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

Gaining an in-depth understanding of the cultural beliefs and behaviors of patients, their relatives, and healthcare professionals (HCPs) in the emergency department (ED) can have a significant impact on patients' and their relatives' ED experiences, expectations, satisfaction, and outcomes. This study aims to explain and describe what it is like to wait in an Iranian ED by focusing on its ongoing cultural features.

Based on Spradley’s (1980) developmental research sequence, a focused ethnographic approach was conducted at the ED of Imam Reza University Hospital in Tabriz, Iran. Purposive sampling was used to identify eligible participants from patients, their relatives, and the healthcare professionals in this ED. Data collection involved participant observation, ethnographic interviews, and examination of related documents and artifacts, which continued until data saturation was achieved.

The study identified six cultural patterns as follows: (1) patients and their relatives experience uncertainty due to a lack of information; (2) relatives feel obliged to insist on their presence; (3) the presence of relatives is perceived as having both constructive and destructive aspects; (4) a lack of empathy undermines reciprocity in the healthcare system; (5) healthcare approaches are mostly one-dimensional; and (6) self-organized HCPs dynamically address the disorganization in the ED.

The findings of this study can provide a foundation for designing effective strategies to promote technical and interpersonal dimensions of quality in ED care. These strategies should be closely aligned with patients' and their relatives' needs, expectations, and preferences.

The World Health Organization (WHO) estimates that 250 million children under the age of five suffer from vitamin A deficiency and 2.8 to 3 million children under the age of 5 suffer from clinical symptoms of vitamin A deficiency. Since the malnutrition of children is related to their diet, the purpose of this study was to evaluate the status of vitamin A in children aged 1-6 years in Darab city and its relationship with some socioeconomic factors and anthropometric indices using a specific vitamin A questionnaire.
In this cross-sectional study, which was part of a project to determine the prevalence of malnutrition in children under 6 years old in Fars province Fars province, 510 one to six years old children were selected by multi-stage cluster sampling in Darab. Demographic and socio-economic characteristics were evaluated through questionnaires and interviews. Children height and weight were calculated based on Z score. To evaluate the status of receiving vitamin A, the Helen Clare International Center for Dietary Frequency Questionnaire was used. Chi-square test and logistic regression were adjusted for age and sex were used.
father's occupation [OR=1.1; CI %95 [0.980-1.46], P=0.05] differed significantly in two groups [no efficient or efficient vitamin A].Contact between Property and income with vitamin A deficiency means no statistic different. [p>0.05]. Mild degrees of malnutrition in children is more common and there is significant difference between under weighting and stunting and wasting parameters with vitamin A deficiency in animal source [p Vitamin A deficiency is not a matter of health issue in Darab. It rather correlates with deficiency in animal vitamin A intake that might be proxy of poor socioeconomic status.

Waiting for coronary artery bypass grafting is an unpleasant experience for patients and is associated with physical and psychological problems. The aim of this study was to recognize lived experiences of patients waiting for coronary artery bypass graft.
This qualitative study was conducted using an interpretative phenomenological approach and proposed method of Van Manen. Twelve participants (9 men and 3 women) were purposefully selected with maximum variation from Shahid Beheshti Hospital of Qom city, in 2016. The data of this study were collected through in-depth semi-structured interviews in the period of time between 40 to 70 minutes. The recorded interviews were transcribed verbatim to text, then, the transcribed texts were analyzed using the proposed van Manen’s six-step method.
From analysis of participant's statements, concepts, such as sense of panic, fear of death, understanding patients’ collaboration, understanding the importance of heart, decision for heart surgery, and trying to keep calm, were deduced.
The participants of this study, from diagnosis of cardiovascular disease until the time of artery bypass grafting, thought that they were at risk for heart attack and death, and in spite of fear of death and sense of panic, they used peer-patients to control these negative experiences. Therefore, the members of health care team, particularly nurses, can provide necessary trainings to help patients from diagnosis time until surgery.

Objective (s): This study aimed to explain the needs of family members awaiting patients, surgery. A qualitative design using content analysis approach was used to collect data and analyze the experience of 17 family members who were waiting for their patients’ surgery. Data analysis led to the development of 3 categories and 6 subcategories. They included: Emotional need (need to consolation, need for hope(, Informational need)need to receive information about illness and surgery process, need to consulting and guidance(, Physical need)need to appropriate site, need to facilities and amenities). The finding might help healthcare professionals especially nurses to get a better understanding of the families, needs in this situation and as a result could be better planning and intervening for meeting of this needs.

The surgical waiting area is that place where families and friends await news concerning their patient who is undergoing surgery; they spend hours wondering and worrying. This study aimed to explain factors that facilitate waiting time according to experience of family members of patients undergoing surgery. This is a qualitative research. Participants were 17 from family members of patients undergoing surgery، they were selected by purposeful and theoretical sampling. Semi-structured interviews were performed for data collection and data were analyzed using content analysis approach. During analysis 2 themes and 5 subthemes emerged. They included: support [“family support”، “personnel support”]، satisfaction [“attention and personnel accountability”، “skill of medical team” and “nursing care”]. These findings of the present study could help nurses for better and holistic care services.

This study was conducted to examine the effect of supportive nursing program on depression، anxiety and stress of family members of patients during coronary artery bypass graft surgery. patient’s family members experience high levels of depression، anxiety and stress during coronary artery bypass graft surgery. Informational and emotional support of family members during surgery may have significant effect on reducing their psychological distress and enabling them to better support of the patient. This semi-experimental study was conducted on 104 relatives of patients. They were recruited in the study with regard to the inclusion criteria and assigned to either experimental (n=52) or control (n=52) group. The experimental group received supportive nursing program including informational and emotional support. The control group only received routine interventions. Data were collected by demographic form and modified Depression Anxiety and Stress Scale (DASS). The data were analyzed by Chi-squire and T-test using SPSS software، version 21. There were no statistically significant differences between control and intervention group regarding the mean scores of depression، anxiety and stress before surgery. After intervention (at the end of surgery) experimental group reported significantly lower levels of depression، anxiety and stress (P<0. 0001). According to the finding، supportive nursing program could reduce depression، anxiety and stress of family members of patients during coronary artery bypass graft surgery; so، we suggest this program as an effective intervention to support family members during coronary artery bypass graft surgery.

A family-centered approach is an important part of the care process for surgical patients and their families. Nursing care is effective only when the family is taken into consideration. Understanding of family members’ experiences could helps nurses for better care services. Thus, this study aimed to explain the experience of waiting in families of patients undergoing surgery.

In this qualitative study, 17 family members of patients undergoing surgery were selected by purposive and theoretical sampling until data saturation. Semi structured interviews were held for data collection. For transcription and analysis of interviews, Microsoft Word and One Note software was used and date were analyzed using content analysis approach.

According to the findings, “Stressful waiting” was the main theme of study which was consisted of four categories, i.e. “mental and intellectual concerns”, “fear and worry”, “psychological reactions” and “psychosomatic reactions”.

Finding of this study can help healthcare professionals especially nurses to get a better understanding of the family emotions and concerns in this situation and as a result could be planning for decreasing such concerns.

When a person is undergoing a surgery, family and friends spend hours worrying and upset. Understanding what the family members are experiencing by nurses could help them provide better family centered care, which is an important goal of holistic care. Thus, this study aimed to explain support from perspective families of patients undergoing surgery. In this qualitative study, 17 family members were selected by purposive and theoretical sampling while they were waiting for patients, surgery. The study took place at university medical center hospital in an urban area of Iran. Semi structured interviews were held for data collection and date were analyzed using content analysis approach.Data analysis led to the development of four main themes; ‘different types of support’, ‘necessary support’, ‘physical proximity’, and ‘interaction’. This study presented new findings in the family members’ experiences, which can help healthcare professionals; especially nurses to better understand the subject and better facilitate the process.