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

Accepting the fact that a member of the family has heart disease and the stress of living with a heart patient can be so effective in the family that it might change its nature. In this context, the present research was conducted to discover and identify the patient's and his family's lived experience with acute exposure to one type of heart disease.

The present study was a qualitative research conducted through phenomenological analysis method in 2019 in Tehran. To collect data, semi-structured interviews were conducted regarding 6 patients hospitalized in the special care department of Baqiyatullah Hospital and 4 people accompanying the patients until the data saturation was reached. Data analysis was done using MAXQDA 20 software.

Based on the findings of this research, 19 sub-themes and 7 main themes were obtained regarding the initial experiences of cardiovascular problems (malfunction)and internal states related to cardiovascular disease, the initial experience of the family related to cardiovascular disease, the atmosphere of Participants' life before experiencing cardiovascular disease, life experiences before experiencing cardiovascular disease, perceived changes after experiencing cardiovascular disease, and finally, facing the experience of cardiovascular disease.

The obtained results showed that suffering from cardiovascular diseases has wide psychological, social, and family consequences for the individual and their family. For this purpose, it is necessary to pay special attention to psychological aspects of these patients in addition to drug therapy.

Marital separation is a significant life event that often results in a stressful and challenging period for both parties involved. This period may be particularly intense for women. Understanding the factors that can mitigate these conditions is crucial for managing this transitional phase effectively.

This study aimed to elucidate the process of mental security development in divorced women using a qualitative approach.

This phenomenological study employed a qualitative method. The sample population comprised women from Al-Shatar City, Selseleh County, Lorestan Province, Iran, who had been divorced for a period ranging from 6 months to 6 years during 2021-2022. 18 participants were selected through purposive sampling and the data were collected using semi-structured interviews. The MAXQDA software was utilized to streamline the coding and analysis processes.

The results identified 4 key factors influencing the development of mental security in the divorced women studied: grounding factors, revealing factors, sustaining factors, and stabilizing factors. These factors collectively resulted in physical, mental, emotional, cognitive, and behavioral effects, thereby laying the foundation for mental security in these women.

Mental security in divorced women is a multi-faceted construct influenced by various factors. Identification of these factors may vary across different environments, cultures, and societies. Recognizing these factors can inform the development of effective strategies to enhance mental security of divorced women.

Compared to other hospital departments, emergency department (ED) nurses experience higher levels of occupational fatigue. However, despite the importance of fatigue in EDs, limited studies have investigated the issue. Therefore, the present study aimed to identify factors affecting ED nurses’ fatigue with a systemic approach and provide a comprehensive model of fatigue.

The present study was the first phase of a mixed-methods study with an exploratory sequential design that was conducted qualitatively. Data was collected using a semi-structured interview technique among ED nurses in TUMS hospitals in Tehran. The data was analyzed with a systematic approach and qualitative content analysis method. To check the credibility and trustworthiness of the study results, Goba and Lincoln criteria, including transferability, peer review, and member check, were used.

Extensive factors were identified in the four levels of nurses’ work system, including individual factors, work unit, organization, and extra-hospital factors that could facilitate or prevent nurse fatigue. Specifically, the categories that were mentioned the most by the nurses were aggression and conflict with visitors, ED workload, understaffing, crowding and noise, obligatory overtime, acknowledgement, visitor’s expectations, reporting (paperwork), and clients’ distrust of nurses. Finally, based on the qualitative results, a conceptual model of factors affecting occupational fatigue of ED nurses in Tehran was presented.

Traditionally, fatigue management programs in hospitals only consider issues related to work shifts and sleep hygiene. However, the results of the present study revealed other fatiguing factors in the work system of ED nurses. These findings can help health system decision makers and HFE experts in designing effective fatigue risk management systems in Iranian hospitals, especially in emergency departments.

Unplanned pregnancy in the first year after delivery in high-risk and adolescent mothers can have numerous complications. This study aims to investigate the effective strategies for the use of contraceptive methods in the postpartum period by adolescent mothers in Iran.

This qualitative study, using the nominal group technique (NGT), was conducted in 2019 during a journal club with the presence of professors and students in midwifery and reproductive health. The NGT included five steps: Recording of ideas during 5 minutes of silence, clarifying ideas, prioritizing important ideas, voting, and selecting the first five priorities.

Five priorities were education, counseling, providing the contraceptive methods, modification of population policies, and correct identification of the vulnerable groups. Accordingly, strategies were categorized as (a) evidence-based education and counseling on appropriate use of contraceptive methods during pregnancy, after delivery, and during postnatal visits, (b) providing contraceptive methods to the high-risk group of women for free in health centers, and (c) modification of population policies.

There are appropriate strategies for the contraceptive use such as education, counseling, providing the contraceptive methods, and modification of population policies that can temporarily prevent pregnancy in high-risk adolescent women in Iran.

The specialty of emergency medicine is actually a multidisciplinary study that interacts with almost all other specialized fields.

The present study was conducted using a qualitative method with a phenomenological approach, which is the study of Peymaniyeh Hospital and Professor Motahari (RA) Jahrom. The mayor of the hospital, the supervisor of the emergency department and the person in charge of improving the quality of the hospital were formed. Data collection was done by semi-structured interview method with open questions, which reached the saturation limit with the participation of 9 people, and the 7-step Claysey method was used for data analysis.

Based on the opinions and experiences of the participants in the study, in the matter of explaining the role of emergency medicine specialist in providing services in the emergency department; 6 main themes (management and leadership, improving the quality of service delivery, patient satisfaction, economic benefits, developing team and interdepartmental cooperation, and improving education) were obtained with 33 sub-themes. Also, 25 components were extracted in the issue of obstacles and facilitating factors in providing services.

The results of this study showed that among the five roles that are expected from emergency medicine graduates; Specialists have been more successful in playing caring, managerial, consulting and educational roles, and the role of research has been weaker.

Considering that recognizing the experiences of professors and students is important in improving the quality of Virtual educationthe present study aims to explain , the understanding and experience of faculty members of Mashhad University of Medical Sciences of virtual education during the covid-19 epidemic. 

This qualitative study was conducted with a content analysis approach atMashhad University of Medical Sciences. B participants were selected from the faculty members of Mashhad University of Medical Sciences through purposive sampling. Semi-structured interviews were used to collect data. Sampling was continued until saturation of the data. Data analysis was performed using the content analysis method. The validity of the data was also confirmed according to Lincoln and Guba criteria.

Data analysis led to the emergence of three main categories: 1. "advantages of Virtual education " With the sub-categories "Reducing economic costs, the flexibility of Virtual education and creating a suitable teaching-learning environment" and 2. "Disadvantages of Virtual education" With the subcategories "Lack of sufficient skills in using virtual training, Insufficient space, facilities and infrastructure, Lack of effective interaction and sufficient motivation, lack of ethics and information security, Impossibility of quality evaluation, Lack of proper software support, Impossibility of assessing proper attendance" and 3. "Virtual education promotion strategies" With the subcategories " Strategies to promote Virtual education in policy and incentive policies, Perform an effective evaluation, improving teaching skills, Combining online and offline training and infrastructure development and technical support" 

Aid, management, and support of Virtual education structures, and promotion of cultural, motivational, and economic infrastructure, can help in the development of designing virtual education environments in universities and achieving educational goals at all levels of education

One of the most important aspects of corona disease is the psychological and social spheres. Fear and worry about this disease can lead to social stigma towards people, and even their places of residence. This study was designed to explain the perception and experience of community members of social stigma in the face of coronary heart disease.

This qualitative study with content analysis approach was performed on 21 patients with corona disease, patient companions, non-patients and staff of COVID-19 reference hospitals in Covid 19 reference hospitals in Mashhad University of Medical Sciences. Semi-structured interviews were used to collect data. Sampling was continued without any restrictions until the data were saturated. Text analysis based on content analysis approach was done by setting the initial code, compressing the code in the sub and main classes and finally abstracting more general themes and concepts. The validity of the data was confirmed according to Lincoln and Guba criteria. 

From the qualitative analysis of the data, two main categories emerged: "from self-stigma to social stigma" including: Secrecy, Affected person's distance from others, Social rejection, External stigma , "emotional numbness" including: Non-supportive behavior of the medical staff with the affected person, coldness of marital relations following the infection of one of the spouses, unemotional behavior of the family with the affected person and the final theme of "corona stigma more destructive than corona disease",.

Fear of being in the community, isolation, unemotional reactions and stigma are in the circle of the Corona label. Trying to maintain a physical distance should not lead to an emotional or human distance between us and others.

The goals of global growth of the elderly population and ensuring the health of the elderly is a global event and one of the most important challenges of the health system of countries, especially developing countries and Iran; In this regard, the study was conducted to explain the challenges of the Iranian health system in the face of future aging.

The study was qualitative content analysis. A total of 29 experts from various disciplines including geriatrics, psychology, social medicine, nursing, medicine, health and social welfare, health policy, health care management and health economics participated in the study. The data obtained from the semi-structured interview were classified by the content analysis method. Lincoln and GABA criteria were used to assess validity.

In identifying the challenges of the Iranian health system in the face of future aging Two general concepts including "policy challenges" including "barriers related to planning and implementation", "financial barriers", "vision barriers", "therapeutic barriers", "Health barriers", "educational barriers" and "individual social challenges" were identified, including "cultural value barriers", and "individual barriers".

The frequency and variety of challenges of increasing the elderly population in the country according to the findings of the study indicate the critical state of the health system in the near future. Identifying these challenges can be used by policymakers and planners for any planning and action.

The aim of the present study was to identify the factorsaffecting the challenges of parents and adolescents withADHD. The present research method was qualitative andthematic analysis with grand theory approach and semistructured interview as a data collection tool. The researchmethod is qualitative. In order to explain the concept of thechallenges of parents and teenagers and the factors affectingit, a qualitative method with a grand-theory approach wasused. In this research, in the qualitative part using thepurposeful sampling method, 15 parents with ADHD childrenin Tehran in 1401 who experienced conflict with the ADHDchild were selected as participants in the research. The samplesize was estimated based on reaching the data saturationcriterion. Factors affecting the challenges of parents andadolescents with ADHD 7 main themes and 16 subcategoriesrelated to each include; psychological consequences (suddenand impulsive behaviors, violent behaviors, sensorydisturbances, negligence in performing duties); Psychologicalapproach (increasing self-confidence, strengthening andencouraging, playing and physical activity, emotionalconnection); educational approach (approach to medicalcenters, appropriate training); family factors (geneticproblems, family problems); economic factors (economicsituation); social factors (lack of social support);environmental factors (living conditions, parents' problems).In general, the challenges of parents and teenagers are affectedby many factors such as the person, the environment, andeducation.

The purpose of this research was to provide a comprehensive model for improving the monitoring system in sports organizations of the country.

In terms of purpose, this research was applied and developmental, and in terms of data collection method, it was a qualitative type of foundation data. The participants of this part of the research included 16 faculty members and experts related to the field of sports management, who were selected by the purposeful sampling method of theoretical and snowball type. The tool of this research, semi-structured interviews, was used to obtain a rich description of the experiences, attitudes and perceptions of the interviewees regarding the factors affecting the monitoring system in sports organizations. Qualitative data analysis was done with the Foundation's data method based on a systematic approach and through three stages of open, central and selective coding. To ensure the validity of qualitative analysis, the method of review by members, documentation through citation writing and peer review was used.

Based on the findings of the research in the qualitative part, 85 open codes were identified in the form of 24 concepts and 11 main categories, which in the form of a paradigm model including causal conditions (productivity, administrative health), background conditions (individual platforms, transparency), intervening conditions (infrastructural , infrastructural), strategies (evaluation and monitoring, performance improvement) and consequences (intra-organizational and extra-organizational), were related to the core category of improving the inclusive monitoring system (general, dedicated and intelligent monitoring).

Based on the results, performance evaluation in organizations, especially sports organizations, and due to the necessity of this system in sports organizations, it is necessary to conduct research on the presence or absence of performance evaluation system in organizations.

The aim of this study was to present a talent management model using a qualitative meta-combination approach.

The present study was performed by meta-combined method. Therefore, in the first step, by comprehensive search of sources, 230 sources were obtained, from which in a 3-stage refinement, 40 articles very related to the qualitative research method were selected. Concepts were extracted from the articles and by re-reading the concepts, the categories were extracted from them and finally 7 dimensions and 44 categories were extracted and the final model was developed.

Based on the findings, all dimensions Six dimensions: Identifying talent needs, identifying talent sources and existing potentials, talent acquisition, talent development, strategic talent utilization, talent retention, talent performance evaluation using a qualitative method The metechnique was obtained.

The results of this study can inform the people who are responsible for employment, promotion, training, development and evaluation in organizations, so that they can make appropriate decisions in their programs. It also informs corporate decision makers where and how to focus their efforts and resources so that they can maximize the level of employee commitment.

Randomized clinical trials are the gold standard for evaluating the effectiveness and safety of medical interventions. Some unpredictable challenges may affect the results of these studies. Therefore, the aim of this study was to identify the challenges of clinical trial studies in different stages including design, conduct, analysis, and reporting.

This study was a qualitative study using content analysis performed from 2017 to 2019. The study population included 13 clinical trial experts who were selected through purposeful sampling. Semi-structured interviews were conducted with all subjects. Data saturation was achieved after 13 interviews.

Among the 4 steps of design, conduct, analysis, and reporting, the majority of the challenges were related to conducing randomized clinical trials. Lack of knowledge of researchers, subjects, sponsors and physicians and supervisory and ethical challenges were the main challenges related to performing these studies. Poor design and lack of clinical equipoise were considered as the main challenges in the design step. Inappropriate analytical methods due to the absence of statistician in these studies were considered as the most common challenge related to analysis. Finally, lack of familiarity with international guidelines was the most important challenge in reporting.

There are many challenges in different steps of clinical trial studies. Therefore, additional education sessions focusing on the related guidelines and standards as well as GCP workshops for researchers can be helpful.

Although infertility is a medical condition, its dimensions and consequences go beyond the biological and physical realms and have psychosocial dimensions and consequences. This is especially important for women, given the socio-cultural requirements of Iranian society. The aim of the present study is to explore the psychosocial challenges of infertility from the perspective of Iranian women.

The present study is of qualitative type and based on grounded theory. Data were collected through in-depth interviews with 33 infertile women referred to Milad fertility clinic and health treatment Center in Mashhad. The process of collecting data continued until the theoretical saturation of the data. All interviews were recorded with the prior consent of the participants. The analysis of the present research data was performed by Strauss and Corbin method using MAXQDA software.

Analysis of interviews with participants led to the emergence of three main classes of microsystem, mesosystem, and macrosystem and 12 sub-classes of emotional challenge, physical challenge, information challenge, relationship with spouse, relationship with family, relationship with family friends, the influence of society and culture, the influence of religion, and the influence of the macroeconomic system.

Diagnosis and treatment of infertility is a difficult experience for women. In addition to the personal challenges such as shock from diagnosis and depression, infertility affects social relationship with others such as spouse, family, and friends, as well as the worldview of infertile women. Each of these topics can be considered as a potential therapeutic goal and used to design therapeutic interventions.

The higher medical education system’s mission is to maintain and improve the health in society. Furthermore, the roles of social determinants of health in health situation of society have been emphasized, and require in-depth and expansive studies. Therefore, the current study aimed to identify the position of social determinants of health in higher medical sciences education system.

This study was conducted using qualitative approach with 20 experts in focus group discussion, and 8 experts in semi-structured interviews. The gathered information was reported using qualitative content analysis approach using codes, subcategories, and main categories.

The findings of focus group discussion and semi-structured interviews with experts resulted in 500 codes, 17 subcategories, and 4 main categories of education, policymaking, legislation, and implementation, participation and accountability in public and private sectors, and weakness in areas related to social determinants of health.

The findings of this study play a strategic role in medical education system for identification and expansion of social determinants of health. These findings can be used by policymakers, planners, and executives of education system to apply the teachings provided in medical education system, and create a more focused and productive system in the area of social determinants of health.

The interpersonal relationship is the foundation and foundation of human identity and perfection. The perfection of this relationship is crystallized in the relationship between two different sexes. One of the issues that threatens the quality of the relationship and, consequently, the quality of marriage and the structure of the family, is the tendency toward the multiplicity of relationships with non-gay people at different times of life. The present study aimed to clarify the orientations of the multiplicity of relationships with non-sex.

 This qualitative study was carried out with the participation of 24 people (13 girls and 11 boys) through targeted sampling method to achieve theoretical saturation data and using a semi-structured interview in 1396, and for analyzing information using field theory method (Open coding, axial coding, selective coding).

The multidisciplinary context of non-homogeneous relationships from the perspective of people involved in such relationships was internal factors, external factors, communication factors, and cultural factors.

According to the present research, in relation to the fields of such relationships, it can be concluded that a set of underlying factors such as internal and personality characteristics, interpersonal interactions, and ultimately environmental and cultural factors, in the emergence of multiplicity of non-simultaneous relationships Sex has the potential to be considered in the prevention and reduction of these types of relationships as threatening the health of the family.

Flipped classroom represents a kind of blended learning in which educational content is delivered outside the classroom and classwork activities is done in the classroom.This study with the purpose of designing, implementing and evaluating of teaching dosage forms with flipped classroom method for pharmacy students has been done.

This was a SoTL (Scholarship of Teaching & Learning) developmental study. It was performed as a flipped classroom for all pharmacy students (34 people) of the fifth term at Guilan University of Medical Sciences.The teacher distributed the content in a CD of PowerPoint to be studied. Subsequently, after a week, the students were  divided into six groups in the class, and the questions were proposed with handling a problem based small group strategy. With regard to evaluating, a focus group interview was conducted with the participation of 10 students who purposefully were choosen. Analysis of qualitative contents of data from focus group interviews was prepared by MAXQDA10 software.

34 students were participated in a study who 68% represent women and 32% represent men with 21 ± 0.5 average age. Evaluation results were extracted as 155 primary codes contain 4 main groups and 11 categories. Main group’s categories were attraction (innovation, challenge, subject and amusement), cheerful atmosphere (cooperation, engagement), preparedness (pre-reading, content type, volume of content) and class management (grouping, management of evaluation).

This method created more attractive and motivational than traditional learning. As the content was already presented to the students; by asking questions and interacting with students, the class was dropped out of teacher-centered and students were more willing to participate. Additionally, because of the applied contentof lesson, the level of engagement, discussion, and challenge was great.