته و به آن عمل نمی کنند که این مسئله می تواند باعث ایجاد عوارض و یا بستری شدن مجدد شود. یکی از موارد مهم جهت پیشگیری از این مشکل، آگاهی بخشی و تامین نیازهای اطلاعاتی بیماران در مورد عوارض احتمالی می باشدکه در این رابطه در نظر گرفتن نیازهای اطلاعاتی بیمار نیز اهمیت دارد و در این رابطه آگاهی از مهم ترین نیازهای اطلاعاتی بیماران نیز ضرورت دارد. با توجه به مطالب گفته شده، این مطالعه با هدف شناسایی و دسته بندی نیازهای اطلاعاتی بالغین مبتلا به یکی از انواع بیماری های مادرزادی قلبی، انجام پذیرفت.

    مواد و روش ها

    این مطالعه به شیوه تحلیل محتوی کیفی قراردادی (روش گرانهایم) با نوزده نفر از بیماران مبتلا به بیماری مادرزادی قلبی، در شش ماهه نخست سال 1402 انجام شد. شرکت کنندگان در این پژوهش از بین مراجعه کنندگان به کلینیک تخصصی بیماری های مادرزادی قلب دانشگاه علوم پزشکی کرمان انتخاب شدند، در جلسات مصاحبه پرسشگر با توضیح در مورد ضبط صدا و کسب اجازه اقدام به انجام مصاحبه می نمود. هر مصاحبه بعد از پایان، به صورت کلمه به کلمه پیاده سازی گردید. کدهای اصلی با مطالعه دقیق متن مصاحبه ها استخراج شد و دسته بندی های لازم انجام شد. از چهار معیار لینکلن و گوبا شامل قابل قبول بودن، انتقال پذیری، قابلیت اطمینان و تاییدپذیری برای اطمینان از استحکام داده های کیفی استفاده شد. برای تحلیل داده ها از رویکرد تحلیل محتوای قراردادی با رویکرد گرانهایم و لاندمن استفاده شد. بدین منظور به ترتیب مراحل، پیاده سازی، مطالعه متن کلی، استخراج کدهای اولیه، شناسایی زیرطبقات و شناسایی محتوای نهفته در داده ها، برای تحلیل داده ها طی شد.

    یافته ها

    در این مطالعه با 19 بیمار مصاحبه شده است. دامنه سنی بیماران بین 18 تا 48 سال بود و ده نفر از شرکت کنندگان در مطالعه زن و نه نفر مرد بودند. تحلیل محتوای مصاحبه ها منجر به شناسایی 3 موضوع اصلی شامل نیازهای اطلاعاتی مربوط به بیماری، نیازهای اطلاعاتی مربوط به زندگی شخصی و نیازهای اطلاعاتی مربوط به زندگی اجتماعی و 14 موضوع فرعی شامل چگونگی کنترل علایم بیماری، زمان مراجعه به پزشک، تداخلات دارویی، اقدامات لازم برای دندانپزشکی، انجام جراحی های غیر قلبی، نوع تغذیه، مصرف سیگار و مواد مخدر، رانندگی، استفاده از خدمات زیبایی مانند تتو بدن، پیدا کردن شغل مناسب، ازدواج و بچه دار شدن و احتمال انتقال بیماری به فرزندان، رابطه زناشویی، شرکت در مسابقات ورزشی و روش های پیشگیری از بارداری گردید.

    استنتاج

    با توجه به افزایش تعداد بیماران بالغ مبتلا به بیماری مادرزادی قلبی از یک سو و وجود نیازهای اطلاعاتی مهم فوق، لازم است که نیازهای متفاوت این بیماران، به خوبی شناخته شوند تا بتوان هر چه بهتر در تامین منابع مختلف دسترسی به این اطلاعات به بیماران کمک کرد.

    کلید واژگان: بیماری مادرزادی قلبی, بالغین, نیازهای اطلاعاتی, مطالعه کیفی, سبک زندگی بیماران}
    Maryam Aliramezany*
    Background and purpose

    Considering the progress made in the field of diagnosis and treatment of heart diseases, one of the heart diseases that has a high prevalence today is congenital heart disease. These people have their own special needs because they are getting older with medical treatments. Various studies have shown that at least 50% of patients with heart disease do not take the treatment recommendations made by the treatment staff seriously and do not follow them, which can cause complications or re-hospitalization. One of the important things to prevent this problem is to raise awareness and meet the information needs of patients about possible complications. Hence, the purpose of this study is to identify and categorize the information needs of adults suffering from one of the types of congenital heart disease.

    Materials and methods

    This study was conducted with nineteen patients with congenital heart disease in the first six months of 2023, using conventional qualitative content analysis (Granheim method). The participants were selected from the referrals to the specialized clinic of congenital heart diseases of Kerman University of Medical Sciences. In the interview sessions, the interviewer explained about the audio recording and obtained permission to conduct the interview. Each interview was implemented verbatim after the end. The main codes were extracted by carefully reading the text of the interviews and the necessary categories were made. Lincoln and Goba's four criteria including acceptability, transferability, reliability, and confirmability were used to ensure the robustness of qualitative data. To analyze the data, the conventional content analysis approach with Granheim and Lundman's approach was used. For this purpose, the following steps were .taken to analyze the data: a. Implementation. 2. Study the general text. 3. Extraction of primary codes. 4. Identification of subclasses. 5. Identify the hidden content in the data.

    Results

    Nineteen patients were interviewed in this study. The age range of the patients was between 18 and 48 years, and ten of the study participants were female and nine were male. Analysis of the content of the interviews led to the identification of 3 main topics including information needs related to the disease, information needs to be related to personal life, and information needs to be related to social life, and 14 sub-topics including how to control the symptoms of the disease, when to see a doctor, drug interactions, and necessary measures for dentistry, performing non-cardiac surgeries, type of diet, smoking and drug use, driving, using beauty services such as body tattoos, finding a suitable job, getting married and having children and the possibility of transmitting the disease to children, marital relationship, participating in competitions, sports and contraceptive methods were done.

    Conclusion

    Considering the increase in the number of adult patients with congenital heart disease on the one hand and the awareness of important information needs, it is necessary to know the different needs of these patients to better provide different sources of access to this information to the patients.

    Keywords: congenital heart disease, adults, information needs, qualitative study, Patients lifestyle}
  • عالیه بهروزی فرد*، سید ابوالفضل وقار سیدین، علی محمد ایزدپناه، فاطمه بیابانی، مصطفی حمید
    زمینه و هدف

      قانون شکنی در مراقبت پرستاری از بیماران یکی از ارکان مهم و اصلی اصول اخلاقی در پرستاری می باشد. این مطالعه به منظور تبیین تجارب پرستاران از قانون شکنی در مراقبت از بیماران به صورت یک مطالعه کیفی انجام شد.

    روش ها

    در این مطالعه کیفی 15 نفر از پرستاران مجرب مرکز آموزشی درمانی پژوهشی ولیعصر (عج) وابسته به دانشگاه علوم پزشکی بیرجند ساکن در سال 1400 جنوبی مشارکت نمودند. روش نمونه گیری از نوع هدفمند بود و داده ها با مصاحبه نیمه ساختار یافته انفرادی جمع آوری شد. روش تحلیل کیفی از نوع پدیدارپشناسی با رویکرد من ونن و با کمک نرم افزار 10MAXQDA  بود. .

    نتایج

    مصاحبه با مشارکت کنندگان در خصوص تجاربشان در خصوص قانون شکنی در انجام مراقبت های پرستاری، منجر به ظهور دو طبقه اصلی شد:که اولین طبقه فرار از تنبیه و دومین طبقه : بی توجهی مسئولین، بود فرار از تنبیه: که خود شامل 3 زبر طبقه : الف) سکوت اجباری ب) استعلاجی  ج) قانون گریزی  اجباری و طبقه دوم که بی تدبیری مسئولین بود خود شامل دو زیر طبقه تلافی متقابل و پرستار برده بود.

    نتیجه گیری

    نتایج نشان داد که گزارش خطا با رویکرد مثبت در پرستاری وجود دارد و باید بیش از پیش تقویت شود و قبل از هر چیز قوانین وضع شده در پرستاری و حقوق بشر در پرستاری توسط مسئولین عملیاتی شده تا پرستاران نیز شاهد قانون شکنی و یا گاهآ عدم اجرای قوانین توسط خود مسئولین پرستاری نباشند.

    کلید واژگان: مطالعه کیفی, قانون شکنی, مراقبت, بیمار, پرستاران}
    A. Behrozifar *, S. Vagharseyyedin, A. Izadpanh, F.Biabani, M . Hamid
    Background & Aim

    breaking the law in caring for patients is one of the important and main pillars of ethical principles in nursing. This study was conducted in the form of a qualitative study in order to examine the experiences of law-breaking nurses in patient care

    Methods

    In this qualitative study, 15 experienced nurses from the Valiasr research educational center affiliated to the Birjand University of Medical Sciences, living in 1401 South, participated in this qualitative study. The sampling method was purposeful and collected through semi-structured individual interviews. The method of qualitative analysis was phenomenology with Man Vanen and with the help of 10MAXQDA software.

    Results

    interviews with the participants regarding business in breaking the law in nursing care, the emergence of two main classes: the first class is escape from punishment and the second class: inattention of the authorities, escape from punishment: which includes 3 classes: a) forced silence b) illness c) Compulsory lawlessness and the second class, which recklessly took its officials, including the two subclasses of mutual retaliation and slave nurse.

    Conclusion

    The results showed that there is a positive positive error report in nursing and it should be strengthened more and above all in nursing and human rights in nursing should be implemented by the authorities to protect nurses. Not enforcing the rules by nursing officials.

    Keywords: qualitative study, breaking the law, care, patient, nurses}
  • Matshediso Julia Ntuli, Cynthia Spies *
    Background & Aim

    The challenges of mothers residing at hospital while their ill babies are admitted to a neonatal care unit are understudied and poorly documented. Unfavorable living arrangements and tension betweenmothers and staff can disrupt theirwell-being and create feelings of helplessness. This study explored how mothers experienced having to stay at a lodging residence of a public hospital while their newborns were admitted to a neonatal care unit.

    Methods & Materials: 

    This qualitative content analysis study was conducted through face-to-face, in-depth interviews betweenMarch 2021 – April 2021. Data were gathered from13motherswho lodged at a public hospital for at least twoweeks,were able to speak Sesotho, English, and/or Afrikaans, and were above 18 years of age. Data were analyzed using Tesch's eight steps in the coding process.

    Results

    Data analysis resulted in five categories, each with subcategories. The main categories are "Lodging environment", "Emotional experiences", "Nursing care of babies", "Interaction with staff", and "Participant perspectives". Participants' ages ranged between 23 and 37 years. Three participants had a spouse while the other ten were unmarried and were single parents.

    Conclusion

    Themotherswere not optimistic about their lodging experiences, the nursing care of their newborns, and their interaction with healthcare professionals. Hence, they require intervention to alleviate conditions that cause unnecessary stress and anxiety. Health professionals and hospitalmanagersmust accommodate the needs of mothers who have no choice but to reside at the hospitalwhen their newborns are admitted for extended periods.

    Keywords: lodging, neonatal care unit, qualitative study, mothers’ experiences, public hospital}
  • Parand Pourghane, Morvarid Ghasab Shirazi *
    Background

    The impact of the coronavirus disease 2019 (COVID‑19) pandemic on health systems worldwide has been associated with less attention to maternal support in breastfeeding. The objective of this study was to explore the experiences of breastfeeding mothers, during the COVID‑19 pandemic, and the impact of the pandemic on breastfeeding initiation and maintenance.

    Materials and Methods

    A qualitative, descriptive study was conducted by means of in‑depth semi‑structured interviews. The study participants included 28 mothers who had children aged 0 to 12 months, lived in Guilan Province, Iran, and had breastfed their children at least once after March 2021. Conventional content analysis was performed simultaneously with data collection.

    Results

    Data analysis led to the extraction of three main categories and nine subcategories: in the shadow of peace (receiving correct information from reliable sources, observing health and quarantine principles, and enjoying the awareness of not having COVID‑19 [both the mother and the infant]), under the stress (information poverty, invalid and stressful information, and stressful association of underlying diseases), and in the delusion of exposure (refusal to breastfeed, and non‑compliance with recommendations).

    Conclusions

    Mothers’ breastfeeding experiences during the COVID‑19 pandemic indicate factors such as receiving or not receiving breastfeeding support, quarantine and the resulting stress, and exposure to conflicting information. Mothers felt that their experience with breastfeeding during the pandemic encouraged them to continue breastfeeding, but it is important to support breastfeeding mothers. Monitoring and supporting vulnerable groups such as breastfeeding mothers, for mental health problems during the COVID‑19 pandemic, should be considered during the planning phase.

    Keywords: Breastfeeding, COVID‑19, experience, mother, qualitative study}
  • علی مظلومی*، حسین مومنی مهمویی
    مقدمه

    آموزش الکترونیکی نوعی برنامه آموزشی است که از تاثیر فناوری ناشی می شود و برای تسهیل فرآیند یادگیری استفاده می شود. هدف آن استفاده از این فناوری آموزشی و تاثیرات آن بر فرآیند یادگیری است و پژوهش حاضر به دنبال عوامل اصلی موثر بر آموزش الکترونیکی است.

    روش بررسی

    روش این پژوهش به صورت کیفی و از نوع سنتز پژوهی است. جامعه آماری، شامل پژوهش های متعددی که در مقاله های داخلی و خارجی در بازه زمانی (1389-1402ش) (2010-2023م) انجام شده می باشد. جهت تحلیل یافته شده از الگوی 6 مرحله ای سنتز پژوهی روبرتس استفاده شد و در بررسی اعتماد داده از چارچوب ارائه شده، از 4 معیار؛ باورپذیری، انتقال پذیری، اطمینان پذیری و تاییدپذیری استفاده گردید.

    نتایج

    یافته ها در این پژوهش نشان داد که ابعاد موثر در آموزش الکترونیک به ترتیب شامل ابعاد فناوری محوری ، نیاز محوری، یادگیری محوری، ارتباطمحوری، برنامه محوری، مانع محوری، انگیزه محوری، توسعه محوری می‎باشد .

    نتیجه گیری

    در این پژوهش به این مهم دست یافتیم که با توجه به اینکه آموزش الکترونیک در همه ی علوم مورد استفاده قرار دارد به همین جهت این پژوهش الگویی مناسب جهت فراگیران می باشد .

    کلید واژگان: مطالعه کیفی, سنتز پژوهی, آموزش الکترونیک}
    Ali Mazlomi*, Hossein Momeni Mahmouie
    Introduction

     Given the importance of empathy in caring for patients, this study investigated the level of empathy and its associated factors among medical residents at Ahvaz Jundishapur University of Medical Sciences (AJUMS). Electronic education is a type of educational program that stems from the impact of technology, utilized to facilitate the learning process. Its purpose is to use this educational technology and its effects on the learning process, and the present research seeks the main factors affecting electronic education.

    Method

    The method of this research is qualitative and synthesis research, the statistical population, numerous types of research that have been conducted in domestic and foreign articles in the period(1389-1402 SH) and (2010-2023 AD), and analyzed the 6-step model of Roberts' research synthesis was used and in the data reliability check from the provided framework, four criteria; believability, transferability, reliability, and confirmability were used.

    Results

    The findings in this research showed that the effective dimensions in electronic education include technology-oriented, need-oriented, learning-oriented, communication-oriented, program-oriented, obstacle-oriented, motivation-oriented, and development-oriented dimensions, respectively.

    Conclusion

    In this study, we found that given that e-education is used in all sciences, this research is a suitable model for    learners.

    Keywords: Qualitative Study, Research Synthesis, E-Learning}
  • اشرف شمسایی، محسن شمس*، علی موسوی زاده، مصطفی ملکی
    مقدمه

     کمک های نقدی افراد و سازمان های خیریه یکی از منابع مالی برنامه های بخش سلامت است. این مطالعه به دنبال استخراج و درک عمیق  نظرات و دیدگاه های آنان در استان کهگیلویه و بویراحمد ایران در این خصوص بود.

    روش کار

     در این مطالعه تحلیل محتوای کیفی در سال 1397، داده ها طی 22 مصاحبه عمیق با خیرین (9 نفر زن و 13 نفر مرد) ساکن استان کهگیلویه و بویراحمد جمع آوری شد. مصاحبه شوندگان با بررسی بانک اطلاعاتی مجمع خیرین سلامت استان و معرفی از طرف دیگر سازمان های خیریه شناسایی و انتخاب شدند. داده های جمع آوری شده با روش تحلیل چارچوب و به صورت دستی تحلیل شد.

    یافته ها

     محدوده سنی مشارکت کنندگان 74-32 سال بود. در تحلیل داده ها پنج تم اصلی و 11 تم فرعی به دست آمد. اکثر شرکت کنندگان علت تمایل خود برای اهدای کمک نقدی را انگیزه های درونی بیان کردند. داشتن احساس خوب و رضایت بعد از اهدای کمک مهم ترین منفعت مورد نظر و نداشتن شناخت و اعتماد به سازمان های خیریه، مهم ترین مانع برای اهدای کمک مطرح شد. انجام تبلیغات مناسب، جلب اعتماد جامعه به خیریه ها، مهم ترین مداخلات پیشنهادی بود. اعضای خانواده به ویژه همسران، مهم ترین گروه تاثیرگذار برای اقدام به کمک خیر بیان شدند.

    نتیجه گیری

     تمرکز بر احساس رضایت درونی و داشتن حس خوب پس از اهدای کمک نقدی، حمایت طلبی از طریق همسر خیرین و نیز رفع موانع بیان شده می تواندمنجر به ترغیب افراد برای اهدای کمک های نقدی به برنامه های نظام سلامت شود.

    کلید واژگان: خیرین سلامت, کمک های نقدی, مطالعه کیفی, نظام سلامت}
    Ashraf Shamsaei, Mohsen Shams *, Ali Mousavizadeh, Mostafa Maleki
    Introduction

     Monetary donations from charitable individuals and organizations are one of the financial sources of health sector programs. This study sought to extract and deeply understand their views and opinions in Kohgiluyeh and Boyer Ahmad provinces.

    Methods

     In this qualitative content analysis study in 2017, the data was collected through 22 in-depth interviews with donors (9 women and 13 men) living in Kohgiluyeh and Boyer Ahmad provinces. The interviewees were identified and selected by checking the database of the province’s Health Charity Forum and referrals from other charity organizations. The data was analyzed manually using the framework analysis method.

    Results

     The age range of the participants was 32-74. Data analysis led to five main themes and 11 subthemes. Most participants expressed their reasons for donations as intrinsic motivations and positive attitudes towards these activities. Moreover, the majority of them believed that; a sense of commitment, sense of responsibility, altruism, as well as brotherhood, and equality inherent in human beings were the main reasons for their donations. Lack of recognition and lack of trust in charitable organizations were the main obstacles to donation. Conducting appropriate advertisements, and gaining community trust in charities were the most important interventions suggested by the interviewees. Family members, especially spouses, were the most important influential group for monetary donations.

    Conclusion

     Focusing on the feeling of inner satisfaction and having a good feeling after donating cash and highlighting it, as well as removing the stated obstacles can lead to encouraging people and society to do this behavior.

    Keywords: Qualitative Study, Monetary donation, Health charity, Health system}
  • Naser Masoudi, Rahim Baghaie, Leyla Alilu, Farshad Mohammadi *
    Background

     One of the main causes of mortality in patients with heart disease is arrhythmia. A temporary pacemaker is inserted to control arrhythmias, particularly when an intervention is urgently needed. Since this procedure is not benign, patients might experience many challenges. As the first step in the development of nursing interventions, identifying these experiences can help reinforce evidence in this field and enhance the quality of nursing care.

    Objectives

     The present study aimed to explore the challenges experienced by patients with temporary transvenous cardiac pacemakers (TTCPs).

    Methods

     This qualitative, interpretive phenomenological study was conducted on 18 patients with pacemakers who were selected by purposive sampling. The data were collected through in-depth semi-structured interviews. All the interviews were recorded and simultaneously analyzed via van Manen’s analytical method.

    Results

     The results of data analysis resulted in three major themes: "disregard for patient’s dignity”, “dependent life”, and "physical and psychological problems”.

    Conclusions

     This study showed the challenges of patients with TTCPs. This group of patients is facing challenges related to the care and hospitalization matter and facing an uncertain future. Therefore, there is a need to pay more attention to patients' needs during hospitalization, such as informing patients about the procedure, respecting patients’ dignity and rights, and controlling physical and psychological problems.

    Keywords: Cardiac Pacemakers, Qualitative Study, Phenomenology, Nurses}
نکته
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